Evidence-based management and motor rehabilitation of cerebral palsy children and adolescents: a systematic review.
Silvia Faccioli, Emanuela Pagliano, Adriano Ferrari...
https://pubmed.ncbi.nlm.nih.gov/37305763Actively Recruiting
Phase Not Applicable
Age: 12Years - 18Years
All Genders
ID06781047
Effects of Trunk-Focused Rehabilitation on Spinal Mobility, Trunk Control, and Hand Functions in Adolescents with Cerebral Palsy
Led by Saglik Bilimleri Universitesi · Updated on 2025-02-07
40
Participants Needed
3
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of trunk-focused rehabilitation on trunk control, spinal mobility, and hand functions in adolescents aged 12 to 18 years with cerebral palsy (CP). The study also aims to assess how this intervention affects overall functional health. This research is motivated by the need to improve postural control and reduce muscle weakness in the trunk, which can impact daily activities in young people with CP. The study compares two groups: one receiving trunk-focused rehabilitation (TFR) combined with conventional rehabilitation, and another receiving only conventional rehabilitation. The TFR involves abdominal stabilization and breathing exercises performed three days a week for 45 minutes per session over eight weeks, totaling 24 sessions. Conventional rehabilitation is provided two days a week for 40 minutes per session and includes various physical therapy exercises. Both groups receive individualized and supervised therapy designed to improve posture, muscle activity, and function. Participants will be assessed at the start and during the study for trunk control, spinal mobility, and hand function. Additional evaluations include a 1-minute walking test and a pediatric data collection tool to measure functional health. The study will monitor progress over the eight-week intervention period, with key evaluations at weeks 9 and 12. Participants' active involvement, motivation, and adherence to therapy are important aspects of the study design.
CONDITIONS
Brief Title
Effects of Trunk-Focused Rehabilitation on Spinal Mobility, Trunk Control, and Hand Functions in Cerebral Palsy
Who Can Participate
Age: 12Years - 18Years
All Genders
Eligibility Criteria
You may qualify if you...
- Adolescents aged 12 to 18 years
- Diagnosed with cerebral palsy classified as Level 1 or 2 on the Gross Motor Function Classification System (GMFCS)
- Viking Speech Scale Turkish version (VSS-T) level 1 or 2, able to understand and follow commands
- Guardians and participants have signed informed voluntary consent
- No hip dislocation
- Scoliosis less than 25 degrees based on radiographic evaluation within the last 6 months
You will not qualify if you...
- History of surgery related to intrathecal baclofen pump
- Botulinum toxin injection treatment or orthopedic surgery within the last 6 months
- Severe vision, hearing, or cognitive impairments
- Acute medical illness
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 8 weeks
Participants undergo trunk-focused rehabilitation combined with conventional rehabilitation or conventional rehabilitation alone. Trunk-focused rehabilitation includes abdominal stabilization and breathing exercises 3 days a week, 45 minutes per day, alongside 2 days per week of conventional rehabilitation for 8 weeks.
3 visits per week for 45 minutes and 2 visits per week for 40 minutes
Follow-up
Duration - Up to 4 weeks
Participants are evaluated after the treatment period to assess trunk control, spinal mobility, and hand functions.
1 visit at week 9 and 1 visit at week 12
Trial Site Locations
Total: 3 locations
1
Sacettin Gürbüz Barrier-Free Life Center (General name of the campus.) /*Private Etimesgut Barrier-Free Life Special Education and Rehabilitation Center
Ankara, Etimesgut, Turkey (Türkiye), 06790
Completed
2
Private Etimesgut Kardelen Special Education and Rehabilitation Center
Ankara, Etimesgut, Turkey (Türkiye), 06794
Completed
3
SERÇEV Barrier-Free and Vocational Technical Anatolian High School
Ankara, Çankaya, Turkey (Türkiye), 06810
Actively Recruiting
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Research Team
G
Gül EVDALI, MScPT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Marco Monticone, Emilia Ambrosini, Daniele Cazzaniga...
https://pubmed.ncbi.nlm.nih.gov/24682356Exercise interventions improve postural control in children with cerebral palsy: a systematic review.
Rosalee Dewar, Sarah Love, Leanne Marie Johnston
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Kristina Ruthard, Anke Raabe-Oetker, Johannes Ruthard...
https://pubmed.ncbi.nlm.nih.gov/32036426Rehabilitation of Postural Control and Gait in Children with Cerebral Palsy: the Beneficial Effects of Trunk-Focused Postural Activities.
Jonathan Pierret, Christian Beyaert, Rajul Vasa...
https://pubmed.ncbi.nlm.nih.gov/36959769Effect of Trunk Targeted Interventions on Functional Outcomes in Children with Cerebral Palsy- A Systematic Review.
Aishwarya J Talgeri, Akshatha Nayak, Shreekanth D Karnad...
https://pubmed.ncbi.nlm.nih.gov/37021364