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NCT Number: NCT07275528

Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in Cerebral Palsy

cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercis it is randomized control trail conducted with 34 patients included according to inclusion and exclusion criteria. Functional mobility assessed through 6-minute walk test and activity participation evaluated through Child Engagement in Daily Life measurement scale.

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Key information

Conditions

Cerebral Palsy (CP) Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Cerebral Palsy Functional Mobility Nervous System Diseases

Age range

5 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

Location status: Recruiting

Location contact

Kiran Khushnood, MS-NMPT

CONTACT

[email protected]

+92 3335993417

About this study

Cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities, which severely affects the children's quality of life. Task-Oriented Circuit Training (TOCT) is a progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercises. It involves a series of workstations where individuals practice tasks like balancing, walking, and reaching skills essential for daily life. The purpose of the research was to find out the effectiveness of task specific circuit training on activity participation and functional mobility in children with hemiplegic cerebral palsy. This non blinded randomized control trail will be conducted at fauji foundation hospital Rawalpindi for the duration of 1 year after approval of GERC with 34 patients included according to inclusion and exclusion criteria. After ethical approval from FUSH ERC, eligible participants will be randomly assigned into two groups through sealed envelope method. The participants would assess through 6- minute walk test for functional mobility and child engagement in daily life measurement scale for activity participation on the day of starting the intervention, after 4th week and 8th week. Intervention will be given for a total 40-50 minutes per session, 3 sessions per week for consecutive 8 weeks. Task-oriented Circuit Training (TSCT) includes 14 workstations that target different motor skills through progressive exercises that gradually increase in difficulty. Conventional Physical Therapy includes Stretching of tight muscles, strengthening of weak muscles, and positioning

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed cases of hemiplegic cerebral palsy
  • Both genders are included
  • The children were between 5 and 12 years old.
  • Their motor function was at a level I or II based on the GMFCS,
  • The degree of spasticity grade 1 to 2 based on the Modified Ashworth Scale.

Exclusion criteria

  • Visual or hearing loss
  • Cognitive impairment
  • Seizures
  • A botulinum toxin injection in the previous six months,
  • Lower extremity surgery
  • Musculoskeletal disorders
  • Structural deformities in the spine and/or lower limbs.

Treatment and study plan

Experimental

Procedure

The intervention consists of a structured taskoriented circuit training program composed of 14 different workstations designed to target functional mobility, lower limb strength, balance, and endurance. Each station addresses a specific motor task, such as standing and reaching, sit-to-stand from variable chair heights, multidirectional stepping on firm and soft surfaces, alternating heel-toe raises, progressive squats (with modifications in depth, duration, and added weight), supine straight leg raises, stair climbing (ascending and descending), backward walking, balance beam walking, core strengthening via crunches and bridges, prone alternating arm/leg raises, side bridges, and cycling on a stationary bicycle with adjustable resistance and direction.

Conventional Physical Therapy

Procedure

Sessions: 3 sessions per week (30-40 minutes) Duration: 6-8 weeks Frequency: 3-4 sessions/week Session Length: 30-40 minutes Format: begin with less repetition gradually progress to increase time and repetition HOT PACK: 10 MINS Week 1-2

  • Stretching Exercises Exercise Detail: Spastic muscles are stretched to the point of mild discomfort. Each stretch is held steadily while maintaining proper alignment. Dosage: Hold each stretch for 20 seconds and repeat 5 times for every identified spastic muscle.
  • Strengthening Exercises Exercise Detail: Weak muscles are activated through gentle contractions performed against light resistance. Dosage: Perform 10 repetitions for each weak muscle in every session.
  • Positioning Exercise Detail: Child is positioned in sitting with legs open on a bench or block, heels touching the ground. Standing against a wall with moderate abduction and external rotation is also introduced. Dosage: Maintain sitting as tolerated. Wall -standing for 15 minutes

Primary outcomes

  1. activity participation

    Time frame: 6 weeks

    activity participation is assessed by child engagement in daily life measurement scale. A CEDL scaled score ranges from 0 to 100, where 100 indicates the highest level of participation or independence, 70-90 suggests moderate participation, 40-60 indicates limited or inconsistent participation, and below 40 represents significant restrictions

  2. Functional mobility

    Time frame: 6 weeks

    functional mobility assessed by 6-minute walk test functional changes were evaluated using the minimal clinically important difference (MCID) reported for children with CP.

    Changes exceeding 6-23 meters is significant. Difference less than 6 meters is insignificant.

Study contacts

Contact information is provided by the study sponsor or research team.

Ahyab Mehreen, DPT

CONTACT

[email protected]

+92 3349279563

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Dec 10, 2025
Registry last updated
Dec 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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