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Effect of Whole Body Vibration With Weighted Vest on Motor Function in Children With Spastic Diplegia

Primary Purpose

Cerebral Palsy

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
physical therapy program
whole body vibration (without extra weight vest)
whole body vibration (with weight vest)
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cerebral Palsy focused on measuring Cerebral palsy, balance, muscle strength, spastic diplegia, HUMAC balance system

Eligibility Criteria

8 Years - 12 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Their age will range from 8-12 years, from both sexes. Level II and III of gross motor functional classification system Grade 1 and 1+ spasticity according to the Modified Ashworth Scale Ability to understand and follow simple verbal instruc Exclusion Criteria: Uncontrolled epilepsy. Mental retardation or autistic features. Medication changes that could affect muscle strength or tone Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination), Structural or fixed soft tissue deformities of the lower and/or upper extremities. Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities. Botox injection in the lower and/or upper extremities in the past 6 months.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Other

    Experimental

    Arm Label

    Group I

    Experimental group

    Arm Description

    15 Children with spastic diplegia in this group will a designed physical therapy program for 60 minutes per session in addition to WBV for 10 minutes, three times a week, for three consecutive months.

    15 Children with spastic diplegia in this group will receive the same designed physical therapy program while WBV will be conducted while wearing a weighted vest.

    Outcomes

    Primary Outcome Measures

    Trunk control
    The Trunk Control Measurement Scale is used to assess trunk control and consists of static and dynamic sitting balance in children aged 8 to 15 years with spastic CP
    Gross motor function
    The Gross motor function measure-88 will be used to assess motor function in 88 items across five dimensions: (a) lying and rolling, (b) sitting, (c) crawling and kneeling, (d) standing, and (e) walking, running and jumping. dimensions D and E will be assessed in the current study The assessment of each item will be conducted carefully and scored according to the scale scoring key (scale from 0-3) with total score 100 and higher score represent better performance
    balance
    Human computer balance system will be used to assess balance to assess center op pressure and limits of stability

    Secondary Outcome Measures

    Full Information

    First Posted
    September 27, 2022
    Last Updated
    December 1, 2022
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05606926
    Brief Title
    Effect of Whole Body Vibration With Weighted Vest on Motor Function in Children With Spastic Diplegia
    Official Title
    Effect of Whole Body Vibration With Weighted Vest on Motor Function in Children With Spastic Diplegia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 1, 2023 (Anticipated)
    Primary Completion Date
    November 1, 2024 (Anticipated)
    Study Completion Date
    November 30, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Cairo University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    Whole body vibration has been widely used in rehabilitation of individuals with disabilities as well as children with cerebral palsy. Previous studies have demonstrated the efficacy of Whole body vibration on balance, gross motor function, spasticity and bone density in children with cerebral palsy. However, adding extra weight during Whole body vibration for children with cerebral palsy as a means of enhancing the potential effects of Whole body vibration is unknown. Therefore, the aim of this study is to examine the effect of Whole body vibration with weighted vest on trunk control, balance and gross motor function in children with spastic diplegia.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cerebral Palsy
    Keywords
    Cerebral palsy, balance, muscle strength, spastic diplegia, HUMAC balance system

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    30 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Group I
    Arm Type
    Other
    Arm Description
    15 Children with spastic diplegia in this group will a designed physical therapy program for 60 minutes per session in addition to WBV for 10 minutes, three times a week, for three consecutive months.
    Arm Title
    Experimental group
    Arm Type
    Experimental
    Arm Description
    15 Children with spastic diplegia in this group will receive the same designed physical therapy program while WBV will be conducted while wearing a weighted vest.
    Intervention Type
    Other
    Intervention Name(s)
    physical therapy program
    Intervention Description
    Flexibility exercises to restore joint mobility of soft tissues, Static and dynamic balance exercises, Functional gait training , Functional strengthening exercises will be conducted three times a week, for three consecutive months.
    Intervention Type
    Other
    Intervention Name(s)
    whole body vibration (without extra weight vest)
    Intervention Description
    9 minutes of three sets of 3-min semi-squats on the vibration platform. three times a week, for three consecutive months.
    Intervention Type
    Other
    Intervention Name(s)
    whole body vibration (with weight vest)
    Intervention Description
    The extra-weight applied in the vest will be calculated as 10% of the child body weight. The vest is designed to allow small bags of sand with different weights that are distributed equally on anterior-posterior and mediolateral plans.
    Primary Outcome Measure Information:
    Title
    Trunk control
    Description
    The Trunk Control Measurement Scale is used to assess trunk control and consists of static and dynamic sitting balance in children aged 8 to 15 years with spastic CP
    Time Frame
    three months
    Title
    Gross motor function
    Description
    The Gross motor function measure-88 will be used to assess motor function in 88 items across five dimensions: (a) lying and rolling, (b) sitting, (c) crawling and kneeling, (d) standing, and (e) walking, running and jumping. dimensions D and E will be assessed in the current study The assessment of each item will be conducted carefully and scored according to the scale scoring key (scale from 0-3) with total score 100 and higher score represent better performance
    Time Frame
    three months
    Title
    balance
    Description
    Human computer balance system will be used to assess balance to assess center op pressure and limits of stability
    Time Frame
    three months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    8 Years
    Maximum Age & Unit of Time
    12 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Their age will range from 8-12 years, from both sexes. Level II and III of gross motor functional classification system Grade 1 and 1+ spasticity according to the Modified Ashworth Scale Ability to understand and follow simple verbal instruc Exclusion Criteria: Uncontrolled epilepsy. Mental retardation or autistic features. Medication changes that could affect muscle strength or tone Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination), Structural or fixed soft tissue deformities of the lower and/or upper extremities. Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities. Botox injection in the lower and/or upper extremities in the past 6 months.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Amira M Abd-elmonem, PhD
    Phone
    01155553316
    Email
    Dramira.salim2020@gmail.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    HOSAM A ALMOHANDES, B.S.C
    Organizational Affiliation
    Cairo university, faculty of physical therapy
    Official's Role
    Study Director
    First Name & Middle Initial & Last Name & Degree
    Nahla M Ibrahim, Phd
    Organizational Affiliation
    Cairo university, faculty of physical therapy
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Effect of Whole Body Vibration With Weighted Vest on Motor Function in Children With Spastic Diplegia

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