Effect of Functional Training on Motor Performance

Study Overview
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Brief Summary
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The functional strength training is mainly dealt with anti-gravity muscles and aiming at maximal carry over in day to day activities. The functional strength training can be given using resistance and it may be gravity, body weight, resistance bands and free weights. The exercises are specific to the muscle or muscle groups recruited during the functional activities

Official Title
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Effect of Functional Strength Training From Plantigrade Foot Position on Motor Performance in Children With Diplegia

Conditions
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Diplegia

Intervention / Treatment
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* Other: functional training exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ranged from 7 to 10 years old. The degree of spasticity ranged from grade 1 to 2 hypertonia according to Modified Ashwarth Scale (MAS) Level II and III on GMFCS-ER They were able to understand and follow verbal instructions Exclusion Criteria: 1- visual or auditory problems. 2- Orthopedic surgery in the lower limb in the last 12 months before the study. 3- Fixed deformities in joints and bones of lower limbs. 4- Botox injection in the last six months before the study. 5- Children with any special medications affecting muscle functions (anti-spastic drugs).

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 10 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: intervention group received progressive resistive functional strength training from plantigrade foot position conducted for one hour, 3 days/week. The therapist will replace the conventional physical therapy with the progressive resistive functional strength training, when this is consistent with the objectives of the strength training.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: STUDY GROUP<br>they received progressive resistive functional strength training from plantigrade foot position conducted for one hour, 3 days/week. The therapist will replace the conventional physical therapy with the progressive resistive functional strength training, when this is consistent with the objectives of the strength training. | Other: functional training exercises<br>* progressive resistive functional strength training from plantigrade foot position conducted for one hour, 3 days/week. The therapist will replace the conventional physical therapy with the progressive resistive functional strength training, when this is consistent with the objectives of the strength training.<br>|
| No Intervention: control group<br>received a designed physical therapy program | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gross motor functional measurement | The GMFM is a standardized observational scale designed and validated to measure change in gross motor function over time in children with CP. | pre and after 3 months of intervention,, the higer score will represent the improvement | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Isometric muscle strength measurements | The gold standard for evaluating isometric muscle strength is the portable dynamometer. This is an easy-to-use, sensitive device for detecting muscular action and for performing objective, valid, and reliable measurements in several populations | pre and after 3 months of intervention,, increase in muscle will represent the improvement |