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This study is a randomized control trial and aims to determine the effects of Action Observation on balance and mobility in patients with cerebral palsy compared to training without action observation.
Effetcs of Action observation will be assessed for functional performance which includes the parameters of balance and mobility.
Spastic CP children agd 5-12 will be recruited in the study. The participants would be assessed through Modified Ashworth scale, GMFCS, Pediatrics balance scale and GMFM-88 .
Informed Consent will ne taken after which the participants will be recruited into the two groups, where one group will recieve training with Action observation and other group will receive training without Action observation.
Baseline and Post-treatment measurements will be taken for analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional Group | Experimental | The participants will receive AOT based mobility and balance exercises along with conventional therapy consisting of simple lower limb stretchings and strengthening . The AOT-based exercises include different exercises in sitting, standing and turning stances. The fun based activities inlcude reaching for objects, tower building and taking turns in various stances. |
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| Control Group | Active Comparator | The participants will receive mobility and balance exercises without Action Obseravtion along with conventional therapy consisting of simple lower limb stretchings and strengthening . The AOT-based exercises include different exercises in sitting, standing and turning stances. The fun based activities inlcude reaching for objects, tower building and taking turns in various stances. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Training with Action Observation Therapy | Procedure | AOT based mobility and balance exercises along with conventional therapy consisting of simple lower limb stretchings and strengthening. The fun based activities inlcude reaching for objects, tower building and taking turns in various stances. |
| Measure | Description | Time Frame |
|---|---|---|
| Static balance | Pediatrics berg balance scale will be used for balance assessment. It has a total score of 56, with higher scores indicating better balance. | 8 weeks |
| Dynamic balance | Pediatrics berg balance scale will be used for balance assessment. It has a total score of 56, with higher scores indicating better balance | 8 weeks |
| Mobility | GMFM-88 scale will be used for assessment of mobility, particularly the subscales B,D and E related to mobility in sitting, standing and walking stances. | 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ayesha Inam, DPT | Contact | +92332-5217887 | ayesharwp@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Thrapy | Recruiting | Islamabad | 44000 | Pakistan |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D009128 | Muscle Spasticity |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Training without Action Observation Therapy | Procedure | Cerebral Palsy patients will receive balance and mobility training without action observation in various stances of sitting, standing and turning. Activities are fun based and include reaching for objects, tower building and taking turns in different positions. |
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| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009122 | Muscle Hypertonia |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |