Functional exercise with progressive strength and resistance loadFunctional exercises without any load
Functional exercise with progressive strength and resistance load: This group will perform functional exercises with progressive strength and resistance load, adjusted based on heart rate.
Functional exercises without any load: This group will perform functional exercises, without strength or resistance load
Study summary
This research project aims to evaluate the benefits of a functional exercise program with strength and resistance load in adolescents with cerebral palsy (CP), specifically classifiedat levels III and IV of the Gross Motor Function Classification System (GMFCS) scale. Participants will be included into control or intervention group in this randomized controlled trial. Changes in functional percentile, quality of life, and participation in daily environments will be analyzed based on scores obtained with validated assesment scales.
The study will be conducted at the Children's Neurorehabilitation Unit of Hospitalarias Foundation in Valencia, with an 18-week intervention plus a 6-month follow-up. This project seeks to provide evidence on rehabilitation strategies that promote autonomy and social inclusion for this population.
Eligibility
Sex
ALL
Min age
10 Years
Max age
18 Years
Healthy volunteers
No
Inclusion Criteria:
* Adolescents aged 10 to 18 years.
* Diagnosis of spastic cerebral palsy (CP).
* Classification at levels III or IV of the GMFCS scale.
Exclusion Criteria:
* Multilevel surgery with osteotomy within the last 12 months.
* Microtenotomies or percutaneous needle lengthening (APAI) within the last 9months.
* Botulinum toxin injections within the last 3 months.
* Participation in specific strength training protocols.
* Lack of cognitive ability to perform the intervention protocol activities.
Primary outcome measure(s)
Functional Percentile Based on Gross Motor Function Classification System (GMFCS) — Baseline (pre-intervention) and immediately post-intervention (at 18 weeks). This variable represents the functional percentile calculated using the Gross Motor Function Classification System (GMFCS) and related measures. It incorporates: 1)GMFCS: A five-level system classifying gross motor movement capacity; 2) GrossMotor Function Measure (GMFM-66 and GMFM-88): Tools for evaluating grossmotor function across multiple dimensions; and 3) GMAE-2 Software: Generatesfunctional percentiles based on GMFM data. Values range from 0 to 100, where 0 represents the lowest functional percentile and 100 the highest.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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