Effects of PNF and Task-Oriented Training on Upper-Limb Function in Children with Spastic Diplegic Cerebral Palsy

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this three-arm randomized trial, 63 children aged 6–12 with spastic diplegic CP (GMFCS I–III) will be assigned to PNF alone, TOT alone, or a combination of PNF and TOT. Each group will receive supervised 45-minute sessions, three times weekly for six weeks, focusing on improving coordination, motor control, and functional hand use. The study aims to compare the effects of the individual and combined interventions on upper extremity function and functional independence. The trial addresses a gap in evidence regarding how these rehabilitation approaches work alone versus together in this population. Outcomes will inform rehabilitation strategies to enhance participation in daily activities for children with CP.

Why it matters

Who can join: the full rules

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.

Where it's running

• Helping Hand Institute of Rehabilitation
  Mansehra, Kpk, Pakistan Recruiting

Study contacts

• Principal investigator: Dr Zahid Mehmood — Ibadat International University
• Study coordinator: Nauman Khan, Master
• Email: naumankhan5998@gmail.com
• Phone: +92 310 5062518

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.