NCT04937439

Segmental Trunk Stability Training on Sitting and Upper Limbs Functions in Children With Spastic Cerebral Palsy

Effect of Segmental Trunk Stability Training on Sitting and Upper Limbs Functions in Children With Spastic Cerebral Palsy

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 45 (estimated)
• Sponsor: Horus University · Academic / Other
• Sex: All
• Age: 2 Years – 4 Years
• Healthy volunteers: Not accepted

Summary

The study aims to: 1. Investigate the effect of segmental trunk stability training on sitting in children with spastic CP. 2. Investigate the effect of segmental trunk stability training on upper limbs functions in children with spastic CP.

Detailed description

Postural dysfunction is one of the most limiting factors in children with CP. It restricts reaching skills and in turn reduces participation in activities of daily living. The trunk plays a key role in maintaining the postural control mechanism and also in the organization of balance reactions in this developmental process. The trunk control is also required for a stable base of support which is necessary to execute functional activities for limb movements. The optimal level of trunk support for a child with spastic CP still remains unknown. Thus, providing intermediate levels of trunk stabilization would be a better solution than providing full support in children with CP. Innovation is necessary to improve outcomes for children with moderate to- severe CP who are at level IV and V on GMFCS. However, these children are often excluded from posture research . Very little research has examined postural constraints in children with moderate-to-severe CP. As there is a lack of tools used in precise trunk stabilization during training, a further researches are needed. Recently, a special attention has been given to the segmental trunk control and its effects on improvement of gross and fine motor skills. Most of previous studies have been applied during segmental fixation of the trunk at multiple levels from static position either sitting or standing. In the present study, the effect of external segmental stabilization of the trunk at selected parts will be monitored during the active training and participation of the child.

Conditions

• Cerebral Palsy

Interventions

Type	Name	Description
OTHER	Traditional Physical Therapy program	1. Facilitation of head control will be conducted. 2. Facilitation of trunk control will be applied 3. Facilitation of rolling 4. Facilitation of righting, protective and equilibrium reactions from supine, prone and sitting on a ball 5. Stretching exercises for the muscles liable to be tight 6. Facilitation of sitting
OTHER	Segmental trunk training A	Group (A) will wear an external segmental trunk support extended from the level of pelvis to a level just below the rib cage.
OTHER	Segmental trunk training B	Group (B) will receive the same program given to (group A) while wearing an external segmental trunk support extended from the level of pelvis to a level just below the inferior angle of scapula.
OTHER	Segmental trunk training C	Group (C) will receive the same program given to (group A and B) while wearing an external segmental trunk support extended from the level of last rib to the level of the inferior angle of scapula.

Timeline

• Start date: 2020-01-01
• Primary completion: 2021-12-01
• Completion: 2022-01-01
• First posted: 2021-06-24
• Last updated: 2021-06-24

Locations

1 site across 1 country: Egypt