Clinical trial NCT04035954: Effects of Modified Pilates Exercises on Body Control, Gait and Function in Children With Cerebral Palsy
Official title: Effects of Modified Pilates Exercises on Body Control, Gait and Function in Children With Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Keywords: Cerebral Palsy
modified pilates
trunk
gait
function
core stability
Lead sponsor: Sanko University
Sponsor class: OTHER
First posted: 2019-07-29
Enrollment: 18
Sex: ALL
Minimum age (years): 5
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study will include16 children with cerebral palsy (SP) diagnosed at the GMFCS I-II-III level with 8 controls and 8 treatment groups by random minimization between 7-14 years of age with 1 and 1+ spasticity on the lower extremity according to the Modified Ashworth Score.
Primary purpose: TREATMENT

Brief summary: Children with cerebral palsy (CP) have limitations in postural reactions and antigravity movements. Trunk control is the determinant of posture, balance, walking and functional activities. Core stability connects deep abdominal muscles, spine, pelvis, and shoulder girdle to protect the posture and provides support for extremity movements. Pilates and core stabilization were associated with postural control in elderly, MS and stroke individuals and it was concluded that pilates caused an increase in trunk stabilization. There are not enough studies investigating the effectiveness of pilates exercises in CP. The aim of this study was to investigate the effects of modified pilates exercises on body control, gait and functionality in children with CP.

Detailed description: Postural control is the ability of the body to control its position in space for stability and orientation. Postural stability and balance are achieved by keeping the center of gravity of the body within the support surface. Stability can also occur with a static response when the body is stationary, and a dynamic response to internal or external perturbations when it is mobile. Antisipation of perturbation forces requires an effective core stabilization muscle activation as well as an effective integration of stimuli from different sensory systems. Trunk control is also provided by this relationship between neural systems and skeletal muscles. Children with CP show deficits in proximal muscle co-contraction and vertical posture stabilization, with limitations in postural reactions and antigravity movements. Trunk control is the determinant of balance, gait and functional activities from the early period. Core stability; it connects with deep abdominal muscles, spine, pelvis and shoulder girdle muscles to protect the posture and provide support for limb movement. During reaching out, stepping and sudden perturbations, the Transversus Abdominus muscle is activated primarily from other trunk and limb muscles, creating a core stability. Core activity includes not only spinal stability and power generation, but also many upper and lower extremity movements. Control is established by focusing on the transversus abdominis muscle by core stabilization training with Pilates, stabilization of trunk muscles. The proximal extremity muscles of the hip are also important to maintain the upright posture and maintain mobility. For example; hip abductor muscle strength compared to the knee and ankle muscles, walking variables and motor functions in children with CP were more correlated. Although the importance of walking was determined, activation patterns of trunk and hip muscles during walking were examined in a limited number of studies in individuals with CP. The effects of pilates on healthy adults, elderly, multiple sclerosis, stroke and musculoskeletal disorders were investigated and resulted in increased trunk stabilization.Therefore, it is thought that pilates can be applied in terms of muscle strength and postural control in children who can walk, stand independently, but need to develop some components for controlled movement. There are not enough studies investigating the effectiveness of pilates exercises in CP. The aim of this study was to investigate the effects of modified pilates exercises on body control, gait and function in children with CP.

Eligibility criteria: Inclusion Criteria:

* To be diagnosed with CP at the level of GMFCS I-II-III between the ages of 5-18
* Not having any Btx / surgery in the last 6 months
* Lower extremity spasticity 1 and 1+ according to modified Ashworth score
* Signing the written informed consent form
* Who can follow verbal commands

Exclusion Criteria:

* Individuals with multiple disabilities (hearing, speaking, seeing)
* Individuals with any behavior disorder (Autism, etc.) / Mental problems
* Patients with congenital cardiorespiratory status
* Have received any specific core stabilization training over the last 6 months
* Mixed musculoskeletal / axial deformities

Primary outcomes:
measure: Change of Prone Plank Test
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Side Plank Test
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Modifiye Beiring Sorensen Test
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Abdominal Fatigue test
timeFrame: first day of intervention and after the 8 weeks
Secondary outcomes:
measure: Change of Sharman's core stabilite testi (PBU=Pressure Biofeedback Unit Test)
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Sit Ups Test
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Modified Push-ups Test
timeFrame: first day of intervention and after the 8 weeks
measure: Change of 6 Minute Walk Test
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Pediatric Reach Test (PRT)
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Physician Rating Scale (PRS)
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Berg Balance Scale (BBS)
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Seated Postural Control Measure (SPCM)
timeFrame: first day of intervention and after the 8 weeks
measure: Change of Gross Motor Function Classification System (GMFCS)
timeFrame: first day of intervention and after the 8 weeks
Other outcomes:
Locations:
city: Gaziantep
country: Turkey
facility: Sanko University
state: Şehitkamil
Study officials:
affiliation: Sanko University
name: Hatice Adıgüzel, PhD cd.
role: PRINCIPAL_INVESTIGATOR
affiliation: Gazi University
name: Bülent Elbasan, Ass. Prof.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Adiguzel H, Elbasan B. Effects of modified pilates on trunk, postural control, gait and balance in children with cerebral palsy: a single-blinded randomized controlled study. Acta Neurol Belg. 2022 Aug;122(4):903-914. doi: 10.1007/s13760-021-01845-5. Epub 2022 Jan 18.