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Effects of Proprioceptive Neuromuscular Facilitation and Task-Oriented Training on Upper Extremity Function in Children With Spastic Diplegic Cerebral Palsy

RecruitingNAAges 6 Years - 12 YearsAllIbadat International University, Islamabad
NCT07694804 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Children with spastic diplegic cerebral palsy often experience upper extremity impairments, including reduced coordination, muscle control, and functional hand use, which limit independence in daily activities. Proprioceptive Neuromuscular Facilitation (PNF) and Task-Oriented Training (TOT) are commonly used rehabilitation approaches to improve motor function; however, evidence comparing their individual and combined effects on upper extremity function remains limited. This randomized controlled trial aims to compare the effects of PNF alone, TOT alone, and a combined PNF plus TOT intervention on upper extremity function in children with spastic diplegic cerebral palsy. Sixty-three children aged 6 to 12 years with Gross Motor Function Classification System (GMFCS) levels I to III will be randomly assigned to one of three intervention groups. Each group will receive supervised 45-minute

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📋 Eligibility rules (as published)
Inclusion Criteria: * Children aged 6 to 12 years. * Clinical diagnosis of spastic diplegic cerebral palsy. * Gross Motor Function Classification System (GMFCS) Levels I-III. * Ability to understand and follow simple verbal instructions. * Medically stable and able to participate in physiotherapy sessions. * Parent or legal guardian willing to provide written informed consent. Exclusion Criteria: * Orthopedic surgery involving the upper or lower extremities within the previous 6 months. * Botulinum toxin injections administered within the previous 6 months. * Severe visual, hearing, or cognitive impairments that would interfere with assessment or treatment. * Uncontrolled epilepsy or other unstable neurological or medical conditions. * Fixed upper extremity contractures or musculoskeletal deformities preventing participation in the intervention. * Participation in another structured upper extremity rehabilitation program during the study period. * Failure to obtain informed consent from a parent or legal guardian.
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What it tests

  • Proprioceptive Neuromuscular Facilitation (PNF)
  • Task-Oriented Training (TOT)
  • Combined Proprioceptive Neuromuscular Facilitation and Task-Oriented Training
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Where

1 site
Helping Hand Institute of Rehabilitation
Mansehra, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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