Clinical trial NCT05649501: Effect of PNF on Selective Motor Control and Balance in CP
Official title: Effects of Proprioceptive Neuromuscular Facilitation on Selective Motor Control of Lower Extremity and Balance in Children With Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: CP (Cerebral Palsy)
Keywords: Proprioceptive neuromuscular techniques
Selective voluntary motor control
Balance
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-12-14
Enrollment: 26
Sex: ALL
Minimum age (years): 5
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Cerebral palsy is attributed to non-progressive disturbances that occurred in the developing infant brain or fetal characterized by abnormalities of muscle tone, movement and motor skills. PNF technique is thought to have an impact on voluntary motor control and balance through stimulation of proprioceptors, so the aim of this study is to determine the effects of proprioceptive neuromuscular facilitation technique on selective motor control and balance on children with cerebral palsy.

Detailed description: A case study was conducted in 2021 to determine the effects of PNF training for improving lower limb coordination in 7 years old cerebral palsy child. After the intervention, significant improvement is seen in gait parameters, balance, and gross motor functional classification score.

A case report was conducted in 2020, to determine the effectiveness of PNF technique in improving lower extremity function in spastic diplegic cerebral palsied adolescent. Patient was treated with tone inhibitory and movement facilitatory techniques. There was significant change in balance and lower extremity function before and after the treatment.

There are multiple impairments in spastic cerebral palsy children; the inability to perform purposeful voluntary movements is a critical factor in determining functional ability of children. Since selective voluntary motor control is an important factor that must be achieved in cerebral palsy children, PNF may be considered as a technique to gain selective voluntary control and balance proving an important intervention for cerebral palsy children.

Eligibility criteria: Inclusion Criteria:

* Children diagnosed as spastic diplegic cerebral palsy
* Age between 5-12 years and both genders.
* Gross motor function level II and III according to gross motor functional classification scale (GMFCS).
* Spasticity range between 1 and 1+ grade according to modified ashworth scale
* Children who are able to follow simple verbal instructions

Exclusion Criteria:

* Children with uncontrolled epilepsy
* Children who show no cooperation
* Children receiving botulinum toxin injections or surgery no earlier than 6 months before project starts.
* Subjects with presence of shortening or deformities of lower limb

Primary outcomes:
measure: Pediatric Berg Balance Scale
timeFrame: last one week
Secondary outcomes:
measure: Selective control assessment of lower extremity (SCALE)
timeFrame: last one week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Pakistan Society for Rehabilitation of the Disabled (PSRD)
state: Punjab
Study officials:
affiliation: Riphah International University
name: Shabana Ashraf, Masters
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Balzer J, Marsico P, Mitteregger E, van der Linden ML, Mercer TH, van Hedel HJ. Construct validity and reliability of the Selective Control Assessment of the Lower Extremity in children with cerebral palsy. Dev Med Child Neurol. 2016 Feb;58(2):167-72. doi: 10.1111/dmcn.12805. Epub 2015 May 20.