Active — Not RecruitingNot Applicable

Comparative Effects of Play-Based Therapy and NDT in Diplegic CP

Pakistan30 participantsStarted 2025-08-31

Plain-language summary

To compare the efficacy of play-based therapy versus NDT in improving fine motor skills in children with Spastic Diplegic Cerebral Palsy. Baseline Assessments (Pre-Intervention) To Establish baseline motor function, balance, and goals. * Standardized Tools (Conducted in Week 1): * Peabody Developmental Motor Scales (PDMS-2): Evaluate gross and fine motor skills. * Modified Ashworth Scale: Assess spasticity in lower and upper limbs. * Pediatric Balance Scale (PBS): Measure static and dynamic balance. * Parent/Child Goal Setting: Identify individualized goals (e.g., stair climbing, dressing independence). 1\. Play-Based Therapy (PBT) * 5-Minute Warm-Up: Gentle play (e.g., rolling a ball, stretching with ribbons) * Building Blocks: Focus on fine motor control, bilateral coordination, and problem-solving. * Puzzles: Enhance spatial awareness, grip strength, and cognitive engagement. * Arts and Crafts: Promote hand-eye coordination (e.g., cutting, drawing) and creativity. * Frequency: 4 days a week, for 3 consecutive weeks * Intensity: Moderate effort; tasks tailored to the child's skill level (e.g., 5 piece puzzles progressing to 10-piece). * Time: 45-minute sessions (30 minutes active play, 10 minutes rest/reinforcement). 2. Neurodevelopmental Therapy (NDT) * 5-Minute Warm-Up: Light mobility exercises (e.g., Hand pumps, seated marching). * Resistance Bands: Strengthen upper limbs (e.g. Bicep curls, shoulder abduction, chest presses.). * Small Dumbbells: Improve upper body strength (1-2 lbs for shoulder/arm exercises). * Stress Ball Squeezes: Enhance grip strength and hand function (5-10 reps/session). * Frequency: 4 days a week, for 3 consecutive weeks * Intensity: Moderate resistance; emphasize alignment and controlled movement * Time: 40-minute sessions (30 minutes active exercise, 10 minutes rest/feedback). Outcome Measures * Peabody Developmental Motor Scales (PDMS-2): for evaluating fine motor skills. * Modified Ashworth Scale (MAS): To measure muscle spasticity (tone) in the limbs. * CHQ: To measure health-related quality of life

Who can participate

Age range8 Years – 12 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Confirmed medical diagnosis of spastic diplegic cerebral palsy by a healthcare professional. * Children aged between 8 to 12 years old. * Documented difficulties in fine motor skills, assessed by a standardized motor skills evaluation tool. * Ability to understand and follow instructions, with or without assistance, to participate in the therapy sessions. * Written informed consent from parents or legal guardians, allowing the child to participate in the study. Exclusion Criteria: * Presence of any other significant medical condition that might interfere * Diagnosis of other forms of cerebral palsy (e.g., hemiplegic, quadriplegic). * Severe cognitive impairments that would prevent understanding or participation in the therapy sessions. * Presence of uncontrolled medical conditions (e.g., severe epilepsy, cardiac conditions) that would pose a risk during physical activity. * Previous extensive therapy for fine motor skills in the past 6 months, which might influence the study outcomes. * Lack of compliance or cooperation from the child or parents/guardians during a preliminary assessment.

What they're measuring

Peabody Developmental Motor Scales (PDMS-2)

Timeframe: from enrollment to the end of treatment at 12 weeks

Modified Ashworth Scale (MAS)

Timeframe: at the time of enrollment and at the end of 12 week

Trial details

NCT IDNCT07534228

SponsorUniversity of Lahore

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-04-15