RecruitingNot ApplicableNCT07244146

Effects of CHRIST Among Children With Spastic CP

Effects of Comprehensive Hand Intense Strength Training on In Hand Manipulation and Grip Strength Among Children With Spastic Cerebral Palsy

Sponsor

Riphah International University

Enrollment

14 participants

Start Date

Oct 22, 2025

Study Type

INTERVENTIONAL

Conditions

Cerebral Palsy

Summary

This Quasi experimental study investigates the effects of CHRIST on In Hand Manipulation and Grip Strength amonfg children with Spastic Cerebral Palsy. The study involves 14 children from 6-12 years of age, and will be given intervention for 10 weeks period. Key performance outcomes- In Hand Manipulation and Grip Strength will be assessed both before and after the intervention. This study aims to address this gap by evaluating the effects of the CHRIST on IHM and grip strength in children diagnosed with spastic cerebral palsy. The hypothesis is that integrating strength training with high repetition, functionally relevant tasks yields greater and more practical gains than strength training or conventional therapy alone. Data will be analyzed through SPSS version 27.0

Eligibility

Min Age: 6 YearsMax Age: 12 Years

Inclusion Criteria7

Children Diagnosed with hemiplegic spastic cerebral palsy.
Age 6-12 years.
Capable of following commands regarding hand use and testing.
Capable of communicating needs.
Parents or caregivers willing to provide informed consent and participate in the study.
No contraindications to moderate physical activity.
Able to lift the more affected arm 15 cm above a table surface and grasp light objects

Exclusion Criteria6

Children with musculoskeletal system injuries, including upper limb fractures or contractures, as well as those who had received medications affecting muscle strength or spasticity, were excluded from the study.
Orthopedic surgery involving the more affected hand within the past 6 months.
Children with Cardiovascular disease.
Lack of cooperation with instructions or other behavioral challenges that prevent effective delivery of intensive therapy.
Visual impairments that may hinder active participation.
Seizure or family history of seizure disorders

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Interventions

OTHERCHRIST

CHRIST, is a treadmill-based training with body weight supported by the upper limbs. There will be a session of 40 minutes, which includes 3 sets (10 minutes exercise with 3 minutes rest period per set), three times a week, over a 10 week period. By maintaining the posture of the quadruped, the abdomen and weight of the lower limb will be supported by using a support board under the abdomen. The speed of the treadmill for the upper limbs will be 0.3-1.2 km/h.