Effects of Proprioceptive Training With Routine PT on Gross Motor Function in Spastic Quadriplegic CP

Study Overview
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Brief Summary
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The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children

Detailed Description
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Proprioception plays an important role in the correct execution of efferent motor performance as 70% of cerebral palsy population have deficit in receiving somatosensory signals3. Tradition physical therapy exercises including strengthening followed by stretching etc. should be reviewed and the therapy must be more oriented to overall individual growth and development31. There is a need to push the cerebral palsy population to be exercised with proprioceptive stimulation for their maximum participation in the activities of daily life including both personal and social aspects. The proprioceptive training with a therapy regime enhances the body's somatosensory input that in result changes the body to be more functional in different types of interactions. This study is dedicated to finding out how much proprioception training is helpful in gross motor function level improvement and enhances functional activities of CP children.

Official Title
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Effects of Proprioceptive Training in Addition to Routine Physical Therapy on Gross Motor Function in Children With Spastic Quadriplegic Cerebral Palsy: A Randomized Control Trial

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Proprioceptive Training
* Other: Routine Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children with the diagnosis of Cerebral Palsy (Spastic quadriplegia) Ages of 1 to 5 years Both males and females Alert and responsive to verbal and non-verbal commands Modified Ashworth Sale grade 1 to 2 Gross Motor Function Classification System level 1V and V Exclusion Criteria: Children under the botox treatment for tone management (botulinum injections) Diagnosed with any disease other than spastic quadriplegic cerebral palsy i.e. congenital heart defects, epilepsy, recurrent pneumonia, skin infections etc. Children underwent any surgery i.e. tenotomy (tendon release), recent heart surgery, Recent fracture and subluxation/dislocation due to fall or poor handling Any contracture or deformity on upper extremities, lower extremities and spine i.e. flexion contractures, club foot, scoliosis

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 5 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>NDT- age appropriate Transitions (age appropriate) Milestones training (age appropriate) Proprioceptive Input- age appropriate (Pushups Static quadruped, squat sitting, trampoline, hopping etc. With weights and splints for joint to joint approximation) | Other: Proprioceptive Training<br>* Proprioceptive Training using increased joint to joint approximation through ankle weights and joint splints.<br>|
| Active Comparator: Group B<br>NDT- age appropriate Transitions (age appropriate) Milestones training (age appropriate) | Other: Routine Physical Therapy<br>* Neurodevelopmental treatment- age appropriate<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gross Motor Function | Gross Motor Function Classification System (GMFCS) is a 5-level clinical classification system that describes the gross motor function of people with cerebral palsy on the basis of self-initiated movement abilities. Higher scores indicate better improvement in gross motor functions. | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Proprioceptive training, Somatosensory input, : Spastic Quadriplegia, Cerebral palsy