Functional Electrical Stimulation With Core Stabilization Exercises in Children With Spastic Diplegia

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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.
• Другое 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

Первичные конечные точки

• Assessment of muscle tone [Срок оценки: at baseline and after 12 weeks]
• Assessment of gross motor function level [Срок оценки: at baseline and after 12 weeks]

Вторичные конечные точки (2)

• Assessment of change of pelvic tilting [Срок оценки: at baseline and after 12 weeks]
• Assessment of change of balance [Срок оценки: at baseline and after 12 weeks]

Критерии участия

Критерии включения

• 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°

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• out-patient clinic, faculty of physical therapy, Cairo university — Cairo

Идентификаторы

NCT: NCT07110025 · Ahmed_Msc

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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