This clinical trial aims to Compare the effectiveness of lower limb CIMT and the Strength Training of the Non-Hemiplegic lower limb on motor performance in hemiplegic children with CP. Participants will: diagnosed with hemiplegic cerebral palsy treated with CIMT or Strength training (cross-education) for a non-hemiplegic limb for 8 weeks. 3 sessions per week. Measurements will be taken at baseline and then at the end of the 8 weeks.
Method: 32 children with hemiplegic CP will be equally and randomly allocated to two groups (group A and B). group A will receive lower limb CIMT for the non- hemiplegic limb using whole leg orthosis and Group B will receive strengthen training for the non-hemiplegic lower limb. Both groups will receive routine physical therapy for the hemiplegic lower limb. Both groups will receive 60 minutes training session for 3 sessions per week for 8 consecutive weeks. Assessment will be at baseline then at the end of trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
children in the CIMT group will RECIEVE lower limb CIMT for the non-hemiplegic limb using whole leg orthosis. Children in cross-education group will receive strengthening training for the non-hemiplegic lower limb
Imam Abdulrahmn Alfaisal University
Dammam, Saudi Arabia
gait speed
gait spatiotemporal parameter
Time frame: at base line then at the end of the 8 weeks
cadence gait spatiotemporal parameter
gait spatiotemporal parameter
Time frame: at base line then at the end of the 8 weeks
step length
gait spatiotemporal parameter
Time frame: at base line then at the end of the 8 weeks
stride length
gait spatiotemporal parameter
Time frame: at base line then at the end of the 8 weeks
Pediatric balance scale
Pediatric balance scale The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.
Time frame: at base line then at the end of the 8 weeks
6 Minute walk test (6MWT)
endurance measurement
Time frame: at base line then at the end of the 8 weeks
Modified Ashworth scale
measuring muscle tone Scoring 0 No Increased in tone 1. Slight increase in tone giving a catch when the limb is moved in flexion or extension 1+ Slight increase in muscle tone, indicated by a catch followed by minimal resistance throughout range of motion (ROM) 2. More marked increase in tone through most of the ROM, but the limb easily flexed 3. Considerable increase in tone, passive movement difficult 4. Limb rigid in flexion or extension
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Time frame: at base line then at the end of the 8 weeks
Handheld dynamometer
measuring muscles strength
Time frame: at base line then at the end of the 8 weeks