Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial

Abstract Background The core stability program is commonly utilized as an intervention method to improve postural control. This study aimed to evaluate the effect of core stability exercises on upper limb reaching in children with hemiparetic cerebral palsy (CP). For this purpose, 30 hemiparetic CP...

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Main Authors: Nadia Hassan Abd-Elhameed, Heballah Mohammed Kamal, Mai Elsayed Abbass
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:Bulletin of Faculty of Physical Therapy
Subjects:
Online Access:https://doi.org/10.1186/s43161-025-00270-6
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author Nadia Hassan Abd-Elhameed
Heballah Mohammed Kamal
Mai Elsayed Abbass
author_facet Nadia Hassan Abd-Elhameed
Heballah Mohammed Kamal
Mai Elsayed Abbass
author_sort Nadia Hassan Abd-Elhameed
collection DOAJ
description Abstract Background The core stability program is commonly utilized as an intervention method to improve postural control. This study aimed to evaluate the effect of core stability exercises on upper limb reaching in children with hemiparetic cerebral palsy (CP). For this purpose, 30 hemiparetic CP children of both sexes were recruited for the study. The children were between the ages of 4 and 6. According to the modified Ashworth scale (MAS), the degree of spasticity varied from 1 to 1 + , and for children who were selected, the average Trunk Control Measurement Scale (TCMS) ranged from 25 to 42. Children were assigned into two groups at random (study group and control group). The pediatric reach test (PRT) was used to assess each child both before and after two consecutive months of therapy. The children in both groups received the same program of selected physical therapy exercises, but the children in the study group also performed the selected physical therapy program in addition to the core stability exercises. Results By comparing the mean values of all assessed variables before and after therapy, both groups improved significantly (p = 0.0001). When comparing post-treatment outcomes, there were significant differences between the control and study groups in all assessed variables (p = 0.0001) in favor of the study group. Conclusion Core stability exercises may be used to improve reaching in children with hemiparetic cerebral palsy. Trial registration This study was authorized by the Faculty of Physical Therapy’s ethics committee under the number “REC/012/003125” and registered in ClinicalTrial.gov with the number “NCT05316090” on 9 April 2022 retrospectively.
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spelling doaj-art-043093c3d4c9445f9b4a1c8a2750244a2025-02-09T12:13:41ZengSpringerOpenBulletin of Faculty of Physical Therapy2536-96602025-02-013011710.1186/s43161-025-00270-6Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trialNadia Hassan Abd-Elhameed0Heballah Mohammed Kamal1Mai Elsayed Abbass2Directorate of Health, Egypt HospitalDepartment of Physical Therapy for Paediatrics, Faculty of Physical Therapy, Cairo UniversityDepartment of Physical Therapy for Paediatrics, Faculty of Physical Therapy, Cairo UniversityAbstract Background The core stability program is commonly utilized as an intervention method to improve postural control. This study aimed to evaluate the effect of core stability exercises on upper limb reaching in children with hemiparetic cerebral palsy (CP). For this purpose, 30 hemiparetic CP children of both sexes were recruited for the study. The children were between the ages of 4 and 6. According to the modified Ashworth scale (MAS), the degree of spasticity varied from 1 to 1 + , and for children who were selected, the average Trunk Control Measurement Scale (TCMS) ranged from 25 to 42. Children were assigned into two groups at random (study group and control group). The pediatric reach test (PRT) was used to assess each child both before and after two consecutive months of therapy. The children in both groups received the same program of selected physical therapy exercises, but the children in the study group also performed the selected physical therapy program in addition to the core stability exercises. Results By comparing the mean values of all assessed variables before and after therapy, both groups improved significantly (p = 0.0001). When comparing post-treatment outcomes, there were significant differences between the control and study groups in all assessed variables (p = 0.0001) in favor of the study group. Conclusion Core stability exercises may be used to improve reaching in children with hemiparetic cerebral palsy. Trial registration This study was authorized by the Faculty of Physical Therapy’s ethics committee under the number “REC/012/003125” and registered in ClinicalTrial.gov with the number “NCT05316090” on 9 April 2022 retrospectively.https://doi.org/10.1186/s43161-025-00270-6Cerebral palsyHemipareticUpper limbReachingTrunk controlCore stability
spellingShingle Nadia Hassan Abd-Elhameed
Heballah Mohammed Kamal
Mai Elsayed Abbass
Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial
Bulletin of Faculty of Physical Therapy
Cerebral palsy
Hemiparetic
Upper limb
Reaching
Trunk control
Core stability
title Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial
title_full Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial
title_fullStr Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial
title_full_unstemmed Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial
title_short Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial
title_sort effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy a randomized controlled trial
topic Cerebral palsy
Hemiparetic
Upper limb
Reaching
Trunk control
Core stability
url https://doi.org/10.1186/s43161-025-00270-6
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