Assessment of Respiratory Function Cerebral Palsy Using Plyometric Exercise Sensorimotor Program

Sponsor
Egyptian Chinese University (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05506527
Collaborator
(none)
40
1
2
4
10

Study Details

Study Description

Brief Summary

To examine if adding plyometric exercises to sensorimotor exercises would improve respiratory function in children and adolescents with cerebral palsy

Condition or Disease Intervention/Treatment Phase
  • Other: Sensorimotor program and plyometric exercise
N/A

Detailed Description

Cerebral palsy (CP) is a varied group of developmental disorders secondary to a static immature brain injury that primarily results in persistent nonspecific impairment of movement and posture. Approximately 25% of all CP cases experience disturbance of motor function with unilateral spasticity pertaining to the upper and lower extremities contralateral to the affected cerebral hemisphere and categorized as spastic hemiplegia. Some asymmetries might be noted when hemiplegic children are attempting to perform motor activities. In supported standing, hemiplegic children may stand preferentially on their more functional side and exhibit postural malalignments that impair the ability to transfer body weight on the affected lower extremity.

Children and adolescents with CP have poor respiratory function, secondary to the disease process. Impaired airway clearance, recurrent aspirations, chest infections, poor cough mechanism, impaired lung function, deformity of the spine and chest, and poor nutrition status influence the respiratory condition of children and adults with CP resulting in reduced lung capacity in these individuals.

Plyometric exercises are a specific pattern of resistive strength training in which the muscle starts to contract eccentrically followed by rapid concentric contraction of the same muscle. It can jointly generate high velocity dynamic movements and high-impact force on the muscles and bones. Currently, a limited number of studies have analysed the efficacy of the plyometric training on respiratory function in children with CP or any other disabling health conditions. Preliminary studies have demonstrated the positive effect of plyometric exercises for the gross motor function in boys with unilateral CP.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
40 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
randomized clinical trialrandomized clinical trial
Masking:
Single (Participant)
Masking Description:
lottery method
Primary Purpose:
Treatment
Official Title:
Assessment of Respiratory Function in Children With Cerebral Palsy Using Combined Plyometric Exercise and Sensorimotor Program: A Randomized Controlled Trial
Anticipated Study Start Date :
Sep 1, 2022
Anticipated Primary Completion Date :
Oct 1, 2022
Anticipated Study Completion Date :
Jan 1, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: study group 1

Study group A: will receive combined plyometric exercises and sensorimotor program

Other: Sensorimotor program and plyometric exercise
Children in study group A will receive combined plyometric exercises (vertical paradigm) and sensorimotor program - Children of the study group B will receive sensorimotor program alone.

Experimental: study group 2

Study group B: will receive sensorimotor program alone

Other: Sensorimotor program and plyometric exercise
Children in study group A will receive combined plyometric exercises (vertical paradigm) and sensorimotor program - Children of the study group B will receive sensorimotor program alone.

Outcome Measures

Primary Outcome Measures

  1. change of spasticity [six weeks]

    will be measured by modified Ashower Scale

Secondary Outcome Measures

  1. change of Respiratory capacity and vital capacity [six weeks]

    will be measured by incentive spirometry

Eligibility Criteria

Criteria

Ages Eligible for Study:
8 Years to 14 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Age will be 8 - 14 years.

  • children will be assigned to the study are suffering from spastic hemiplegic cerebral palsy (less than grade 1+ om Modified Ashwar Scale)

  • Considering the physical problems, children will be chosen according to Growth Motor Function Classification System (GMFCS) with levels I-III

  • The ability to understand simple verbal instructions.

Exclusion Criteria:
  • Visual and hearing impairment; surgery within the last three months preventing them from taking part in sensorimotor physical therapy

  • Severe oromotor issues

  • Severe chest infections

Contacts and Locations

Locations

Site City State Country Postal Code
1 Cairo University Giza Egypt 12613

Sponsors and Collaborators

  • Egyptian Chinese University

Investigators

  • Study Director: Eman Abdel-Halim, Cairo University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Mohamed Abdelmoneim El Meligy, lecturer of physical therapy for pediatrics, Egyptian Chinese University
ClinicalTrials.gov Identifier:
NCT05506527
Other Study ID Numbers:
  • P.T.REC/012/003787
First Posted:
Aug 18, 2022
Last Update Posted:
Aug 18, 2022
Last Verified:
Aug 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Product Manufactured in and Exported from the U.S.:
No
Keywords provided by Mohamed Abdelmoneim El Meligy, lecturer of physical therapy for pediatrics, Egyptian Chinese University
Additional relevant MeSH terms:

Study Results

No Results Posted as of Aug 18, 2022