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IRCT20210818052225N1 IRCT 2021-08-22 University of Lahore Effects of Proprioceptive Training and Partial Body Weight Supported Treadmill Training on Balance and Functional Mobility in Children with Spastic Diplegia: A Randomized Controlled Trial. Effects of Proprioceptive Training and Partial Body Weight Supported Treadmill Training on Balance and Functional Mobility in Children with Spastic Diplegia: A Randomized Controlled Trial. 2019-12-06 anticipated 40 Complete https://irct.ir/trial/58214 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Randomized controlled study design, Randomization description: After fulfilling the inclusion criteria patients were divided randomly into experimental and control group. Patients were randomized individually. They were distributed by random numbers. Allocation was concealed in envelops. Researcher was unaware of treatment given to patients, Blinding description: Assessor was unaware about the patients from both groups. He was allowed to assess data before giving intervention and after the complete duration of twelve weeks. He was unaware of treatment given to participants. 2 Spastic diplegic cerebral palsy. Intervention 1: Participants in control group were practiced proprioceptive training with specialized proprioceptive exercises. 1: Stair climbing up and down (regular 3 steps staircase).2: Standing with feet approximately shoulder-width apart with arm extending lower than shoulder then lifting the both heels from the floor an d maintain for 10 sec, followed by climbing regular steps3: One foot placed on inside of the opposing ankle and hold the position for 10 sec followed by climbing regular steps staircase.4: One leg standing with one foot raised to back and maintain this position for minimum 3 seconds. This procedure is performed with eyes closed also.5: Same procedure as described above with one foot raised to the front.6: Walking heel to toes.7: Rising from a standard chair 4 times without support. All proprioceptive exercises was performed for 30 minutes per session with 5 minutes rest period in between for 3 days a week and continued for 12 weeks. Intervention 2: Patients were treated with proprioceptive exercises in addition of treadmill training program which was conducted 3 times/week for 12 successive weeks. Patients practiced one hour session of treatment including 30 minutes of Proprioceptive training and 30 minutes of treadmill training. A specialized Harness was used with treadmill training to ensure safety of a patient. After Proprioceptive exercises treadmill training subdivided into 3 sets with 10 minutes each. During first and last 5 minutes, child walked at 60% maximal speed while during remaining 20 minutes, they performed walking at 80% maximal speed. 5 min rest after each set of training to prevent fatigue. Treadmill speed started at 0.5 km/h~1.0 km/h and increased gradually according to children’s adaptability by 0.1 km/ h progressively to suit the child’s speed. No - There is not a plan to make this available Justification or reason for not sharing IPD is there is no further information
public Benish Shakoor
west canal road, alnoor block, house # p109, Faisal Garden phase 1, Faisalabad
Faisalabad Pakistan 38000 +92 41 8756972 benishshakoor@gmail.com University of Lahore scientific Benish Shakoor
West canal road, Alnoor block, house # p109, Faisal Garden phase 1, Faisalabad
Faisalabad Pakistan 38000 +92 332 1483575 benishshakoor294@gmail.com University of Lahore Pakistan Spastic diplegic cerebral palsy • Both gender 11-13 years old Spasticity of grade <2 according to the Modified Ashworth Scale Level II-III (Gross Motor Functional Classification System) Intact cognitive status (Mini Mental State Examination, level 9-20 will be included ) Normal Vision and hearing status. 11 years 13 years Both Seizures Patients who had gone through any surgical procedure related to spine and extremities 6 months ago Patients with fixed Joint contractures Bony deformity i.e. Scoliosis, windswept deformity, crouch knee deformity, Rocker Bottom deformity etc. Multiple medical concerns i.e. Any Cardiac issue and Asthma etc.• Medicines to reduce spasticity Patients already involve in Treadmill training at home G80.1 Spastic diplegic cerebral palsy Rehabilitation Treatment - Other Participants in control group were practiced proprioceptive training with specialized proprioceptive exercises. 1: Stair climbing up and down (regular 3 steps staircase).2: Standing with feet approximately shoulder-width apart with arm extending lower than shoulder then lifting the both heels from the floor an d maintain for 10 sec, followed by climbing regular steps3: One foot placed on inside of the opposing ankle and hold the position for 10 sec followed by climbing regular steps staircase.4: One leg standing with one foot raised to back and maintain this position for minimum 3 seconds. This procedure is performed with eyes closed also.5: Same procedure as described above with one foot raised to the front.6: Walking heel to toes.7: Rising from a standard chair 4 times without support. All proprioceptive exercises was performed for 30 minutes per session with 5 minutes rest period in between for 3 days a week and continued for 12 weeks. Patients were treated with proprioceptive exercises in addition of treadmill training program which was conducted 3 times/week for 12 successive weeks. Patients practiced one hour session of treatment including 30 minutes of Proprioceptive training and 30 minutes of treadmill training. A specialized Harness was used with treadmill training to ensure safety of a patient. After Proprioceptive exercises treadmill training subdivided into 3 sets with 10 minutes each. During first and last 5 minutes, child walked at 60% maximal speed while during remaining 20 minutes, they performed walking at 80% maximal speed. 5 min rest after each set of training to prevent fatigue. Treadmill speed started at 0.5 km/h~1.0 km/h and increased gradually according to children’s adaptability by 0.1 km/ h progressively to suit the child’s speed. Balance. Timepoint: before intervention and after twelve weeks of intervention. Method of measurement: Pediatric Balance scale. Functional mobility. Timepoint: Before intervention and after 12 weeks of intervention. Method of measurement: Timed Up and Go Test (TUG) was used to measure functional mobility. University of Lahore Approved 2020-12-03 Institutional Review of Board of University of Lahore Defence road Lahore Lahore Punjab Pakistan