Effects of Trunk Training in Patients With Cerebral Palsy

Study Overview
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Brief Summary
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The aim of our study is to compare the effects of NGT-based trunk training, video-based trunk training and video-based trunk training applied with Theratogs in children with hemiparetic type Cerebral Palsy.

Detailed Description
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The aim of our study is to compare the effects of NGT-based trunk training, video-based trunk training and video-based trunk training applied with Theratogs in children with hemiparetic type Cerebral Palsy. It is planned to include 45 patients with hemiparetic cerebral palsy between the ages of 5-15 and with Gross Motor Function Classification System (GMFCS) level I-III. Patients with cerebral palsy will be divided into 3 groups in a randomized controlled manner. Each group will continue and follow routine physiotherapy and rehabilitation treatments for 8 weeks. Then, structured trunk training will begin. NGT-based trunk training (45 minutes) to the first group, video-based trunk training (45 minutes) to the second group, and Video-based trunk training (45 minutes) will apply with Theratogs to the third group. Treatments will be applied two days a week for 8 weeks.

Official Title
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The Comparison of Effectiveness of Structured Trunk Training Protocols in Patients With Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Procedure: neurodevelopmental treatment
* Procedure: video-based trunk training
* Procedure: Video-based trunk training will apply with Theratogs


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with I-III levels according to Communication Function Classification System Patients with I-III levels according to GMFCS Patients with Hemiparetic Cerebral Palsy Continuing regular physiotherapy and rehabilitation program for six months. Exclusion Criteria: Presence of visual or auditory impairment Presence of epilepsy Patients who have undergone orthopedic surgery in the last 6 months Patients who received Botulinum Toxin-A injection in the last 6 months

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 15 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
Interventional Model Description: Patients with cerebral palsy will be divided into 3 groups in a randomized controlled manner. Each group will continue and follow routine physiotherapy and rehabilitation treatments for 8 weeks. Then, structured trunk training will begin. NGT-based trunk training (45 minutes) to the first group, video-based trunk training (45 minutes) to the second group, and Video-based trunk training (45 minutes) will apply with Theratogs to the third group. Treatments will be applied two days a week for 8 weeks.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: NGT Group<br>A personally designed treatment program will be applied in line with the principles of neurodevelopmental treatment. | Procedure: neurodevelopmental treatment<br>* A personally designed treatment program will be applied in line with the principles of neurodevelopmental treatment.<br>|
| Active Comparator: Video-based training group<br>Trunk training will be done with games developed for the use of children with cerebral palsy. | Procedure: video-based trunk training<br>* Games developed for the use of children with cerebral palsy will be used for trunk training.<br>|
| Active Comparator: Video-based training group with theratogs<br>Video-based trunk training (45 minutes) will apply with Theratogs to the group | Procedure: Video-based trunk training will apply with Theratogs<br>* Video-based trunk training will apply with Theratogs<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trunk Control Measurement Scale | It will be used to evaluate trunk control in patients with CP. | 8 weeks | 
| Trunk Muscle Tone | Trunk Muscle Tone will be evaluated with the Myoton®PRO device. | 8 weeks | 
| Segmental Assesment of Trunk Control Scale | It is an evaluation method that allows the body control to be evaluated from 3 different aspects as static, active and reactive control, according to trunk control levels. | 8 weeks | 
| Balance Assessment System | The Fizyosoft Balance Assessment system, which works in harmony with the Nintendo Wii Balance Board, will be used in the assessment of the sitting balance. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pediatric Berg Balance Scale | It will be used to assess functional balance. | 8 weeks | 
| 10-meters walking test | It will be used to evaluate walking. | 8 weeks | 
| Gillette Functional Gait Assessment Questionaire | It will be used to evaluate functional walking. | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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trunk training, theratogs, exercise game, video-based training