-
Study aim
-
To compare the effect of "DNS" training and "CS" training on mobility, trunk control, hypertonicity, and hand grip power in cerebral palsy
-
Design
-
This study is 2-armed, double-blind RCT compared "DNS" exercise, to "CS" exercises . with one to one allocation in two groups (group 1: DNS exercise, group 2: CS exercise). Where the person evaluating the outcome measures, is completely blind to the type of exercise that each group received. It is also expected that there will be no difference between the two groups in terms of exercise positions, and duration treatment sessions.
-
Settings and conduct
-
The intervention is performed in the physiotherapy. In this study, both the participants and the assessor are blind.
-
Participants/Inclusion and exclusion criteria
-
Children will be included in the study if the diagnosis of participants as spastic hypertonia CP (hemiplegic), diplegic CP, hemiparesis, will be confirmed by the neurologist, having GMFCS levels between 1 and 3, age range between 7 and 11 years old, able to follow verbal commands, ability to walk as much as 3 meter with/without walking aid, not received Botox within 6 months in upper and lower limb. Children will be excluded if they have other serious neuromuscular disorders such as neuropathies, myopathies, apraxia (Inability to learn and practice exercises), a history of a major surgery (on the elbows, wrists, and fingers), having any cardiovascular disease, involuntary movements, severe contractures and deformities in the limbs, serious hearing and speech problems, uncontrolled diabetes, Explicit postural abnormalities in the spine and lower limbs such as scoliosis and kyphosis.
-
Intervention groups
-
They, will receive "Dynamic neuromuscular stabilization exercise" and in control group, they will receive "core stability exercise" 5 weeks, three sessions per week.
-
Main outcome variables
-
The mobility score is the main outcome.