Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy,A Randomized Control Trial
Effects of Circuit Training and Task Oriented Training on Balance and Quality of Life in Children With Spastic Diplegic Cerebral Palsy,A Randomized Control Trial
Cerebral palsy (CP) is a group of permanent disorders affecting movement and posture, caused by non-progressive disturbances in the developing fetal or infant brain.
Circuit training and task-oriented training are two emerging approaches in pediatric rehabilitation.
Circuit training focuses on structured exercises performed in sequence to improve strength, agility, and balance, while task-oriented training emphasizes repetitive practice of meaningful, functional activities relevant to daily life.
The purpose of this study is to compare the Circuit Training and Task Oriented Training for upgrading Balance and Paediatric Quality of Life in Children with Spastic Diplegic Cerebral Palsy, focusing on improvements in balance, functional mobility and activity performance. Implemented a single-blinded randomized controlled trial at paediatric rehabilitation centres in Rawalpindi and Islamabad, it will include children aged 6 to 12 years male and females with GMFCS levels I-II who can walk with or without aids. The intervention will last for eight weeks, with both groups receiving standard physiotherapy three times weekly. In the period of eight weeks, result will be measured at baseline and three sessions using validated tools such as the Peadiatric Balance scale, and Peadiatric Quality of life Inventory. Ethical consideration comprise confidentiality, informed consent, and make certain that participation has no effect on medical care. Supporting evidence are its well defined intervention, clear methodology, and use of proven evaluation methodologies, with a purpose to evaluate long term benefits, sustainability of gains, and generalisability through randomised sampling and potential multi-centre recruiting. It also design to address activity and participation elements and classify participants based on age and functional levels for broader applicability. The data will be analysed using SPSS27.0.
Inclusion Criteria:
Children (both gender) aged between 6 to 12 years. Diagnosed with non-progressive motor impairments [cerebral palsy GMFCS I-II] Capable to understand and follow verbal instructions. Children demonstrating stable sitting and standing balance or with minimum assistance.
Exclusion Criteria:
Children with severe cognitive impairments. Recent orthopedic surgery [within last 6 months]. Uncontrolled seizures or cardiopulmonary conditions. Any condition contraindicating physical activity. (19)