Comparative effects of roods ontogenic motor patterns and swiss ball stabilization exercises on primitive reflexes in spastic diplegic cerebral palsy children

The study investigate the of Comparative effects of roods ontogenic motor patterns and swiss ball stabilization exercises on primitive reflexes in spastic diplegic cerebral palsy children.

Randomized Clinical trial , Single Blinded, Parallel group

The Children Hospital & Institute of child health Faisalabad

Children aged 3-10 years with a confirmed diagnosis of spastic diplegia and persistent primitive reflexes (Moro, ATNR, STNR, or Tonic Labyrinthine) are included. They must perform voluntary movements with minimal assistance, be at least 6 months post-surgery, have a stable medical regimen, follow verbal commands, and fall within GMFS levels II-IV and a Modified Ashworth Scale score of 0-2. Parental consent is required. Exclusions include cognitive impairments preventing participation, additional neurological conditions (epilepsy, severe autism), fixed contractures, recent Botox or surgery (within 6 months), uncontrolled seizures, uncooperative behavior, visual, intellectual, or hearing impairments, and other CP types or conditions affecting exercise tolerance.

For Group A, functional electrical stimulation (FES) was applied as a baseline treatment, followed by Rood’s Ontogenic Motor Patterns using inhibitory techniques. In Group B, FES was also administered as the baseline treatment, followed by Swiss ball stabilization exercises. Screening for primitive reflexes was conducted in both groups.

Primitive Reflexes chart

The randomization will be done with the help of Chit & Draw method. Chit: A chit is a small piece of paper or token, often with a number or other identifier written on it. In randomization processes involving chits, each chit represents a specific outcome or option. Chits are typically placed into a container, such as a hat or a bowl, and then drawn at random to determine the outcome. This method ensures randomness because each chit has an equal chance of being selected. Draw: Drawing is the action of randomly selecting a chit or card from a container. In this method, a person reaches into the container without looking and selects one item (chit or card) at random. The selected item determines the outcome of the randomization process. Drawing is often used in situations where physical objects like chits, cards, or tokens are involved.Both chit and draw methods are straightforward and widely used for generating random outcomes in various contexts, from simple games to more complex decision-making processes. They provide a fair and unbiased way to select from a set of options without any predetermined

Single Blinded: outcome assessors are typically kept unaware of which participants received the experimental treatment and which received the comparative intervention. This blinding helps to prevent conscious or unconscious biases that could influence the assessment of study outcomes.

Comparative Effects Of Roods Ontogenic Motor Patterns And Swiss Ball Stabilization Exercises On Primitive Reflexes In Spastic Diplegic Cerebral Palsy Children. Data was assembled with respect to muscle tone measured by Modified Ashworth Scale (Grade 0-2), Gross Motor Function Classification System (GMFCS) Grade (II, III, IV), and self administrated primitive reflexes chart as outcome measure tools.

15 days after publication

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