Scooter Board Activities in Diplegic Cerebral Palsy

Study Overview
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Brief Summary
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Children with CP may have muscle weakness, changes in mobility, posture, muscle tone, motor coordination and deficits in postural control. These changes, individually or collectively, affect psychomotor function. As a result, activities that are performed quickly and readily by healthy children may be difficult and time-consuming for children with CP.

Detailed Description
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Similar vestibular stimulation can be provided with ascooter-board which requires more active participation on the part of the child. A scooter-board is simply a wooden board mounted on four castors so that it can roll freely and spin in any direction, it should be big enough to support the middle part of the body while the head, upper chest and legs hang off the ends.

Official Title
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Effect of Scooter Board Activities on Trunk Postural Control and Gait in Children With Diplegic Cerebral Palsy

Conditions
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Diplegia

Intervention / Treatment
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* Other: Physical therapy program
* Other: scooter board activities


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: CP with a diplegia Age 7 to 11 years Grade 1and 2 according to the Modified Ashworth scale (RW and Smith, 1987). They could walk with limitation or holding on according to GMFCS (level I&II &III) (Palisano et al., 1997). They were able to understand and follow verbal instructions Exclusion Criteria: Children with any surgical interference in the upper limb. intellectual disability such that simple tasks could not be understood or executed. Children with any visual or auditory problems. Children with any surgical interference in the lower limb. Children with any structural deformities in joints and bones of lower limbs. Children who suffer from other diseases or associated disorders that interfered with physical activity.

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 11 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: The selected subjects will be divided into two groups of equal numbers (control and study).
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>Received the designed physical therapy program. | Other: Physical therapy program<br>* Stretching exercises Strength Training Kneeling exercises Standing exercises Gait Training<br>|
| Experimental: study group<br>Received a designed physical therapy program in addition to scooter bord activities. | Other: Physical therapy program<br>* Stretching exercises Strength Training Kneeling exercises Standing exercises Gait Training<br>Other: scooter board activities<br>* Scooter board bear walk. Scooter board crab walk. Sitting on scooter board, use it to move forward and backward, move the pool rings from one end to another. Cross sitting on scooter board, pulls along the rope using his/her hands Sit with knees pulled into the chest (like a bug pose) and move around with arms only. Prone over scooter board, pulling rope to move forward. Pull self along an anchored rope to retrieve items Scooter rolls outs. Place knees on floor and hands holding the edge of the front scooter board. Push board out a few inches then pull back, the further you roll, the harder it gets. Kneeling, Push self forward and backward with the use of a therapy ball (lots of Motor Planning). Supine flexion on scooter board, Clip clothespins to a rope hanging above.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trunk control measurement scale (TCMS) | TCMS measures trunk control in two basic components: static and dynamic sitting balance. Balance is assessed during flexion, extension, lateral flexion, and rotation movements as selective movements of dynamic sitting. Total score ranges between 0 and 58, and higher scores indicate better control | 3 months | 
| 2D video-based gait assessment system | 2D video-based gait assessment system to measure lateral trunk sway at SLS from frontal view | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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diplegia, cerebral palsy, core stability, trunk control