Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Statement of the problem:- Does the lower limb pedalling exercise from inclined position improve functional ability and trunk control in children with diplegic cerebral palsy? Null Hypothesis:- There will be no effect of lower limb pedalling exercise from inclined position on functional ability and trunk control in children with diplegic cerebral palsy
Subjects A convenient sample of children diagnosed as spastic diplegic cerebral palsy (CP) from both sexes will be recruited based on a pilot study according to the inclusion and exclusion criteria. They will be selected from the out-patient private clinics in Giza and Tenth of Ramadan City.
Study design:
Randomized controlled clinical trial. Children will receive intervention type randomly, 15 child received the designed physical therapy program and the pedaling exercise from inclined position and the other 15 child receieved the designed physical therapy program only. Children will be assessed by measuring functional ability with Gross Motor Functional measures and trunk control with trunk control measurement scale
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Leg Pedalling exercise and designed physical therapy program | Experimental | Each child in the experimental group will be positioned in semi-reclined position with 45 degree trunk flexion during the application of cycling Sessions will be 30 minutes per session, three times per week, for two successive months The designed physical therapy program It will be applied for all participated children in both groups. It includes;
|
|
| Designed physical therapy program | Active Comparator | The designed physical therapy program It will be applied for all participated children in both groups. It includes;
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Leg pedalling exercise | Device | Each child in the experimental group will be positioned in inclined position and will cycle through the range of motion under the supervision of the researcher |
| Measure | Description | Time Frame |
|---|---|---|
| The gross motor function scale | Assessment of change of functional ability carried out by using gross motor function measures | 2 months for each participant |
| Assessment of trunk control | Assessment of change of trunk control carried out by using trunk control measurement scale | 2 months for each participant |
Not provided
Not provided
Inclusion Criteria:
.Age ranges from 6-9 years. .Grade 1, 1+ of the Modified Ashworth Scale.
.Level II, III according to Gross MotorFunctional Classification System (GMFCS).
.Able to pedal independently on a static bicycle.
.Ability to follow command.
Exclusion Criteria:
.Significant visual or auditory impairments.
.Structural or fixed deformities of lower extremities.
.Perception disorders.
.Botox injection in the lower extremity in the past 6 months.
.Lower extremity surgery within the past 6 months.
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| NANEES E Mohamed, Phd | Professor | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy cairo University | Dokki | Giza Governorate | 12613 | Egypt |
Not provided
| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Single
|
| The designed physical therapy program | Other | It applied for all participated children in both groups. It includes;
|
|
|