CONSTRAINT-INDUCED MOVEMENT THERAPY VERSUS CROSS EDUCATION IN CHILDREN WITH CEREBRAL PALSY
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: rehabilitation.
- Who it may be relevant to
- Registry conditions: Hemiplegic Cerebral Palsy. Basic parameters: 5 years — 15 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Saudi Arabia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Lower Limb Constraint-induced Movement Training Versus Strength Training of the Non-hemiplegic Lower Limb on Motor Performance in Children With Hemiplegic Cerebral Palsy: A Randomized Control Trial.
Overview
This clinical trial aims to Compare the effectiveness of lower limb CIMT and the Strength Training of the Non-Hemiplegic lower limb on motor performance in hemiplegic children with CP. Participants will: diagnosed with hemiplegic cerebral palsy treated with CIMT or Strength training (cross-education) for a non-hemiplegic limb for 8 weeks. 3 sessions per week. Measurements will be taken at baseline and then at the end of the 8 weeks.
Detailed description
Method:
32 children with hemiplegic CP will be equally and randomly allocated to two groups (group A and B). group A will receive lower limb CIMT for the non- hemiplegic limb using whole leg orthosis and Group B will receive strengthen training for the non-hemiplegic lower limb. Both groups will receive routine physical therapy for the hemiplegic lower limb. Both groups will receive 60 minutes training session for 3 sessions per week for 8 consecutive weeks. Assessment will be at baseline then at the end of trial.
Interventions
- Other rehabilitation
children in the CIMT group will RECIEVE lower limb CIMT for the non-hemiplegic limb using whole leg orthosis. Children in cross-education group will receive strengthening training for the non-hemiplegic lower limb
Primary outcome measures
- gait speed [Time frame: at base line then at the end of the 8 weeks]
- cadence gait spatiotemporal parameter [Time frame: at base line then at the end of the 8 weeks]
- step length [Time frame: at base line then at the end of the 8 weeks]
- stride length [Time frame: at base line then at the end of the 8 weeks]
Secondary outcome measures (4)
- Pediatric balance scale [Time frame: at base line then at the end of the 8 weeks]
- 6 Minute walk test (6MWT) [Time frame: at base line then at the end of the 8 weeks]
- Modified Ashworth scale [Time frame: at base line then at the end of the 8 weeks]
- Handheld dynamometer [Time frame: at base line then at the end of the 8 weeks]
Eligibility criteria
Inclusion criteria
- Children with hemiplegic cerebral palsy aged age between 4 and 10.
- (GMFCS) levels I, II and III.
- Able to follow therapist instructions during training session.
Exclusion criteria
- Lack of patient's cooperation.
- Difficulty wearing constraint method due to severe joint deformation or/and contracture.
- Patients were treated with botulinum toxin during the last 3 months.
- Seizure disorder not fully controlled by medication.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Saudi Arabia · 1 center
- Imam Abdulrahmn Alfaisal University — Dammam
Identifiers
NCT: NCT06704880 · IRB-PGS-2024-03-156