Clinical trial NCT04894812: Vestibular and Motor Functions in Children With Hemiplegic Cerebral Palsy
Official title: The Effect of Vestibular Stimulation Along With Neurodevelopmental Technique on Motor Functions of Children With Hemiplegic Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Hemiplegic Cerebral Palsy
Keywords: motor activity
spasticity
vestibular stimulation
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-05-20
Enrollment: 28
Sex: ALL
Minimum age (years): 3
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: As many researches have been conducted to see the effects of vestibular system activation on gross motor activities of children with cerebral palsy but there are limited researches on improvement of motor abilities of hemiplegic cerebral palsy child using UEU or BOSU ball or treadmill in a single study. There is lack of research on vestibular stimulation in hemiplegic cerebral palsy along with neurodevelopmental treatment.

This study will improve the gross motor activities of children with hemiplegic cerebral palsy. It will broaden up the ways for physical therapist to deal with this type of cerebral palsy (hemiplegic).

Detailed description: There are various therapeutic approaches that are used to improve motor activities and postural control in CP child. Among these approaches vestibular stimulation is used to improve neuromotor development by different sensory stimulation techniques. It has shown positive effects on motor control of CP child. It also influences all sensory experiences and is an exercise based approach.

Eligibility criteria: Inclusion Criteria:

* Age: 3 years to 12 years
* Gender: Both Male and female
* Children with Spastic Hemiplegic CP scoring 1,1+ and 2 on Modified Ashworth scale
* Level III and IV on GMFCS (Gross Motor Function Classification System)

Exclusion Criteria:

* Children with other types of Cerebral Palsy (diplegia, quadriplegia etc)
* Children with other Abnormalities and pathologies (delayed milestones, hydrocephalous, epilepsy etc)
* Children Undergone any kind of surgery (cardiac, shunt placement, orthopedic etc)
* Children with any other neurological deficits (spina bifida etc)
* Children with conditions in which vestibular stimulation is not allowed (paroxysmal positional vertigo or vestibular neuritis, Meniere's disease, migraine-associated vertigo, and childhood vertigo).

Primary outcomes:
measure: GMFM-88
timeFrame: 12 weeks
Secondary outcomes:
measure: Modified Ashworth Scale
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Institute of Pediatric Habilitation and Rehabilitation IPH
state: Punjab
Study officials:
affiliation: Riphah International University
name: Mirza Obaid Baig, MSPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Tramontano M, Medici A, Iosa M, Chiariotti A, Fusillo G, Manzari L, Morelli D. The Effect of Vestibular Stimulation on Motor Functions of Children With Cerebral Palsy. Motor Control. 2017 Jul;21(3):299-311. doi: 10.1123/mc.2015-0089. Epub 2016 Aug 19.
citation: Bangash AS, Hanafi MZ, Idrees R, Zehra N. Risk factors and types of cerebral palsy. J Pak Med Assoc. 2014 Jan;64(1):103-7.
citation: Labaf S, Shamsoddini A, Hollisaz MT, Sobhani V, Shakibaee A. Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy. Iran J Child Neurol. 2015 Spring;9(2):36-41.