Effects of Proprioceptive Training With Routine PT on Gross Motor Function in Spastic Quadriplegic CP

Cerebral Palsy Clinical Trial

Official title:

Effects of Proprioceptive Training in Addition to Routine Physical Therapy on Gross Motor Function in Children With Spastic Quadriplegic Cerebral Palsy: A Randomized Control Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05436847
• Other study ID #: IRB-UOL-FAHS/831-VI/2021
• Status: Completed
• Phase: N/A
• Start date: December 1, 2021
• Est. completion date: June 10, 2022

Study information

• Verified date: June 2022
• Source: University of Lahore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children

Description:

Proprioception plays an important role in the correct execution of efferent motor performance as 70% of cerebral palsy population have deficit in receiving somatosensory signals3. Tradition physical therapy exercises including strengthening followed by stretching etc. should be reviewed and the therapy must be more oriented to overall individual growth and development31. There is a need to push the cerebral palsy population to be exercised with proprioceptive stimulation for their maximum participation in the activities of daily life including both personal and social aspects. The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 52
• Est. completion date: June 10, 2022
• Est. primary completion date: May 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 1 Year to 5 Years

Eligibility

Inclusion Criteria:

• Children with the diagnosis of Cerebral Palsy (Spastic quadriplegia)
• Ages of 1 to 5 years
• Both males and females
• Alert and responsive to verbal and non-verbal commands
• Modified Ashworth Sale grade 1 to 2
• Gross Motor Function Classification System level 1V and V

Exclusion Criteria:

• Children under the botox treatment for tone management (botulinum injections)
• Diagnosed with any disease other than spastic quadriplegic cerebral palsy i.e. congenital heart defects, epilepsy, recurrent pneumonia, skin infections etc.
• Children underwent any surgery i.e. tenotomy (tendon release), recent heart surgery,
• Recent fracture and subluxation/dislocation due to fall or poor handling
• Any contracture or deformity on upper extremities, lower extremities and spine i.e. flexion contractures, club foot, scoliosis

Related Conditions & MeSH terms

• Cerebral Palsy
• Muscle Spasticity

Intervention

Other:
• Proprioceptive Training
Proprioceptive Training using increased joint to joint approximation through ankle weights and joint splints.
• Routine Physical Therapy
Neurodevelopmental treatment- age appropriate

Locations

Country	Name	City	State
Pakistan	The University of Lahore Teaching Hospital	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
University of Lahore

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Gross Motor Function	Gross Motor Function Classification System (GMFCS) is a 5-level clinical classification system that describes the gross motor function of people with cerebral palsy on the basis of self-initiated movement abilities. Higher scores indicate better improvement in gross motor functions.	9 months