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Cerebral palsy is primarily a disorder of movement and posture however; it often involves disorder of different aspects of cognitive function.
This study evaluated the effect of FST and cognitive intervention and their combined effect on motor and cognitive functions in children with spastic diplegia. A convenient sample of spastic diplegic CP children, with their age ranging from 8 to 12 years were assigned randomly into four treatment groups
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Functional strength training | Active Comparator |
| |
| Cognitive training | Active Comparator |
| |
| Combined treatment | Active Comparator |
| |
| Conventional physical therapy | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| functional strength training | Other | children in this group received FST. Each training session started with 10 minutes dynamic warm-up period and ended with 5 minutes cool down in the form of muscle stretching and aerobics. The warm up was followed by gait training in addition to 4 functional lower limb exercises; sit to stand exercise, forward/ lateral step-up exercise, half knee rise exercise, and bridging exercise. |
| Measure | Description | Time Frame |
|---|---|---|
| change in GMFM-88 measures | criterion-referenced scale that measure gross motor function in children with CP. | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
| change in attention / concentration measures |
| The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
| change in figural memory measures |
| The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
| change in reaction behavior measures | Computer based RehaCom software used to assess reaction behavior cognitive domain of function. It is clinically proven and evidence-based software. - minimum reaction time ( in seconds) of reaction behavior program was assessed | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
| change in logical reasoning measures | Computer based RehaCom software used to assess logical reasoning cognitive domain of function. It is clinically proven and evidence-based software. - minimum reaction time ( in seconds) of logical reasoning program was assessed | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
| Measure | Description | Time Frame |
|---|---|---|
| change in Five times sit to stand test (FTSST) measure | measure the time spent for completing five sequential sit to stand to sit cycles. It is a reliable and valid measure of functional muscle strength and balance in CP children. | The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty Of Physical Therapy | Cairo | Egypt |
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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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| ID | Term |
|---|---|
| D000091942 | Cognitive Training |
| ID | Term |
|---|---|
| D000066530 | Neurological Rehabilitation |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
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|
| cognitive training | Other | Children in this group received cognitive training by RehaCom cognitive rehabilitation software. Training was applied for four cognitive domains of function; attention / concentration, figural memory, reaction behavior and logical reasoning. |
|
| conventional physical therapy | Other | including reinforcement of normal motor development, reflex inhibiting patterns, balance exercises, stretching exercises and gait training |
|
| change in Timed up and go test (TUG)measure |
A reliable and valid test used for assessing dynamic balance and functional mobility in the children. |
| The assessment was performed 3 times; at baseline, 6 months (post-treatment) and at 6 months follow up |
| D005791 |
| Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |