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

NCT07534228 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30

Last updated 2026-04-16

No results posted yet for this study

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

Conditions

  • Cerebral Palsy Spastic Diplegia

Interventions

OTHER

Group B Play-Based Therapy

Building blocks, puzzles, Arts and crafts. frequency 4 days a week for 12 consecutive weeks time duration is 45 minutes per session

OTHER

Group A NDT

Resistance Bands, Small Dumbbells, Stress Ball Squeezes frequency is 4 days a week for 12 consecutive weeks. time: 40 minutes per session

Sponsors & Collaborators

  • University of Lahore

    lead OTHER

Principal Investigators

  • Hira Majeed Bhutta, MS-NMPT · University of Lahore

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
8 Years
Max Age
12 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2025-08-31
Primary Completion
2026-04-15
Completion
2026-04-17

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07534228 on ClinicalTrials.gov