Clinical trial NCT06244095: Effects of Perturbation Therapy and Trunk Control Training
Official title: Comparative Effects of Perturbation and Trunk Control Training in Children With Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Keywords: Cerebral Palsy
Perturbation Therapy
Trunk control training.
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-02-06
Enrollment: 26
Sex: ALL
Minimum age (years): 5
Maximum age (years): 10
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: A postural perturbation refers to unexpected change in conditions that upsets the body's harmony and displaces its posture. These perturbations can be sensory in nature, such as vestibular perturbations resulting from electrical stimulation, visual perturbations caused by a moving room or graphical images, or somatosensory perturbations caused by muscle vibrations. The body's reactions to these sensory perturbations may be based on the perception of instability rather than actual imbalance. Trunk control plays a vital role in various aspects of daily life, including balance, walking, and overall functional abilities. Children with cerebral palsy (CP), who experience limitations in their ability to move, often expend more energy compared to their healthy peers.

Detailed description: This study will be randomized clinical trial used to compare the effects of Perturbation and trunk control training in children with Cerebral Palsy. Subjects meeting the predetermined inclusion and exclusion criteria will be divided into two groups using lottery method. Pre-assessment will be done using Berg balance scale, functional Independent measures and TUG test as objective measurements. Subjects in one group will be treated using Perturbation therapy and the other one will be treated with Trunk control training. Both groups had three treatment sessions per week, for 4 weeks, and the total time for every session was about 30-45 minutes. A postural perturbation refers to unexpected change in conditions that upsets the body's harmony and displaces its posture. These perturbations can be sensory in nature, such as vestibular perturbations resulting from electrical stimulation, visual perturbations caused by a moving room or graphical images, or somatosensory perturbations caused by muscle vibrations. The body's reactions to these sensory perturbations may be based on the perception of instability rather than actual imbalance. On the other hand, "mechanical perturbations" physically displace the body segments, potentially leading to a shift in the overall center of mass or actual imbalance. Even small displacements of a single body segment, like the head, can elicit minor muscle responses throughout the body

Eligibility criteria: Inclusion Criteria:

* Kids that suffer from cerebral palsy.
* Ages span from 5 to 10 years.
* Both males and females were represented.
* During the preceding half-year, there was no orthopedic surgery or spasticity-reduction intervention.
* No significant lower limb muscular contraction

Exclusion Criteria:

* Individuals suffering from sensory, proprioceptive, cognitive, and perceptual impairments, as well as those with contractures.
* Any neurological disease that impairs balance, including orthopedic disorders
* Individual experiencing seizures and has undergone any prior surgical treatments.
* Uncorrected visual issues

Primary outcomes:
measure: Pediatric Berg balance scale (PBBS)
timeFrame: 6weeks
measure: Functional Independent Measures (FIM
timeFrame: 6weeks
measure: Timed Up and Go Test (TUGT)
timeFrame: 6weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Imran Amjad
state: Punjab
Study officials:
affiliation: Riphah International University
name: Zirwa Afzal, MS*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Horak FB, Earhart GM, Dietz V. Postural responses to combinations of head and body displacements: vestibular-somatosensory interactions. Exp Brain Res. 2001 Dec;141(3):410-4. doi: 10.1007/s00221-001-0915-6.