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Most of the available studies that are relevant to motor rehabilitation for children with dyskinetic type of cerebral palsy are few and are comprised of small numbers of children. Further researches are necessary to explore new conservative therapeutic protocols and techniques that should contribute to control disorganized movement, handle postural asymmetry, maintain postural stability, and improve gait performance. Therefore, the objective of this study was to examine the effectiveness of soft orthosis and strapping system on balance, and gait performance in children with dyskinetic cerebral palsy.
Dyskinetic type of cerebral palsy typically results from extrapyramidal and basal ganglia damage. The most common dyskinetic movement disorders are choreoathetosis and dystonia. Their clinical features include fluctuation of muscle tone, involuntary and in-coordinated movement, and posture instability. These features have significant negative impacts on the children's quality of life and performance of daily activities. Management strategy for children with dyskinesia requires both medical and rehabilitative treatment. Most of the available studies that are relevant to their motor rehabilitation are few and comprised of small numbers of children. The therapeutic modalities currently used for their rehabilitation require more evidence to certain their efficacy. Moreover, further researches are necessary to explore new conservative therapeutic protocols and techniques that should correct postural instability and improve the poor mobility of these children The objective of this study was to examine the effectiveness of an orthotic undergarment which is (TheraTog orthosis), and its strapping system on balance and gait performance in children with dyskinetic cerebral palsy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | Active Comparator | Children in the control group received the conventional physical therapy protocol which was designed to improve axial stability and trunk steadiness during standing and walking. |
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| Study group | Experimental | The children in the study group received the conventional protocol given to the control group. Moreover, they wore TheraTog orthotic undergarment with its strapping system eight hours every day for twelve consecutive weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Physical Therapy Protocol | Other | The conventional physical therapy protocol was designed to improve axial stability and trunk steadiness during standing and walking. The conventional therapeutic protocol for every child was 3 sessions/week for 12 consecutive weeks. Every treatment session was conducted for 2 hours with a 15-minutes rest between the two training hours. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the Overall Stability Indices {percentage value (%)} for Postural Stability Test (test that assessed the change in postural stability) | The Biodex Balance System was used to assess the Change in the Overall Stability Indices of the Postural Stability Test. The test includes measurement of the following indices: overall stability index, anteroposterior index and mediolateral index which represents the children's ability to control their postural balance stability in all directions. High values % represent less stability and the children had difficulty in balance control. On the other hand lower values were indicative of a better balance control. | Data was collected at baseline, and 12 weeks after intervention commencement. |
| Change in the Pediatric Balance Scale score (scale that assessed the change in balance performance ) | The Pediatric Balance Scale is a valid and reliable test to assess and re-assess balance deficits in children with mild and moderate motor disabilities. The test includes fourteen tasks that evaluate balance abilities and motor performance in children. 0-4 is the rating score for each item, where zero is the lowest score and 56 is the highest possible score for all tasks that indicate the best balance and motor performance ever. | Data was collected at baseline, and 12 weeks after intervention commencement. |
| Change in the gait parameter (step length) (This parameter indicated the change of gait performance). | An electronic walkway that connected to a portable computer was used to measure the following gait parameter: step length (cm). | Data was collected at baseline, and 12 weeks after intervention commencement. |
| Change in the gait parameter (gait cycle time) (This parameter indicated the change of gait performance). | An electronic walkway that connected to a portable computer was used to measure the following gait parameter: gait cycle time (seconds). | Data was collected at baseline, and 12 weeks after intervention commencement. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ehab M Abd El Kafy, Ph.D | Faculty of Applied Medical Sciences - Umm Al Qura University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Umm Al Qura University | Mecca | 21955 | Saudi Arabia |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| TheraTog orthotic undergarment with its strapping system | Other | TheraTog orthotic undergarment with its strapping system was applied for eight hours every day for twelve consecutive weeks. |
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| Change in the gait parameter (cadence) (This parameter indicated the change of gait performance). | An electronic walkway that connected to a portable computer was used to measure the following gait parameter: cadence (steps/ minute). | Data was collected at baseline, and 12 weeks after intervention commencement. |
| Change in the gait parameter (velocity) (This parameter indicated the change of gait performance). | An electronic walkway that connected to a portable computer was used to measure the following gait parameter: velocity (meter / second). | Data was collected at baseline, and 12 weeks after intervention commencement. |