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NCT Number: NCT04894812

Vestibular and Motor Functions in Children With Hemiplegic Cerebral Palsy

As many researches have been conducted to see the effects of vestibular system activation on gross motor activities of children with cerebral palsy but there are limited researches on improvement of motor abilities of hemiplegic cerebral palsy child using UEU or BOSU ball or treadmill in a single study. There is lack of research on vestibular stimulation in hemiplegic cerebral palsy along with neurodevelopmental treatment.

This study will improve the gross motor activities of children with hemiplegic cerebral palsy. It will broaden up the ways for physical therapist to deal with this type of cerebral palsy (hemiplegic).

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Key information

Conditions

Cerebral Palsy Behavior Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Hemiplegic Cerebral Palsy Motor Activity Muscle Hypertonia Muscle Spasticity Muscular Diseases Musculoskeletal Diseases Nervous System Diseases Neurologic Manifestations Neuromuscular Manifestations Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

3 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Institute of Pediatric Habilitation and Rehabilitation IPH

Lahore, Punjab Province, Pakistan

About this study

There are various therapeutic approaches that are used to improve motor activities and postural control in CP child. Among these approaches vestibular stimulation is used to improve neuromotor development by different sensory stimulation techniques. It has shown positive effects on motor control of CP child. It also influences all sensory experiences and is an exercise based approach.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age: 3 years to 12 years
  • Gender: Both Male and female
  • Children with Spastic Hemiplegic CP scoring 1,1+ and 2 on Modified Ashworth scale
  • Level III and IV on GMFCS (Gross Motor Function Classification System)

Exclusion criteria

  • Children with other types of Cerebral Palsy (diplegia, quadriplegia etc)
  • Children with other Abnormalities and pathologies (delayed milestones, hydrocephalous, epilepsy etc)
  • Children Undergone any kind of surgery (cardiac, shunt placement, orthopedic etc)
  • Children with any other neurological deficits (spina bifida etc)
  • Children with conditions in which vestibular stimulation is not allowed (paroxysmal positional vertigo or vestibular neuritis, Meniere's disease, migraine-associated vertigo, and childhood vertigo).

Treatment and study plan

Neurodevelopmental technique

Other
  • st month: postural maintenance; exercises with weight on forearms and hands, in sitting, crawling, semi-kneeling and standing positions with support from therapist.
  • nd month: balance and corrective reactions; using CP ball and tilt board.
  • rd month: ambulation training; appropriate to motor development level (crawling, creeping, walking in a semi-kneeling position and walking between parallel bars).

Primary outcomes

  1. GMFM-88

    Time frame: 12 weeks

    It is a Standardized Observational Instrument designed and validated to measure change in gross motor function over time in children with Cerebral Palsy. The GMFM-88 item scores can be summed to calculate raw and percent scores for each of the five GMFM dimensions of interest, selected goal areas and a total GMFM-88 score.

Secondary outcomes

  1. Modified Ashworth Scale

    Time frame: 12 weeks

    The purpose of the Modified Ashworth Scale is to measure spasticity in patients who have lesions of the CNS or neurological disorders. The MAS is a quick and easy measure that can assist a clinician's assessment of spasticity during passive soft-tissue stretching.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

The Effect of Vestibular Stimulation Along With Neurodevelopmental Technique on Motor Functions of Children With Hemiplegic Cerebral Palsy

Important dates

Study start
2021
Primary completion
2021
Study completion
2022
First posted
May 20, 2021
Registry last updated
Feb 22, 2022

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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