Whole Body Vibration Versus Functional Strength Training On Balance In Children With Hemiparetic Cerebral Palsy

Sponsor

Amany Ibrahim AbdElhamed Sabra (Other)

Overall Status

Recruiting

CT.gov ID

NCT05936554

Collaborator

(none)

Enrollment

Location

Arms

2.1

Anticipated Duration (Months)

14.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The study will be directed to compare which of whole body vibration (WBV) training and Functional strength training (FST) has better effect on balance in children with hemiparesis

Condition or Disease	Intervention/Treatment	Phase
Cerebral Palsy Hemiparesis	Device: whole body vibration Other: Functional strength training	N/A

Detailed Description

Hemiparesis is a type of hemiplegia where mild muscle weakness causes balance disturbances because one side of the body is affected such as the arm, chest leg or face.

Muscle weakness is commonly associated with abnormal bone development, leading to increased susceptibility to fractures, most cerebral palsy children have deficits in balance, coordination, and gait throughout childhood and adulthood. So, it is essential to seek an ideal physical therapy program to help in solving such widespread problem.

Balance control is important for competence in the performance of most functional skills, helping children to recover from unexpected balance disturbances, either due to slips and trips or to self- induced instability when making a movement that brings them toward the edge of their limit of stability Whole body vibration is mechanical oscillation, defined by amplitude and frequency, generates a force that acts on whole body. It is a training method for muscle tone modulation that is increasingly used in a variety of clinical situations.

Functional strength training (FST) is an effective method of exercise therapy. It can be combined with traditional physical therapy methods and can be successfully combined with most rehabilitation and exercise equipment. It provides postural stability while promoting independence with confidence.

The current study will be directed to compare which of whole body vibration (WBV) training and Functional strength training (FST) has better effect on balance in children with hemiparesis.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

30 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Double (Care Provider, Investigator)

Primary Purpose:

Treatment

Official Title:

Whole Body Vibration Versus Functional Strength Training On Balance In Children With Hemiparetic Cerebral Palsy: Randomized Comparative Study

Anticipated Study Start Date :

Jul 8, 2023

Anticipated Primary Completion Date :

Aug 10, 2023

Anticipated Study Completion Date :

Sep 10, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: whole body vibration will receive whole body Vibration training that elicits a warm up effect to improves muscle power and balance in addition to designed physical program.	Device: whole body vibration to improve muscle power and balance.
Active Comparator: Functional strength training will receive Functional strength training that focuses on the movement pattern quality and treats functional movement and provides postural stability while promoting balance independence with confidence	Other: Functional strength training used in treatment of hemiparetic cerebral palsy and provides postural stability while promoting balance independence with confidence and muscle power

Arm

Intervention/Treatment

Active Comparator: whole body vibration

will receive whole body Vibration training that elicits a warm up effect to improves muscle power and balance in addition to designed physical program.

Device: whole body vibration

to improve muscle power and balance.

Active Comparator: Functional strength training

will receive Functional strength training that focuses on the movement pattern quality and treats functional movement and provides postural stability while promoting balance independence with confidence

Other: Functional strength training

used in treatment of hemiparetic cerebral palsy and provides postural stability while promoting balance independence with confidence and muscle power

Outcome Measures

Primary Outcome Measures

balance improvement [3 months]
we will use pediatric balance scale and Biodex balance system to measure balance

Secondary Outcome Measures

gross motor performance [3 months]
we will use Gross Motor Function Measure 88 (GMFM-88) to measure gross motor performance

Eligibility Criteria

Criteria

Ages Eligible for Study:

4 Years to 8 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

The children in the study will be selected according to the following criteria:

Their chronological age ranged from five to eight years old.
Spasticity Grade I and II according to Modified Ashworth Scale.
They will be on Level II and III according to Gross Motor Functional Classification System (GMFCS)
Have the ability to walk independently.
They can understand order and follow instruction.
The child will be able to follow verbal commands and instructions.
They can firmly grasp the rails of biodex device.