Arm Ergometer Versus Stabilization Exercises on Trunk Control and Upper Extremity Functions in cp

Cairo University42 enrolled

Overview

The purposes of the current study are to: Define and compare between the efficacy of arm ergometer versus stabilization exercises on trunk control, hand grip power and upper limb quality of functions in children with diplegia.

Studies have shown that the cycle ergometer exercise improves several parameters, such as muscle strength and endurance, along with torso control in sitting position. However, these results are presented only in a small sample. Studies with the use of cycle ergometer in the population with CP are still few and present little information about the physiological effects .Previous studies on children with CP focused on the effect of ergometer on the upper and lower extremities functions. Limited literature is available regarding the effect of arm ergometer on trunk control among this population. The current study will be carried out to define the effect of arm ergometer versus stabilization exercises on trunk control, hand grip power, upper limb function in children with diplegia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Spastic Diplegia

Interventions

Arm ergometerDEVICE

The conventional physical therapy program included three sets of exercises as follows: Flexibility exercises to restore joint mobility of soft tissues. Static and dynamic balance exercise. Functional walking exercises.

Eligibility

Sex: ALLMin age: 6 YearsMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age ranges from six to ten years. 2. Grade of spasticity 1 to 2 according to Modified Ashworth scale. 3. Level II and III according to gross motor functional classification system. 4. Level I-III according to manual ability classification system. 5. Able to follow verbal commands and instructions included in both test and training. Exclusion Criteria: 1. Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination). 2. Structural or fixed soft tissue deformities of the upper extremities. 3. Neurological or orthopedic surgery in the past 12 months in the upper extremities. 4. Botox injection in the upper extremities in the past 6 months.

Locations (1)

Faculty of physical therapy - Cairo university

Giza, Egypt

Outcomes

Primary Outcomes

Trunk control

Trunk control measurement scale includes 15 items that assess two main components of trunk control: static and dynamic sitting balance. While the total score is between 0 and 58, higher scores indicate a better level of performance.

Time frame: 30 minutes

Upper extremity functions

Quality of upper extremity scale test which consist 34 items in four main domains: dissociated movement, grasp, protective extension, and weight bearing.

Time frame: 30/45 minutes

Secondary Outcomes

Hand grip strength

Hand held dynamometer used to measure muscle strength of the arm and hand in children with spastic CP. It is used to measure strength; maximal voluntary isometric contraction; objectively in kilograms, pounds or newtons.

Time frame: 5 minutes

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.