Effects of Additional Functional Strength Training on Mobility in Children With Hemiplegic Cerebral Palsy

Study Overview
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Brief Summary
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The randomized control trail was to determine the effects of additional functional Strength Training on mobility in Children with Hemiplegic Cerebral Palsy.

Detailed Description
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The aim of functional physiotherapy is to train the child by emphasizing him to learn motor abilities. These motor abilities are those that are thought to be though either by children with cerebral palsy or their parents. Functional activities are learned by the repetitive practice of goal-oriented tasks in a given functional situation. This approach instead of focusing on normality, it focuses on functionality. In this way, it is very necessary for the child to practice a given task functionally rather than normally.No studies have been done to improve mobility and strength in lower limb in children with hemiplegia cerebral palsy. So for this reason, this study is conducted to investigate the effects of additional functional Strength Training on mobility in Children with Hemiplegic Cerebral Palsy.In this way we can make these children an active participant of the society.

Official Title
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Effects of Additional Functional Strength Training on Mobility in Children With Hemiplegic Cerebral Palsy,A Randomized Control Trail

Conditions
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Hemiplegic Cerebral Palsy, Mobility

Intervention / Treatment
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* Other: Functional Strength Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children who didnot use the assistive device children who follow the commands children who did not treated in any other rehabilitation center Exclusion Criteria: children with any other diagnosis other than CP children with fixed contractures children underwent surgery children who received Botulinum Toxin

Ages Eligible for Study
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Minimum Age: 4 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Functional strength training<br>With conventional therapy,the ten tasks were STS, one leg standing, weight shifting(from one side of body to other), step-ups, lateral step-ups, squatting against wall, picking an object from standing position, walking forward, walking backward and kicking the ball preform from the patient 5 days per week for 4 weeks. | Other: Functional Strength Training<br>* In addition to conventional therapy, experimental group was also given functional strength training program. Functional strength training was given as home program consisting of ten tasks.The ten tasks were STS, one leg standing, weight shifting(from one side of body to other), step-ups, lateral step-ups, squatting against wall, picking an object from standing position, walking forward, walking backward and kicking the ball.<br>* Other names: conventional therapy;|
| Active Comparator: Conventional therapy<br>passive and active range of motion exercises,Stretching and strengthening exercise 5 days per week for 4 weeks. | Other: Functional Strength Training<br>* In addition to conventional therapy, experimental group was also given functional strength training program. Functional strength training was given as home program consisting of ten tasks.The ten tasks were STS, one leg standing, weight shifting(from one side of body to other), step-ups, lateral step-ups, squatting against wall, picking an object from standing position, walking forward, walking backward and kicking the ball.<br>* Other names: conventional therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gross Motor Function Measure (GMFM) | GMFM is used to evaluate change that occurs over time in the gross motor function of children with cerebral palsy. | Data was collected at Baseline and after 4 weeks | 
| Gross Motor Function Classification System (GMFCS) | The GMFCS, or Gross Motor Function Classification System, is a five-level classification that differentiates children with cerebral palsy based on the child's current gross motor abilities, limitations in gross motor function, and need for assistive technology and wheeled mobility. | Data was collected at Baseline and after 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Five time sit to stand (FTSST). | Used to asses functional lower extremity strength, transitional movements, balance, and fall risk | Data was collected at Baseline and after 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral palsy, Functional strength training, Mobility, GMFC, GMFM