Effects of Trunk Stability Exercises on Hand Function in Children With Cerebral Palsy
Condition: Cerebral Palsy
MeSH terms: Cerebral Palsy
Study type: Interventional

Summary: 
      Rationale of this research is to evaluate the outcome of trunk stabilizing exercises on the
      fine motor skills of subjects with hemiplegic CP. The significance of this study is to
      identify how much core stability exercises improve hand function. This study will help gather
      evidence on the practice of core stabilizing exercises to improve hand function so that it
      can help both physicians and patients.
    

Detailed description: 
      Cerebral palsy is a permanent damage in early brain in fetus which leads to movement
      disorder. The most frequent reason of bodily incapacity is cerebral palsy in pediatric
      population. CP children have difficulty maintaining dynamic and static trunk stability, which
      leads to affect sitting, standing, reaching and walking. Hemiplegic Cerebral palsy patients
      are challenged by fine motor skills, like gripping or object handling, which are essential
      for activities of daily life.the purpose of the study was to evaluate the effects of trunk
      stability exercises on hand function in children with cerebral palsy.It was a randomized,
      controlled trial, conducted among hemiplegic cerebral palsy patients. Sample size was 26 by
      using Epitool software. Participants were randomly assigned to the intervention or control
      group after a baseline assessment with a lottery ticket and an opaque envelope. All
      participants in both groups were evaluated on three occasions: (i) baseline (ii)
      post-intervention and (iii) after 4 weeks follow to assess long term effects.
    

Intervention name(s): conservative physiotherapy plan; trunk stability exercise plan
Intervention type(s): Other; Other
Intervention description(s): Physiotherapy plan consist of following exercises, Postural and Proprioceptive facilitation like weight-bearing actions for the upper and lower extremities. Sit to stand, standing , holding on to stand, free arms standing up, holding on standing and asked the patient to lift one leg, one leg standing, standing on balance board,Straight and sideways parallel bar walk, For the effected body side jumping on stable and dynamic surface,Upstairs and down stair activity performed on staircase.This program was given for 40 minutes with a rest period of 2 minutes between each group of exercises, 4 days a week for 8 weeks (32 sessions); trunk stability exercise plan consist of three levels, Proprioception included supine abdominal draw was performed in 1st simple level ,3 sets per 20 repetitions were performed, A double knee to chest abdominal draw was performed with 3 sets per 20 repetition, Supine twist with 3 sets per 20 repetitions was performed.Balance training included pelvic bridging was 2nd complicated level performed with 3 sets per 4-6 repetitions,Twists with a medicine ball were performed with 3 sets per 10-20 repetitions.
for Stability Bridging with head lied on physio ball was performed in 3rd difficult level when holding the position for 4 to 6 seconds, then relaxed slowly for same time with 3 sets per 10 to 20 repetitions, Prone bridging was performed with 3 sets per 4 to 6 repetitions.
There was a 30 seconds to 1 minute break between the sets.This program was given for 1 hour with a rest period of 2 minutes between each group of exercises, 4 days a week for 8 weeks (32 sessions)
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: . Participants were randomly assigned to the experimental group or control group after a baseline assessment with a lottery ticket and an opaque envelope containing the same number of folded papers labeled "control" or "intervention." Each participant took a piece of paper that identified their group and gave it to the researchers without seeing what was written. Participants were not notified which group was assigned to
Masking: Double (Participant, Outcomes Assessor)
Primary purpose: Treatment
Keywords: trunk stability; hand function