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This was done to:
Children with cerebral palsy (CP) often experience abnormal posture, loss of motor control, and poor trunk control, leading to limitations in daily activities. Improving balance abilities is crucial for maintaining equilibrium in sensory environments. Vestibular stimulation can help develop feed-forward mechanisms and new functional skills. This study aims to improve balance abilities in children with diplegic CP, explore the impact of balance boards on vestibular and hand function, and assist mothers in their child's improvement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the traditional program | Experimental | twenty Children in group A received designed physical therapy program in addition to traditional balance training |
|
| balance training exercises | Active Comparator | twenty Children in group B received the same designed physical therapy program in addition to balance training exercises on special form of balance board |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The traditional physical therapy rehabilitation exercises | Other | It included 30 minutes of exercises as:
|
| Measure | Description | Time Frame |
|---|---|---|
| assessment of degree of spasticity | Assessment of tone involves the clinician passively moving the patient's joints slowly and quickly and rating the degree of resistance felt to rapid stretch, typically as increased or decreased relative to a presumed normal (Hugos and Cameron, 2019). Only spastic diplegic children with grade 1 and 1+ will be included in the study | at baseline and after 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of change of gross motor function level | This study will involve children with diplegic cerebral palsy at level II, who can walk, climb stairs, and perform gross motor skills like running and jumping. They will be allowed to engage in functional activities without interruption from caregivers or therapists. The study will record their activities using gross motor function classification system, taking about 10 minutes. Children with level II may struggle with long distances, balancing, and uneven terrain, and may require assistance with physical assistance or wheeled mobility. |
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Inclusion Criteria:
Exclusion Criteria:
Children were excluded if they had one of the following :
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| out-patient clinic, faculty of physical therapy, Cairo university | Cairo | Egypt |
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|
| balance training on traditional balance board | Other | Balance training included: - Side stepping - Stepping backward - Changing the center of gravity in one-foot balance. |
|
| program on special form of balance board | Other | Standing holding on the sticks of balance board (first by two sticks, then graduated by one stick). 2- Changing the grasp of hand on sticks (reciprocal catching the sticks by right and left hand). 3- Stride standing on balance board. 4- Make exercises advanced by remove sticks and throwing the ball. 5- All previous exercises do with eye closed and eye opened |
|
| at baseline and after 3 months |
| assessment of change of balance | it is an electronic balance board with HUMAC software on a laptop. Calibration was performed according to manufacturer guidelines. Participants stood with hands by their sides, without assisted devices. A sight target was taped to the wall. Participants stood quietly for one minute before testing. | at baseline and after 3 months |
| assessment of change of pediatric balance | The pediatric balance scale is a tool designed for children and adolescents aged five to 15 years to assess their static and dynamic balance. It consists of 14 items with scores ranging from 0 to 4, with a maximum score of 56. The scale has test-retest and interrater reliability of 0.998 and 0.997 in school-aged children with mild to moderate motor impairment. It requires minimal specialized equipment, such as an adjustable seat, chair, stopwatch, footrest, eraser, tape measure, and child-sized foot molds. | at baseline and after 3 months |
| 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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