Effects of Physical Therapy on the Multisystems of Children With Cerebral Palsy: a Longitudinal Study

Study Overview
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Brief Summary
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Cerebral Palsy (CP) refers to childhood movement and posture disorders, whose severity, patterns of motor involvement and associated impairments are very varied. It is the most prevalent type of physical disability in children. Any non-progressive central nervous system (CNS) lesion that occurs in the prenatal, perinatal and postnatal period up to 2 years of life is considered CP. Thus, the present work aims to evaluate, monitor and verify the effects of physical therapy interventions on gross motor function, spasticity, balance, muscle activation, fatigue, respiratory system, functionality and social participation in children with cerebral palsy. This work will use some evaluation scales such as the Gross Motor Function Measure (GMFM-66), the Modified Ashworth Scale (MAS), the Early Clinical Assessment of Balance (ECAB), electromyography, the Fatigue Severity Scale and the Pediatric Functional Status. Scale. In addition to questionnaires, which will be applied directly to parents/caregivers, such as the Young Children's Participation and Environment Measure (YC-PEM), the PEDI (Pediatric Evaluation Disability Inventory) and the Goal Attainment Scaling (GAS).

Official Title
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Effects of Physical Therapy on the Multisystems of Children With Cerebral Palsy: a Longitudinal Study

Conditions
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Cerebral Palsy, Physical Therapy Modalities

Intervention / Treatment
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* Other: Bobath Concept
* Other: Pediasuit
* Other: Locomotor training
* Other: Stretching
* Other: Psychomotricity
* Other: Virtual reality


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: clinical diagnosis of Cerebral Palsy aged between 0-12 years classified in all the levels of the GMFCS those responsible agree to release the minor to participate in the study and sign the Free and Informed Consent Form (FICT) Exclusion Criteria: have had botulinum toxin applied 6 months before the intervention recent surgery other physical abnormalities, genetic or severe syndromes.

Ages Eligible for Study
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Minimum Age: 0 Months
Maximum Age: 12 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Physical Therapy Modalities<br>Children diagnosed with cerebral palsy will be followed longitudinally in their therapies within the physiotherapeutic treatment. | Other: Bobath Concept<br>* Handling of the Bobath Concept<br>Other: Pediasuit<br>* Pediasuit<br>Other: Locomotor training<br>* Locomotor training<br>Other: Stretching<br>* Active, passive, active-assisted stretching<br>Other: Psychomotricity<br>* Psychomotor skills<br>Other: Virtual reality<br>* Virtual reality<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gross Motor Function | Measurement of Gross Motor Function | 1 year | 
| Gross Motor Function Classification System | Scale Gross Motor Function Classification System | Levels I - V. Higher scores mean a worse outcome | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Electromyography | Muscle activation | 1 year | 
| Early Clinical Assessment of Balance - ECAB | Postural control and balance | 1 year | 
| Modified Ashworth Scale (MAS) | Muscle tone | 1 year | 
| Fatigue Severity Scale | Muscle fatigue | 1 year | 
| Pediatric Functional Status Scale | Functional status | 1 year | 
| YC-PEM - Young Children's Participation and Environment Measure | Level of participation and qualities of the environment in which these activities take place. | 1 year | 
| PEDI (Pediatric Evaluation Disability Inventory) | Detailed description of the child's functional performance, documenting its longitudinal changes in three functional areas: self-care, mobility and social function. | 1 year | 
| GAS (Goal Attainment Scaling) | Evaluation of results obtained in family therapy, or in an intervention program | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral Palsy, Physical Therapy Modalities, Longitudinal Studies, Disabled Children