Cuevas Medek Exercises on Balance and Postural Control in Children With Spastic Cerebral Palsy
Condition: Spastic Cerebral Palsy
MeSH terms: Muscle Spasticity; Paralysis; Cerebral Palsy
Study type: Interventional

Summary: 
      Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and
      clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic
      diplegia, spastic quadriplegia, and extra-pyramidal or dyskinetic. Clinical prediction models
      and neuroimaging have been used to diagnose CP before the age of 2 years, but further
      research is necessary. Cuevas Medek Exercises (CME) is a pediatric physiotherapy approach for
      children with developmental motor delay impacting the central nervous system. According to
      Ramon Cuevas, who developed the therapy, CME are mainly based on the principle of provoking
      novel automatic motor reactions using exercises against gravity with progressive distal
      holding. This study will find the effects of Cuevas Medak Exercises on Balance and Postural
      control in children with spastic cerebral palsy.

      This Randomized Controlled Trial will recruit the participants through random sampling.
      Participants will be randomly divided into 2 groups. Two groups of children aged between 2
      and 5 years, suffering from cerebral palsy in spastic form, one for control and one for
      experiment. Controlled will get conventional treatment while study group will get
      conventional treatment with Cuevas Medak Exercises. Treatment duration is of 12 weeks.
      Progress will monitored every month. The frequency of recovery sessions will 3 sessions/week,
      and the duration of a session will 45 minutes. Patient evaluation will be made at the
      beginning and the end of the treatment through pediatric balance scale and static balance
      test. Data will be analyzed through SPSS 25.
    

Detailed description: 
      Cerebral palsy (CP) is a disorder characterized by abnormal tone, posture and movement and
      clinically classified based on the predominant motor syndrome-spastic hemiplegia, spastic
      diplegia, spastic quadriplegia, and extra-pyramidal or dyskinetic (1). Children born preterm
      account for one-third to one-half of CP diagnoses in HICs, although this proportion is much
      lower in low-income countries (LICs), where mortality of very preterm babies remains high .
      Clinical prediction models and neuroimaging have been used to diagnose CP before the age of 2
      years, but further research is necessary (.

      The CPs share a common clinical sign of non-progressive dysfunction of posture and movement
      control but not a common diagnosis. Although there are many CP types, many causes, and now
      many associated pathogenic genetic variants, it is probably not advisable to change the
      clinical diagnosis of CP made by specialist pediatricians in cases that fulfill the clinical
      definition.

      In order to prevent greater developmental motor delay, a physiotherapy intervention focusing
      on optimizing neuroplasticity must be done, stimulating the child to achieve the
      developmental motor milestones . Cuevas Medek Exercises (CME) is a pediatric physiotherapy
      approach for children with developmental motor delay impacting the central nervous system.
      According to Ramon Cuevas, who developed the therapy, CME are mainly based on the principle
      of provoking novel automatic motor reactions using exercises against gravity with progressive
      distal holding CME therapy is a physiotherapy approach to treat children with developmental
      motor delay by impacting CNS. Postural control and balance training are essentials for the
      children to be mobile. The aim of the study is to find the effects of Cuevas Medek Exercises
      on balance and postural control on children with spastic Cerebral Palsy so that the children
      with motor development disorders of neurological cause like cerebral palsy can develop
      automatic motor reactions which they would not be able to develop on their own, because of
      neurological injuries and help them to improve their quality of life.
    

Intervention name(s): CUEVAS MEDEK EXERCISES; BALANCE AND POSTURAL
Intervention type(s): Other; Other
Intervention description(s): stretchings/strengthening; BALANCE AND POSTURAL
Other intervention name(s): Conventional Physical therapy
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Spastic Cerebral Palsy