RecruitingNot ApplicableNCT07428928

Effects of Play Based Neural Mobilisation Activities on Hand Grip Strength and Dexterity in Cerebral Palsy Children

Sponsor

Riphah International University

Enrollment

34 participants

Start Date

Oct 29, 2025

Study Type

INTERVENTIONAL

Conditions

Cerebral Palsy

Summary

The study design will be a Randomized control trial. The data will be collected from Acme Medical complex and Rehab cure clinic. The study will be completed in 10 months after the approval of synopsis. The sampling technique will be non-probability convenient sampling. Sample size is 16 calculated by epitool. Group A will receive Routine Physical therapy with play based neural mobilization activity method and Group B will receive Routine Physical therapy with baseline treatment. Diplegic cerebral palsy girls and boys included with age limit 6-12 years and without history of injury 1 year, Patients who cannot obey commands will be excluded. Hand dynamometer and pegboard test will used as outcome tool. Single blinding will be used. Data Analysis will be done on Statistical Package for the Social Sciences (SPSS) version 23.00.

Eligibility

Min Age: 6 YearsMax Age: 12 Years

Inclusion Criteria5

Diplegic cerebral palsy patients
Both Girls and boys included
Age limit 6-12 years
CP child with Gross Motor Function Classification System (GMFCS) level III and IV(20)
CP child at MACS level II and III

Exclusion Criteria3

Patients with history of injury in 1 year.
Patients who cannot obey commands
CP children with associated scoliosis

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Interventions

OTHERneural mobilization which include ulnar, median and radial nerves mobilisation by a play activity called "Simon says" in addition to the routine physical therapy treatment.

treatment include muscle stretching, strengthening, gait training, Range of motion exercises for both upper and lower limbs. Group A will perform neural mobilization which include ulnar, median and radial nerves mobilisation by a play activity called "Simon says" in addition to the routine physical therapy treatment. Total 20 sessions will be performed (40 min, 3 days a week)

OTHERRegular physical therapy

Regular physical therapy was administered to the control group along with baseline care. These workouts included upper and lower limb range of motion activities, gait training, strengthening exercises, and stretching exercises.