Reverse Walking With And Without Whole Body Vibration in Children With Cerebral Palsy

Study Overview
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Brief Summary
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To determine the effects of reverse walking with and without Whole-body vibration on postural balance in children with cerebral palsy.

Detailed Description
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Current study concluded that reverse walking with and without whole body vibration were effective in improving postural balance, reach and quality of life in cerebral palsy children. However (whole body vibration+ reverse walking) provides more clinical benefits than reverse walking alone in improving postural balance, side reach and quality of life. Whereas both techniques were equally effective in improving forward reach in cerebral palsy children.

Official Title
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Effects Of Reverse Walking With And Without Whole Body Vibration On Postural Balance And Quality Of Life In Children With Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Reverse Walking+Baseline treatment
* Other: Whole Body Vibration + Reverse Walking+Baseline treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 6-12 years Confirm diagnosis of Cerebral Palsy GMFCS level I & II Both genders (28) Exclusion Criteria: o Visual impairment Patients who can't follow command Hearing impairment Malignancy Infection (such as Osteomyelitis) Inflammatory arthritis Lower extremity bones fracture Cardiovascular disease Traumatic cases

Ages Eligible for Study
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Minimum Age: 6 Years
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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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Reverse Walking+Baseline treatment<br>Conventional treatment was given then received Reverse Walking Training which was provided for 7 min per set, with approximately 3 min of inter-set rest, for a total training duration of 60 min/day, 3 days/week for 3 successive months . | Other: Reverse Walking+Baseline treatment<br>* Reverse Walking+Baseline treatment<br>|
| Experimental: Whole Body Vibration + Reverse Walking+Baseline treatment<br>Conventional Physical Therapy Treatment was given as a baseline treatment which includes Stretching, Range of motion exercises, and Strengthening exercises) performed for 10 min. Reverse Walking Training which was provided for 7 min per set, with approximately 3 min of inter-set rest, for a total training duration of 30 min/day, 3 days/week for 3 successive months After that Group received Whole Body Vibration including three vibration sessions per week for three months. The participants have to carry out each set of vibration for 2 min in the first month, and then it was increased to 3 min in the second and 5 min in the third month. The rest period between each set was 1 min in the first month, then it became half a minute in the second and third month. Total training duration is 30 min/day, 3 days/week for 3 successive months. | Other: Whole Body Vibration + Reverse Walking+Baseline treatment<br>* Whole Body Vibration + Reverse Walking+Baseline treatment<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pediatric Balance Scale; | The pediatric balance scale is the modified version of the berg balance scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points | 12th week | 
| Pediatric Reach Test (PRT) / Functional Reach Test (FRT) | The Pediatric Reach Test (PRT) is a modified form of the Functional Reach Test (FRT). The PRT measures side reaching as well as forward reaching in both sitting and standing positions. | 12th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CP QOL-Child | The CP QOL-Child was designed to assess the quality of life of children aged 4-12 years. There are two versions, including a primary caregiver/parent report for children aged 4 to 12 years; and a self-report for children aged 9 to 12 years(10). GMFCS level I & II GMFCS Level I | 12th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postural balance