Functional Electrical Stimulation With Core Stabilization Exercises in Children With Spastic Diplegia
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: designed physical therapy program, core stabilization exercise with neuromuscular electrical stimulation.
- Who it may be relevant to
- Registry conditions: Functional Electrical Stimulation, Cerebral Palsy, Core Stability. Basic parameters: 4 years — 6 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
- Egypt
- 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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Overview
This study was done to: * investigate the combined effect of functional electrical stimulation with core stabilization exercises on pelvic tilting in children with spastic diplegia. * To investigate the combined effect of functional electrical stimulation with core stabilization exercises on standing balance in children with spastic diplegia.
Detailed description
Spastic diaplegia in children affects motor development and muscle tone. Functional electrical stimulation can improve range of motion, muscle strength, walking speed, and gait. Correcting pelvic position is crucial for treating postural weaknesses. Core stability programs are recommended for spastic cerebral palsy children. Rehabilitation programs should focus on restoring normal pelvic alignment to improve overall balance and functional abilities. This study investigates the effect of functional electrical stimulation on rectus abdominis and gluteus maximus muscles and core stabilization exercises in spastic diplegic cerebral palsy children.
Interventions
- Other designed physical therapy program
a one-hour physical therapy program, focusing on abdominal and back muscle activation and improving balance during standing. The program includes exercises like supine on wedges, prone on wedges, weight shifting, and balance training. - Other core stabilization exercise with neuromuscular electrical stimulation
The text describes various exercises for children to improve their physical abilities. These exercises include bridging, crab, plank, superhero, wheelbarrow walk, and kneeling on balls. The placement of electrodes on the gluteus maximus and rectus abdominis muscles is determined using anatomical landmarks. The electric current is generated using a biphasic symmetrical waveform with pulse width and intensity, and the stimulus frequency is adjusted to 35 Hz. The neuromuscular electric stimulation
Primary outcome measures
- Assessment of muscle tone [Time frame: at baseline and after 12 weeks]
- Assessment of gross motor function level [Time frame: at baseline and after 12 weeks]
Secondary outcome measures (2)
- Assessment of change of pelvic tilting [Time frame: at baseline and after 12 weeks]
- Assessment of change of balance [Time frame: at baseline and after 12 weeks]
Eligibility criteria
Inclusion criteria
- Their age will range from 4 to 6 years.
- Their degree of spasticity will range from 1 to 1+, according to the modified Ashworth scale.
- Their motor function will be at level Ⅰ \& Ⅱ according to gross motor function classification system.
- Their pelvic tilting angle will be more than 7.6°
Exclusion criteria
- Musculoskeletal fixed deformities in lower limbs and spine
- Visual or hearing problems
- Epilepsy
- Botulinum toxin injection or orthopedic surgery within past 6 months or within study period
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
Egypt · 1 center
- out-patient clinic, faculty of physical therapy, Cairo university — Cairo
Identifiers
NCT: NCT07110025 · Ahmed_Msc