Quadriceps Strength Training on Gait Parameters and Energy Expenditure in Children With Spastic Cerebral Palsy
Condition: Cerebral Palsy
MeSH terms: Cerebral Palsy
Study type: Interventional

Summary: 
      The incidence of cerebral palsy is approximately 2 to 3 cases per 1000 live births around the
      world. In Cerebral palsy the lesion in the central nervous system frequently results in
      spasticity of various muscle groups. Spasticity is defined as a velocity dependent resistance
      to stretch. Spastic Cerebral palsy is caused by damage to the pyramidal parts of the brain.

      The children with spastic CP frequently experience problems with motor control, and balance
      which may lead to gait abnormalities. Because of motor weakness and poor voluntary motor
      control the children with spastic cerebral palsy develop crouch gait characterized by
      excessive hip and knee flexion and a slower walking speed, a shorter stride length, and more
      time spent in double support. This study will help in the quality of life in spastic cerebral
      palsy children. This will be a Randomized Controlled Trial. Approval will be gained from the
      Ethical committee of the Riphah international university Lahore, Pakistan prior to the
      commencement of study. Written informed consent will be taken from all the patients and all
      information and data will be confidential. Subjects will be informed that there is no risk of
      study and they will be free to withdraw any time during process of study. 22 Children with
      Spastic CP will be randomly distributed into 2 groups. The Control Group (n=10) will be
      administered with the baseline treatment that Includes 5 minutes of trunk control training, 5
      minutes walking in the hall with And without the therapist assistance, walker or crutches,
      and finally 5 minutes of Breathing exercises for Relaxation 3 sessions per week for 8 weeks.
      The experimental group (n=10) will be administered with the strength training intervention
      along with baseline treatment, 3 sessions per week for 8 weeks. Gait parameters will be
      evaluated physically by measuring stride and step length and cadence.

      5-meter stretch test for gait parameters. the energy expenditure will be calculated by
      measuring the physiological cost index that includes measuring the speed of walking and
      resulting increase in heart rate. Data will be analyzed by using SPSS version 26.0 and
      necessary analysis will be done after checking the normality of Data.
    


Intervention name(s): Conventiional Physiotherapy; Quadriceps Strength Training
Intervention type(s): Other; Other
Intervention description(s): The Control group will be administered with Conventional Physiotherapy that Includes 5 minutes of trunk control training, 5 minutes walking in the hall with And without the therapist assistance, walker or crutches, and finally 5 minutes of Breathing exercises for Relaxation; The experimental group will be administered with the same baseline treatment such as 5 minutes of trunk control training, 5 minutes walking in the hall with or without the therapist assistance, walker or crutches and 5 minutes breathing exercises for relaxation. In addition, they were given strength training protocol intervention other than the baseline treatment. This strength training protocol include progressive resistance training program in which we gave leg lift (knee flexion and extension), Hip rotations, seated marching and the quadriceps muscles would be specifically targeted.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Other