Effect Of Brain Gym Exercises On Balance And Quality Of Life In Children With Spastic Diplegia

NCT07438223 — Not applicable, Completed, 44 participants, Cairo University

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Registry	NCT07438223
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	44 (Actual)
Sponsor	Cairo University (Other)
Conditions	Cerebral Palsy (CP), Spastic Diplegia
Interventions	Brain gym exercises, Conventional physical therapy program (Other)
Dates	start 2025-12-01, primary completion 2026-06-01, completion 2026-09-01, first posted 2026-02-27, last updated 2026-10-21
Locations	1 site in Egypt

-Summary

Statement of the problem Do brain gym exercises affect balance and quality of life in children with spastic diplegia?

Null hypotheses:

1. There will be no significant effect of brain gym exercises on balance in children with spastic diplegia.
2. There will be no significant effect of brain gym exercises on quality of life in children with spastic diplegia.

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+Detailed description

The Study targets the children with spastic diplegia from both sexes , sample size estimation is 44 children. Children participating in this study will be selected randomly from the pediatric outpatient clinic of Faculty of Physical Therapy Cairo University.

+Arms and interventions

Arm	Type	Interventions	Description
group A will take conventional physical therapy and brain gym exercises	Experimental	Other: Brain gym exercises; Other: Conventional physical therapy program	Group A will take conventional physical therapy for 45 minutes and brain gym exercises for 30 minutes for three months three sessions per week . Conventional physical therapy program includes: Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midlinemovements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump
Group B the control group will take only conventional physical therapy	Experimental	Other: Conventional physical therapy program	will take the same conventional physical therapy program for 45 minutes three times per week for three months.

Brain gym exercises (Other): Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midline movements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump
Conventional physical therapy program (Other): Conventional physical therapy program includes: Balance from standing Sit to stand Standing balance One leg standing Ball kicking Reaching out Pick up objects outside the stability limit Gait training Walking sideways Walking backwards Obstacle course walking and stair climbing Brain gym exercises include: Energy exercise: Drinking water Brain buttons Midlinemovements: Cross crawl Lazy eight Belly breathing exercise Deepening attitude: Hook- ups Lengthening activities: Arm activation The owl Calf pump

+Outcome measures

Primary outcomes

Dynamic balance [3 months]: Biodex balance system will measure the overall stability index, antero -posterior stability index and medio- lateral stability index, higher score indicate lower stability.
Cerebral palsy Quality of life [3 months]: Cerebral Palsy Quality Of Life Questionnaire (CPQOL)contains 66 items each uses a 9- point rating scale ( for items The minimum value 1, maximum value 9)and then transformed to a 0 to 100 scale. As the total score approaches 100 this means better quality of life. The domains evaluated using it are social well being and acceptance, emotional well-being, function and participation and physical health, access to services, pain and impact of disability, and family health..

+Eligibility

Sex: All, ages: 6 Years to 8 Years

Inclusion Criteria:

1 - Children with spastic diplegia who have balance problems in standing and gait.

2-Degree of spasticity ranges from 1 and 1+, according to modified Ashworth scale (MAS) .

3- The age of children will range from 6 to 8 years old. 4-The height of children will be at least one meter. 5- Children are levels I and II according to GMFCS (Gross Motor Classification System ).

Exclusion Criteria:

1. Children with visual or auditory problems.
2. Children with intellectual disability.
3. Children have been injected with Botox injection or have done surgery in the last 6 months.

+Locations (1)

Facility	City	Country	Status
Faculty of physical therapy cairo university	Cairo, Faculty of Physical Therapy	Egypt

+Investigators

Hagar Mohamed Awaad, Assistant lecturer, Principal investigator, Cairo University