About this trial
Functional Progressive Resistive Exercise (FPRE) is a strengthening approach that combines functional movement activities with progressively increased resistance. It involves performing task-oriented exercises, such as sit-to-stand, stair climbing, and walking-related activities, while gradually increasing the load to enhance muscle strength, endurance, and functional performance. FPRE is widely used in rehabilitation programs to improve mobility and the ability to perform activities of daily living in various populations, including children with neurological and musculoskeletal disorders.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
A diagnosis of spastic diplegic CP
Degree of spasticity ranges from 1+ and 2, according to modified Ashworth scale (MAS)
The age of the selected children will range from 6 to 10 years old.
Children are levels II and III according to GMFCS
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
functional progressive resistive exercise and designed physical therapy program
Other interventionspecially designed physical therapy program in addition to functional progressive resistive exercises for 60 min (30 min designed P.T program and other 30 min for brain gym exercises), 3 sessions/ week for 3 successive months. 6 functional progressive resistive exercises will be selected: 1. Sit-to-Stand Exercise 2. Step-Up Exercise 3. Squats 4. Lunges 5. Stair Climbing 6. Loaded Walking
designed physical therapy program
Other interventionconventional physical therapy program including reinforcement of the normal motor development, reflex inhibiting patterns, postural reaction, stretching, strengthening exercises, and gait training was applied to children in the control group
Treatment groups
Trial outcomes
Primary outcomes
Dual-energy X-ray absorptiometry (DXA)
The most common test for bone mineral density is a Dual-energy X-ray absorptiometry (DXA) scan. It is: Painless and non-invasive Quick (usually 10-20 minutes) Low radiation exposure Most often performed on the hip and lower spine. Bone mineral density (BMD) is a measure of the amount of mineral (mainly calcium and phosphorus) present in a specific volume of bone. It reflects bone strength and is used to assess the risk of fractures and diagnose osteoporosis.
biodex balance system
The Biodex Balance System is a computerized device used to assess and improve static and dynamic balance, postural stability, and neuromuscular control. It consists of a movable platform that can be adjusted to different levels of stability, allowing clinicians and researchers to evaluate an individual's ability to maintain balance under varying conditions.
Locations
Sponsors and contacts
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