Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT05719623 |
| Other study ID # |
REC/RCR&AHS/22/0734 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
February 9, 2023 |
| Est. completion date |
September 30, 2023 |
Study information
| Verified date |
October 2023 |
| Source |
Riphah International University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and
clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic
diplegia, spastic quadriplegia, and extra-pyramidal or dyskinetic. Clinical prediction models
and neuroimaging have been used to diagnose CP before the age of 2 years, but further
research is necessary. Cuevas Medek Exercises (CME) is a pediatric physiotherapy approach for
children with developmental motor delay impacting the central nervous system. According to
Ramon Cuevas, who developed the therapy, CME are mainly based on the principle of provoking
novel automatic motor reactions using exercises against gravity with progressive distal
holding. This study will find the effects of Cuevas Medak Exercises on Balance and Postural
control in children with spastic cerebral palsy.
This Randomized Controlled Trial will recruit the participants through random sampling.
Participants will be randomly divided into 2 groups. Two groups of children aged between 2
and 5 years, suffering from cerebral palsy in spastic form, one for control and one for
experiment. Controlled will get conventional treatment while study group will get
conventional treatment with Cuevas Medak Exercises. Treatment duration is of 12 weeks.
Progress will monitored every month. The frequency of recovery sessions will 3 sessions/week,
and the duration of a session will 45 minutes. Patient evaluation will be made at the
beginning and the end of the treatment through pediatric balance scale and static balance
test. Data will be analyzed through SPSS 25.
Description:
Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and
clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic
diplegia, spastic quadriplegia, and extra-pyramidal or dyskinetic (1). Children born preterm
account for one-third to one-half of CP diagnoses in HICs, although this proportion is much
lower in low-income countries (LICs), where mortality of very preterm babies remains high .
Clinical prediction models and neuroimaging have been used to diagnose CP before the age of 2
years, but further research is necessary (.
The CPs share a common clinical sign of non-progressive dysfunction of posture and movement
control but not a common diagnosis. Although there are many CP types, many causes, and now
many associated pathogenic genetic variants, it is probably not advisable to change the
clinical diagnosis of CP made by specialist pediatricians in cases that fulfill the clinical
definition.
In order to prevent greater developmental motor delay, a physiotherapy intervention focusing
on optimizing neuroplasticity must be done, stimulating the child to achieve the
developmental motor milestones . Cuevas Medek Exercises (CME) is a pediatric physiotherapy
approach for children with developmental motor delay impacting the central nervous system.
According to Ramon Cuevas, who developed the therapy, CME are mainly based on the principle
of provoking novel automatic motor reactions using exercises against gravity with progressive
distal holding CME therapy is a physiotherapy approach to treat children with developmental
motor delay by impacting CNS. Postural control and balance training are essentials for the
children to be mobile. The aim of the study is to find the effects of Cuevas Medek Exercises
on balance and postural control on children with spastic Cerebral Palsy so that the children
with motor development disorders of neurological cause like cerebral palsy can develop
automatic motor reactions which they would not be able to develop on their own, because of
neurological injuries and help them to improve their quality of life.
