Effects of Trunk-Focused Rehabilitation on Spinal Mobility, Trunk Control, and Hand Functions in Cerebral Palsy
Serebral Palsili Adölesanlarda Gövde Odaklı Rehabilitasyonun Spinal Mobilite, Gövde Kontrolü ve El Fonksiyonları Üzerine Etkilerinin İncelenmesi
Saglik Bilimleri Universitesi
40 participants
May 15, 2024
INTERVENTIONAL
Conditions
Summary
Main Purpose: This study aims to investigate the effects of trunk-focused rehabilitation on trunk control, spinal mobility, and manual skills in adolescents with cerebral palsy (CP). Secondary Purpose: To investigate its effects on functional health.
Eligibility
Inclusion Criteria6
- Levels 1 and 2 according to Gross Motor Function Classification System (GMFCS)
- Viking Speech Scale Turkish version/(VSS-T) 1-2 level, understood to speak and able to take commands
- Adolescents with CP between the ages of 12-18
- Those whose guardian / legal representative and themselves have received an Informed Voluntary Consent Form
- No hip dislocation
- Scoliosis below 25 degrees according to the radiographic evaluation made in the last 6 months
Exclusion Criteria4
- Having had any surgery related to the intrathecal baclofen pump
- Having botulinum toxin injection treatment or orthopedic surgery within the last 6 months
- Having severe vision, hearing, and cognitive deficiencies
- Acute medical illness
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Interventions
Abdominal stabilization progression for TFR is applied with simultaneous breathing exercise for 3 days a week, 45 minutes a day, 8 weeks (24 sessions in total)(8). 1. Basic Abdominal Stabilization Training, Task-Focused Exercises (without spinal diagonal and rotational components)(8,12). Warm-up: 5 minutes, Global Stretching and Relaxation(9,10,11). Extremity load, elastic band, and unstable surface are added as stabilization is achieved in neurodevelopmental positions. Task-oriented exercises(12). Cooling Down: Warm-up exercises are repeated. 2. General Posture and Asymmetry Training Brochure (includes adolescent, family, and team members)(13-17). The exercise starts with 3 seconds and gradually progresses to 10 seconds, 10 repetitions, and 3 sets. The TFR group also receives Conventional Treatment 2 days a week, 40 minutes per day, for 8 weeks. The same treatment protocol is applied as the control group). Routine physiotherapists apply conventional treatment.
Conventional treatment is applied to the group, 2 days a week, 40 minutes each session, for 8 weeks. It is an intervention performed by a physiotherapist who regularly follows up in a special education and rehabilitation center. 1. Normal Joint Movement (NEH) 2. Stretching for the lower, and upper extremities and around the hips 3. Lying activities 4. Curl up (assisted, unaided) 5. Bridging exercise, cat camel exercise, posterior pelvic tilt exercise 6. Walking training 7. Climbing and descending stairs 8. Weight transfer exercises at standing, sitting
Locations(3)
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NCT06781047