Investigation of the Effects of Balance Discs With Different Surfaces Used in Balance Education in Children With Cerebral Palsy on Proprioceptive Sense and Balance.

Study Overview
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Brief Summary
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This is a non-invasive prospective study investigating the effects of balance discs with different surfaces used in balance education in children with cerebral palsy on proprioceptive sense and balance.

Detailed Description
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Many methods are used for balance training. One of them is balance discs. Balance discs consist of smooth and rough surfaces. Balance training is given to children with cerebral palsy on these two surfaces. Thanks to its balance disc structure, it plays an active role in the development of balance, but there is a need for evidence about whether rough or smooth surfaces and training have superiority over each other. Knowing the difference between the two surfaces will help the staff about which surface to use in the treatment and will be beneficial for the children. The aim of this study is to determine whether there is a difference between a rough and smooth surface in terms of improving proprioceptive sense and balance.

Official Title
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Investigation of the Effects of Balance Discs With Different Surfaces Used in Balance Education in Children With Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Spiky balance disc
* Other: Pediatric neurodevelopmental therapy
* Other: smooth balance disc


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed with cerebral palsy Diagnosed with motor developmental delay 0-12 years old Levels 1 and 2 according to GMFCS Having bilateral and unilaterally affected spastic type CP Cooperate with assessments Exclusion Criteria: Botulinum toxin administration in the last 6 months Having had any surgical operation in the last 6 months Having dyskinetic, ataxic and hypotonic type CP Unable to cooperate with assessments

Ages Eligible for Study
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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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Spiky balance disc study group<br>Bobath therapy will be studied with the children in this group and balance training will be given on the rough (spiky) surface of the extra balance disc. | Other: Pediatric neurodevelopmental therapy<br>* Bobath therapy<br>Other: smooth balance disc<br>* Balance discs consist of smooth and rough surface. Balance training is given to children with cerebral palsy on these two surfaces. Thanks to its balance disc structure, it plays an active role in the development of balance.<br>|
| Experimental: Smooth balance disc study group<br>Bobath therapy will be studied with the children in this group and balance training will be given on the smooth (flat) surface of the extra balance disc. | Other: Spiky balance disc<br>* Balance discs consist of smooth and rough surface. Balance training is given to children with cerebral palsy on these two surfaces. Thanks to its balance disc structure, it plays an active role in the development of balance.<br>Other: Pediatric neurodevelopmental therapy<br>* Bobath therapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Pediatric Berg balance test: | The Pediatric Berg Balance Test is a modified version of the Berg Balance Test used to assess functional balance skills in school-aged children.Patients are evaluated out of 56 points, with the highest score being 56. Change will be evaluated | baseline and week 10 | 
| Change in Functional reach test | The Functional Reach Test is a clinical outcome measurement and assessment tool to detect dynamic balance in a single simple task. While standing, it measures the distance between the length of an extended arm at maximum forward reach while maintaining a stable base of support.Change will be evaluated. | baseline and week 10 | 
| Change in One-leg standing test | The one-leg stance test is a test in which the time to stand on balance is measured on the right and left extremities of the patient, and evaluates the static balance. Change will be evaluated. | baseline and week 10 | 
| Change in Proprioceptive sensory test: | Active and passive repositioning test will be used to evaluate ankle proprioceptive sensation. Passive repositioning: The person to be tested is asked to learn that position by positioning the joint at a certain angle. Then, while the joint is moved passively, the person is asked to stop the movement when it reaches the previously learned position. The numerical difference between the angle found by the person and the angle taught before is evaluated. Active repositioning: The person is asked to find the position taught to the person by moving their extremity, and the numerical difference is determined.Change will be evaluated. | baseline and week 10 |