Vestibular Stimulation and Neurodevelopmental Technique on Hypotonic Cerebral Palsy While Controlling the Gender
Condition: Cerebral Palsy; Hypotonia
MeSH terms: Cerebral Palsy; Muscle Hypotonia
Study type: Interventional

Summary: 
      there is no such article found who specifies the effects of sensory integration therapies
      like vestibular stimulation technique or developmental milestone while controlling the gender
      of children with cerebral palsy. So, there is a need to do more research work on this in
      future to find out best treatment approach for children with cerebral palsy of their
      respective gender. That is why this study will focus on the results of vestibular stimulation
      and neurodevelopmental technique while controlling the Gender distribution of both
      intervention groups to find out the effects of these interventions that wither, they have
      some influence on the participants or not.
    

Detailed description: 
      Bobath concept of neurodevelopment in children with cerebral palsy, is a problem-solving
      approach to the assessment and treatment of individuals with disturbances of tone, movement,
      and function due to a lesion of CNS, the goal of treatment is to optimize function by
      improving postural control and selective movement through facilitation. But also, no study
      found which specifically focuses the improvements on boys and girl's ratio or their
      gender-based improvements of tone or developmental milestones.

      Different swings such as Infant Swing, frog swing, platform swing will be included as mode of
      Vestibular stimulation treatment. On the other side, Stimulation of vestibular system
      improved child's postural control and motor function in many studies.
    

Intervention name(s): Vestibular stimulation; Neck Control facilitation exercises
Intervention type(s): Other; Other
Intervention description(s): In Vestibular Stimulation (VS) group, all participants will be given Infant Swing activity for one hour, trice a day for first 4 weeks. After that, in 5th and 6th weeks, all participants will be given Infant Swing for 30 minutes and frog swing for 30 minutes for two weeks. Next 7th and 8th weeks, Infant Swing (30 minutes) and prone on frog swing feet touching the floor (30 minutes), trice a day will be applied. In 9th week, Infant swing and normal playground swing for 30,30 minutes will be given to all participants, trice a day. In Last week of intervention i.e., 10th week, all participants will be given Infant Swing for 30 minutes and standing on platform swing (30 minutes) trice a day.; all participants will be given Neck Control facilitation exercises using Bobath Approach of low tone facilitation method, for one hour, trice a day for first 4 weeks. After that, in 5th and 6th weeks, all participants will be given Neck Control facilitation exercises for 30 minutes and sitting facilitation Exercises with trunk weight shifting for 30 minutes, trice a day. Next 7th and 8th weeks, Neck Control facilitation exercises (30 minutes) and sitting facilitation exercises with trunk weight shifting and kneeling weight bearing (30 minutes), trice a day will be applied. In 9th and 10th weeks, Neck Control facilitation exercises, sitting and kneeling weight bearing and standing with trunk elongation will be given to all participants for one hour, trice a day.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: developmental milestones; hypotonia; vestibular stimulation