Effects of Core Stabilization Exercises on Postural Control in Spastic Diplegic CP Children

NCT07736417 — Not applicable, Active not recruiting, 60 participants, Shifa Tameer-e-Millat University

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Effects of Core Stabilization Exercises on Postural Control in Spastic Diplegic CP Children: a Randomized Control Trial

Registry	NCT07736417
Status	Active not recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: single, treatment
Enrollment	60 (Estimated)
Sponsor	Shifa Tameer-e-Millat University (Other)
Conditions	Spastic Diplegic Cerebral Palsy
Interventions	Exercise, Conventional (Other)
Dates	start 2026-08-01, primary completion 2026-11-01 (estimated), completion 2026-11-01 (estimated), first posted 2026-07-30, last updated 2026-09-01
Locations	1 site in Pakistan

-Summary

This randomized controlled trial will evaluate the effectiveness of a 12-week comprehensive core stabilization exercise program on balance, trunk control, and gross motor function in children with spastic diplegic cerebral palsy. Outcome measures will be assessed at baseline and at the end of the intervention to determine changes following treatment.

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+Arms and interventions

Arm	Type	Interventions	Description
Core Stabilization Exercise Program with Conventional Therapy	Experimental	Other: Exercise; Other: Conventional	Participants will receive a structured core stabilization exercise program in addition to conventional physiotherapy. The program includes progressive exercises targeting trunk muscle activation, trunk control, and postural control, tailored to each participant's functional ability. Sessions will be conducted 3 times per week for 12 weeks.
Conventional therapy	Active comparator	Other: Conventional	Participants will receive conventional physiotherapy consisting of stretching, strengthening, balance training, gait training, and functional exercises according to standard rehabilitation practice. Sessions will be conducted 3 times per week for 12 weeks.

Exercise (Other): Progressive exercises targeting trunk muscle strength, stability, and postural control alongside conventional therapy
Conventional (Other): Stretching exercises, strengthening exercises, balance training, gait training, functional activities according to standard rehabilitation practice

+Outcome measures

Primary outcomes

Balance [Baseline and post 12 weeks of intervention]: Pediatric Balance Scale (PBS) is a 14-item performance-based scale used to assess functional balance in children. Total scores range from 0 to 56, with higher scores indicating better balance.
Trunk Control [Baseline and post 12 weeks of intervention]: Trunk Control Measurement Scale (TCMS) is a clinical scale used to evaluate static and dynamic trunk control and trunk coordination in children with cerebral palsy. Total scores range from 0 to 58, with higher scores indicating better trunk control.

Secondary outcomes

Gross Motor Function [Baseline and post 12 weeks of intervention]: Gross Motor Function Measure (GMFM-88) is a standardized observational measure used to assess gross motor function in children with cerebral palsy across activities such as lying, sitting, crawling, standing, and walking. Scores range from 0 to 100%, with higher scores indicating better gross motor function.

+Eligibility

Sex: All, ages: 4 Years to 12 Years

Inclusion Criteria:

* Children diagnosed with spastic diplegic cerebral palsy
* Gross Motor Function Classification System (GMFCS) Levels II-III
* Stable medical management for at least 3 months prior to enrollment
* Ability to understand and follow simple verbal instructions

Exclusion Criteria:

* Fixed contracture or musculoskeletal deformities limiting exercise
* Orthopedic surgery or botulinum injection within the previous 3 months
* Uncontrolled epilepsy
* Severe visual impairment
* Participation in another rehabilitation intervention during the study period

+Locations (1)

Facility	City	Country	Status
Shifa Tameer-e-Millat University	Islamabad	Pakistan

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