This was done to: 1. To determine the effect of a specially designed balance board on balance ability. 2. To determine the effect of the traditional balance training program on balance ability. 3. To compare between the effect of a specially designed balance board and the traditional balance training program on balance ability.
Children with cerebral palsy (CP) often experience abnormal posture, loss of motor control, and poor trunk control, leading to limitations in daily activities. Improving balance abilities is crucial for maintaining equilibrium in sensory environments. Vestibular stimulation can help develop feed-forward mechanisms and new functional skills. This study aims to improve balance abilities in children with diplegic CP, explore the impact of balance boards on vestibular and hand function, and assist mothers in their child's improvement.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
It included 30 minutes of exercises as: * Incorporated stretching (adductors, calf, and hamstring muscles) * Range of motion for hip, knee, and ankle joints. * Core stability exercises. * climbing stairs and weight-bearing activities for strengthening, such as sit-to-stand and attaining standing position by half kneeling
Balance training included: - Side stepping - Stepping backward - Changing the center of gravity in one-foot balance.
Standing holding on the sticks of balance board (first by two sticks, then graduated by one stick). 2- Changing the grasp of hand on sticks (reciprocal catching the sticks by right and left hand). 3- Stride standing on balance board. 4- Make exercises advanced by remove sticks and throwing the ball. 5- All previous exercises do with eye closed and eye opened
out-patient clinic, faculty of physical therapy, Cairo university
Cairo, Egypt
assessment of degree of spasticity
Assessment of tone involves the clinician passively moving the patient's joints slowly and quickly and rating the degree of resistance felt to rapid stretch, typically as increased or decreased relative to a presumed normal (Hugos and Cameron, 2019). Only spastic diplegic children with grade 1 and 1+ will be included in the study
Time frame: at baseline and after 3 months
Assessment of change of gross motor function level
This study will involve children with diplegic cerebral palsy at level II, who can walk, climb stairs, and perform gross motor skills like running and jumping. They will be allowed to engage in functional activities without interruption from caregivers or therapists. The study will record their activities using gross motor function classification system, taking about 10 minutes. Children with level II may struggle with long distances, balancing, and uneven terrain, and may require assistance with physical assistance or wheeled mobility.
Time frame: at baseline and after 3 months
assessment of change of balance
it is an electronic balance board with HUMAC software on a laptop. Calibration was performed according to manufacturer guidelines. Participants stood with hands by their sides, without assisted devices. A sight target was taped to the wall. Participants stood quietly for one minute before testing.
Time frame: at baseline and after 3 months
assessment of change of pediatric balance
The pediatric balance scale is a tool designed for children and adolescents aged five to 15 years to assess their static and dynamic balance. It consists of 14 items with scores ranging from 0 to 4, with a maximum score of 56. The scale has test-retest and interrater reliability of 0.998 and 0.997 in school-aged children with mild to moderate motor impairment. It requires minimal specialized equipment, such as an adjustable seat, chair, stopwatch, footrest, eraser, tape measure, and child-sized foot molds.
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Time frame: at baseline and after 3 months