Effect of Vestibular Rehabilitation on Postural Sway and Energy Expenditure 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: vestibular rehabilitation, conventional physical therapy.
- Who it may be relevant to
- Registry conditions: Spastic Diplegia. Basic parameters: 8 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
- 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 will be conducted To determine the effect of vestibular rehabilitation training on postural sway and energy expenditure in children with spastic cerebral palsy and To determine any relation between postural sway and energy expenditure in children with spastic cerebral palsy.
Detailed description
Cerebral palsy leads to postural asymmetries and balance impairments, primarily due to central vestibular dysfunction. Children aged 7-12 with gross motor function classification system levels I-III exhibit poor visual and vestibular interactions, impacting their ability to resolve sensory conflicts and manage reflexes. Excessive lateral trunk lean in cerebral palsy, prevalent in 72% of affected children, increases locomotion costs. Energy expenditure during walking rises with declining motor function, particularly in spastic cerebral palsy where vestibular dysfunction affects nearly 48% of cases. The relationship between balance control efforts and metabolic energy expenditure is complex, especially during dynamic activities like walking. This study will assess the impact of vestibular rehabilitation on postural sway and energy expenditure in children with spastic cerebral palsy, aiming to elucidate their interrelationship.
Interventions
- Other vestibular rehabilitation
* Bouncing-jumping activities from standing. * linear swinging activities: using swinging platform (standing walking) scooter activity (kneeling, standing), hanging lower limb activities and climbing swinging robe ladder. * By pushing-pulling activities, displacement of the center of gravity is created. * These are activities which enable active equilibrium on steep surfaces such as stairs. * Walking on ramps. * Walking unfamiliar surfaces such as balance disc, balance boards and balance beam - Other conventional physical therapy
* Balance exercise. * Gait training (forward, backward and side way). * Gait training with obstacles of different sizes. * Gait training in stepper. * Gait training on wooden ramp. * Gait training on balance board. * Training up and down steps different heights. * Stretching exercise for upper limbs and lower limbs. * Strengthening exercises for lower limbs muscles. * Trunk control exercises like abdominal and back exercises.
Primary outcome measures
- assessment of postural sway [Time frame: at base line and after 8 weeks]
Secondary outcome measures (1)
- assessment of Energy Expenditure [Time frame: at base line and after 8 weeks]
Eligibility criteria
Inclusion criteria
- The age of the selected children will be ranged from 8 to 12 years old.
- Degree of spasticity is ranging from 1+to 2 according to modified Ashworth scale
- The level of motor function of the children will be levels I-II according to Gross Motor Function Classification System
- They are able to follow instructions and understand commands.
Exclusion criteria
- Bone and tendon lengthening surgeries within last 6 months.
- Lung and heart diseases and disorders.
- Vision or hearing problems
- Children with fixed deformities.
- Children with epilepsy.
- Recent intramuscular Botulinum toxin injection or orthopedic surgery within last 6 months.
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
- outpatient clinic, faculty of physical therapy, Cairo university — Cairo
Identifiers
NCT: NCT07617935 · Nesma-phd