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Statement of the problem Do brain gym exercises affect balance and quality of life in children with spastic diplegia?
Null hypotheses:
The Study targets the children with spastic diplegia from both sexes , sample size estimation is 44 children. Children participating in this study will be selected randomly from the pediatric outpatient clinic of Faculty of Physical Therapy Cairo University.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group A will take conventional physical therapy and brain gym exercises | Experimental | Group A will take conventional physical therapy for 45 minutes and brain gym exercises for 30 minutes for three months three sessions per week . Conventional physical therapy program includes: Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midlinemovements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump |
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| Group B the control group will take only conventional physical therapy | Experimental | will take the same conventional physical therapy program for 45 minutes three times per week for three months. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brain gym exercises | Other | Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midline movements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump |
| Measure | Description | Time Frame |
|---|---|---|
| Balance | Biodex balance system will measure the overall stability index, antero -posterior stability index and medio- lateral stability index, higher score indicate lower stability. | 3 months |
| Quality of life | Cerebral Palsy Quality Of Life Questionnaire (CPQOL)contains 66 items each uses a 9- point rating scale ( for items The minimum value 1, maximum value 9)and then transformed to a 0 to 100 scale. As the total score approaches 100 this means better quality of life. The domains evaluated using it are social well being and acceptance, emotional well-being, function and participation and physical health, access to services, pain and impact of disability, and family health.. | 3 months |
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Inclusion Criteria:
1 - Children with spastic diplegia who have balance problems in standing and gait.
2-Degree of spasticity ranges from 1 and 1+, according to modified Ashworth scale (MAS) .
3- The age of children will range from 6 to 8 years old. 4-The height of children will be at least one meter. 5- Children are levels I and II according to GMFCS (Gross Motor Classification System ).
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hebatallah Mohamed Kamal, Professor | Contact | +201065263619 | heba.kamal@pt.cu.edu.eg | |
| Maya Galal Abd-Alwahab, Assistant professor | Contact | +201141904589 | maya.galal@pt.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Hagar Mohamed Awaad, Assistant lecturer | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of physical therapy cairo university | Recruiting | Cairo | Faculty of Physical Therapy | 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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| Conventional physical therapy program | Other | Conventional physical therapy program includes: Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midlinemovements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump |
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