Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in 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: Experimental, CONVENTIONAL PHYSICAL THERAPY.
- Who it may be relevant to
- Registry conditions: Cerebral Palsy (CP), Functional Mobility. Basic parameters: 5 years — 12 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
- Pakistan
- 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
cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercis it is randomized control trail conducted with 34 patients included according to inclusion and exclusion criteria. Functional mobility assessed through 6-minute walk test and activity participation evaluated through Child Engagement in Daily Life measurement scale.
Detailed description
Cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities, which severely affects the children's quality of life. Task-Oriented Circuit Training (TOCT) is a progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercises. It involves a series of workstations where individuals practice tasks like balancing, walking, and reaching skills essential for daily life. The purpose of the research was to find out the effectiveness of task specific circuit training on activity participation and functional mobility in children with hemiplegic cerebral palsy. This non blinded randomized control trail will be conducted at fauji foundation hospital Rawalpindi for the duration of 1 year after approval of GERC with 34 patients included according to inclusion and exclusion criteria. After ethical approval from FUSH ERC, eligible participants will be randomly assigned into two groups through sealed envelope method. The participants would assess through 6- minute walk test for functional mobility and child engagement in daily life measurement scale for activity participation on the day of starting the intervention, after 4th week and 8th week. Intervention will be given for a total 40-50 minutes per session, 3 sessions per week for consecutive 8 weeks. Task-oriented Circuit Training (TSCT) includes 14 workstations that target different motor skills through progressive exercises that gradually increase in difficulty. Conventional Physical Therapy includes Stretching of tight muscles, strengthening of weak muscles, and positioning
Interventions
- Procedure Experimental
The intervention consists of a structured taskoriented circuit training program composed of 14 different workstations designed to target functional mobility, lower limb strength, balance, and endurance. Each station addresses a specific motor task, such as standing and reaching, sit-to-stand from variable chair heights, multidirectional stepping on firm and soft surfaces, alternating heel-toe raises, progressive squats (with modifications in depth, duration, and added weight), supine straight le - Procedure CONVENTIONAL PHYSICAL THERAPY
Sessions: 3 sessions per week (30-40 minutes) Duration: 6-8 weeks Frequency: 3-4 sessions/week Session Length: 30-40 minutes Format: begin with less repetition gradually progress to increase time and repetition HOT PACK: 10 MINS Week 1-2 1. Stretching Exercises Exercise Detail: Spastic muscles are stretched to the point of mild discomfort. Each stretch is held steadily while maintaining proper alignment. Dosage: Hold each stretch for 20 seconds and repeat 5 times for every identified spastic mu
Primary outcome measures
- activity participation [Time frame: 6 weeks]
- Functional mobility [Time frame: 6 weeks]
Eligibility criteria
Inclusion criteria
- Diagnosed cases of hemiplegic cerebral palsy
- Both genders are included
- The children were between 5 and 12 years old.
- Their motor function was at a level I or II based on the GMFCS,
- The degree of spasticity grade 1 to 2 based on the Modified Ashworth Scale.
Exclusion criteria
- Visual or hearing loss
- Cognitive impairment
- Seizures
- A botulinum toxin injection in the previous six months,
- Lower extremity surgery
- Musculoskeletal disorders
- Structural deformities in the spine and/or lower limbs.
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
- Open label
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Foundation University College of Physical Therapy — Islamabad
Identifiers
NCT: NCT07275528 · FUI/CTR/2025/10