Clinical trial NCT05322759: Halliwick and Aquatic Exercises in Spastic Cerebral Palsy
Official title: Comparison of Halliwick Exercises and Aquatic Excercices on Gross Motor Function, Trunk Stability and Hand Function in Spastic CP
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Spastic Cerebral Palsy
Keywords: Halliwick exercises
Aquatic exercises
Gross Motor Function measurment
Trunk control
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-04-12
Enrollment: 32
Sex: ALL
Minimum age (years): 13
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this research is to find and compare the effects of halliwick exercises and aquatic exercises on gross motor function, trunk stability and hand function in spastic cerebral palsy.

Detailed description: Randomized controlled trials done at Dream Child institute and Children hospital complex Multan. The sample size was 32. The subjects were divided in two groups, 16 subjects in halliwick exercise group and 20 in aquatic exercise group. Study duration was of 6 months. Sampling technique applied was convenient non probability sampling technique. Only 13-16 years diagnosed spastic cerebral pals individuals were included. Tools used in the study are Gross motor function measure (GMFM-66), Trunk impairment scale (TIS) and Nine-hole peg test (NHPT). Data was being analyzed through SPSS 22.

Eligibility criteria: Inclusion Criteria:

* Both genders Male \& female
* Age 13-16 years
* Able to use assistive devices
* Diagnosed CP children
* Able to follow verbal commands

Exclusion Criteria:

* Unstable seizures

  * had a surgery for the last 12 months or receive medication for spasticity
  * Associated cognitive issue
  * Incontinence
  * Persistent infection

Primary outcomes:
measure: GMFM-88
timeFrame: first reading at 0 week
measure: GMFM-88
timeFrame: final reading at 8 week
measure: Trunk Impairment Scale
timeFrame: First reading at 0 week
measure: Trunk Impairment Scale
timeFrame: Final reading at 8 week
measure: Nine Hole Peg Test
timeFrame: first reading at 0 week
measure: Nine Hole Peg Test
timeFrame: final reading at 8 week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Binash Afzal
state: Punjab
Study officials:
affiliation: Riphah International University
name: Binash Afzal, Phd*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gurpinar B, Kara B, Idiman E. Effects of aquatic exercises on postural control and hand function in Multiple Sclerosis: Halliwick versus Aquatic Plyometric Exercises: a randomised trial. J Musculoskelet Neuronal Interact. 2020 Jun 1;20(2):249-255.
citation: Akinola BI, Gbiri CA, Odebiyi DO. Effect of a 10-Week Aquatic Exercise Training Program on Gross Motor Function in Children With Spastic Cerebral Palsy. Glob Pediatr Health. 2019 Jun 25;6:2333794X19857378. doi: 10.1177/2333794X19857378. eCollection 2019.
citation: Adar S, Dundar U, Demirdal US, Ulasli AM, Toktas H, Solak O. The effect of aquatic exercise on spasticity, quality of life, and motor function in cerebral palsy. Turk J Phys Med Rehabil. 2017 Aug 14;63(3):239-248. doi: 10.5606/tftrd.2017.280. eCollection 2017 Jun.
citation: Ballington SJ, Naidoo R. The carry-over effect of an aquatic-based intervention in children with cerebral palsy. Afr J Disabil. 2018 Oct 29;7(0):361. doi: 10.4102/ajod.v7i0.361. eCollection 2018.
citation: Terrens AF, Soh SE, Morgan P. The safety and feasibility of a Halliwick style of aquatic physiotherapy for falls and balance dysfunction in people with Parkinson's Disease: A single blind pilot trial. PLoS One. 2020 Jul 30;15(7):e0236391. doi: 10.1371/journal.pone.0236391. eCollection 2020.
citation: Veldema J, Jansen P. Aquatic therapy in stroke rehabilitation: systematic review and meta-analysis. Acta Neurol Scand. 2021 Mar;143(3):221-241. doi: 10.1111/ane.13371. Epub 2020 Nov 22.
citation: Carayannopoulos AG, Han A, Burdenko IN. The benefits of combining water and land-based therapy. J Exerc Rehabil. 2020 Feb 26;16(1):20-26. doi: 10.12965/jer.1938742.371. eCollection 2020 Feb.
citation: Perez-de la Cruz S. Effect of an Aquatic Balance-Training Program in Patients with Chronic Stroke: A Single-Group Experimental Pilot Study. Medicina (Kaunas). 2020 Nov 28;56(12):656. doi: 10.3390/medicina56120656.