Cerebral Palsy (CP)NCT07275528
Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in Cerebral Palsy
A study testing Experimental and CONVENTIONAL PHYSICAL THERAPY in people with Cerebral Palsy (CP) and Functional Mobility, run by Foundation University Islamabad at 1 site in Pakistan.
Trial summary
cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging… Read more about this study
- Who is it for?
- Ages 5 to 12 years
- Conditions the study is for
- Cerebral Palsy (CP), Functional Mobility
- What is being tested?
- Experimental and CONVENTIONAL PHYSICAL THERAPY
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 34 participants
- Where
- 1 sitePakistan
- Study dates
- 13 Sep 2025to 10 Jan 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 5 to 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Diagnosed cases of hemiplegic cerebral palsy
- Both genders are included
- The children were between 5 and 12 years old.
- Their motor function was at a level I or II based on the GMFCS,
- The degree of spasticity grade 1 to 2 based on the Modified Ashworth Scale.
Who cannot join
- Visual or hearing loss
- Cognitive impairment
- Seizures
- A botulinum toxin injection in the previous six months,
- Lower extremity surgery
- Musculoskeletal disorders
- Structural deformities in the spine and/or lower limbs.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Foundation University College of Physical Therapy
Islamabad, 44000
Kiran Khushnood, MS-NMPT, +92 3335993417, kiran.khushnood@fui.edu.pk
About this study
cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercis it is randomized control trail conducted with 34 patients included according to inclusion and exclusion criteria. Functional mobility assessed through 6-minute walk test and activity participation evaluated through Child Engagement in Daily Life measurement scale.
Read the detailed description
Cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities, which severely affects the children's quality of life. Task-Oriented Circuit Training (TOCT) is a progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercises. It involves a series of workstations where individuals practice tasks like balancing, walking, and reaching skills essential for daily life. The purpose of the research was to find out the effectiveness of task specific circuit training on activity participation and functional mobility in children with hemiplegic cerebral palsy. This non blinded randomized control trail will be conducted at fauji foundation hospital Rawalpindi for the duration of 1 year after approval of GERC with 34 patients included according to inclusion and exclusion criteria. After ethical approval from FUSH ERC, eligible participants will be randomly assigned into two groups through sealed envelope method. The participants would assess through 6- minute walk test for functional mobility and child engagement in daily life measurement scale for activity participation on the day of starting the intervention, after 4th week and 8th week. Intervention will be given for a total 40-50 minutes per session, 3 sessions per week for consecutive 8 weeks. Task-oriented Circuit Training (TSCT) includes 14 workstations that target different motor skills through progressive exercises that gradually increase in difficulty. Conventional Physical Therapy includes Stretching of tight muscles, strengthening of weak muscles, and positioning
- Conditions
- Cerebral Palsy (CP), Functional Mobility
- Being tested
- Experimental, CONVENTIONAL PHYSICAL THERAPY
- Keywords
- Task oriented circuit training, functional mobility, activity participation
- Medical subject headings
- Cerebral Palsy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ExperimentalProcedure or surgery
The intervention consists of a structured taskoriented circuit training program composed of 14 different workstations designed to target functional mobility, lower limb strength, balance, and endurance. Each station addresses a specific motor task, such as standing and reaching, sit-to-stand from variable chair heights, multidirectional stepping on firm and soft surfaces, alternating heel-toe raises, progressive squats (with modifications in depth, duration, and added weight), supine straight leg raises, stair climbing (ascending and descending), backward walking, balance beam walking, core strengthening via crunches and bridges, prone alternating arm/leg raises, side bridges, and cycling on a stationary bicycle with adjustable resistance and direction.
CONVENTIONAL PHYSICAL THERAPYProcedure or surgery
Sessions: 3 sessions per week (30-40 minutes) Duration: 6-8 weeks Frequency: 3-4 sessions/week Session Length: 30-40 minutes Format: begin with less repetition gradually progress to increase time and repetition HOT PACK: 10 MINS Week 1-2
- Stretching Exercises Exercise Detail: Spastic muscles are stretched to the point of mild discomfort. Each stretch is held steadily while maintaining proper alignment. Dosage: Hold each stretch for 20 seconds and repeat 5 times for every identified spastic muscle.
- Strengthening Exercises Exercise Detail: Weak muscles are activated through gentle contractions performed against light resistance. Dosage: Perform 10 repetitions for each weak muscle in every session.
- Positioning Exercise Detail: Child is positioned in sitting with legs open on a bench or block, heels touching the ground. Standing against a wall with moderate abduction and external rotation is also introduced. Dosage: Maintain sitting as tolerated. Wall -standing for 15 minutes
| Study group | Role | What they receive |
|---|---|---|
| task oriented circuit training | Experimental | Task-oriented circuit training was delivered through a structured set of fourteen workstations designed to promote functional mobility, strength, balance, and coordination. Each workstation targeted a specific task, such as standing and reaching beyond arm's length at various distances and heights, sit-to-stand transitions from different chair heights, multidirectional stepping on blocks of varying heights and surfaces, alternating heel and toe raising, and progressive squatting with adjustments in depth, duration, and added hand weights. Additional stations included supine straight leg raises with optional cuff weights, stair ascending and descending with progressive load, backward walking beginning near a wall and advancing to open space with shuttle runs, walking on a balance beam with speed and surface variations, core-strengthening crunches, supine bridging with increased knee flexion and repetitions, prone opposite arm-and-leg raises with repetition progression, side bridge exer Receives: Procedure: Experimental |
| Conventional physical therapy | Other | convention physical therapy will provide to both the groups comprised stretching exercises, strengthening exercises and positioning. Each spastic muscle will stretch up to the level of mild discomfort where it was held for 20 seconds and the procedure was repeated five times. Each CP child will assess separately for spastic group of muscles. Each weak muscle was made to contract against resistance 10 times in one session. Parents will advise to make their child sit with open legs on bench/block with heels touching the ground. They will also advise to make standing position against a wall with legs in moderate abduction and external rotation for 15 minutes daily after exercises Receives: Procedure: CONVENTIONAL PHYSICAL THERAPY |
What is being measured
The primary outcome is the main question the study is designed to answer.
activity participation
activity participation is assessed by child engagement in daily life measurement scale. A CEDL scaled score ranges from 0 to 100, where 100 indicates the highest level of participation or independence, 70-90 suggests moderate participation, 40-60 indicates limited or inconsistent participation, and below 40 represents significant restrictions
Measured: 6 weeks
Functional mobility
functional mobility assessed by 6-minute walk test functional changes were evaluated using the minimal clinically important difference (MCID) reported for children with CP.
Changes exceeding 6-23 meters is significant. Difference less than 6 meters is insignificant.
Measured: 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2025
- Study start13 Sep 2025
- Primary completion10 Dec 2025 (estimated)
- Study completion10 Jan 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cerebral Palsy (CP)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 34 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07275528
- Sponsor's protocol ID
- FUI/CTR/2025/10
- Status last verified
- Nov 2025
- First submitted
- 28 Nov 2025
- Last updated
- 10 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Task Oriented Circuit Training on Functional Mobility and Activity Participation in Cerebral Palsy
- ClinicalTrials.gov ID
- NCT07275528
- Acronym / sponsor ID
- FUI/CTR/2025/10
- Conditions
- Cerebral Palsy (CP), Functional Mobility
- Keywords
- Task oriented circuit training, functional mobility, activity participation
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 34 participants (estimated)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 13 Sep 2025 (actual)
- Primary completion
- 10 Dec 2025 (estimated)
- Study completion
- 10 Jan 2026 (estimated)
- First posted
- 10 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities. Task-Oriented Circuit Training (TOCT) is a high-intensity, progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercis it is randomized control trail conducted with 34 patients included according to inclusion and exclusion criteria. Functional mobility assessed through 6-minute walk test and activity participation evaluated through Child Engagement in Daily Life measurement scale.
Detailed description
Cerebral palsy hemiplegia often experiences motor problems that primarily affect one side of their body. Children with hemiplegia have difficulties in functional activities, which severely affects the children's quality of life. Task-Oriented Circuit Training (TOCT) is a progressive intervention designed to improve functional motor skills by engaging individuals in repetitive, task-specific exercises. It involves a series of workstations where individuals practice tasks like balancing, walking, and reaching skills essential for daily life. The purpose of the research was to find out the effectiveness of task specific circuit training on activity participation and functional mobility in children with hemiplegic cerebral palsy. This non blinded randomized control trail will be conducted at fauji foundation hospital Rawalpindi for the duration of 1 year after approval of GERC with 34 patients included according to inclusion and exclusion criteria. After ethical approval from FUSH ERC, eligible participants will be randomly assigned into two groups through sealed envelope method. The participants would assess through 6- minute walk test for functional mobility and child engagement in daily life measurement scale for activity participation on the day of starting the intervention, after 4th week and 8th week. Intervention will be given for a total 40-50 minutes per session, 3 sessions per week for consecutive 8 weeks. Task-oriented Circuit Training (TSCT) includes 14 workstations that target different motor skills through progressive exercises that gradually increase in difficulty. Conventional Physical Therapy includes Stretching of tight muscles, strengthening of weak muscles, and positioning
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| task oriented circuit training | Experimental | Procedure: ExperimentalTask-oriented circuit training was delivered through a structured set of fourteen workstations designed to promote functional mobility, strength, balance, and coordination. Each workstation targeted a specific task, such as standing and reaching beyond arm's length at various distances and heights, sit-to-stand transitions from different chair heights, multidirectional stepping on blocks of varying heights and surfaces, alternating heel and toe raising, and progressive squatting with adjustments in depth, duration, and added hand weights. Additional stations included supine straight leg raises with optional cuff weights, stair ascending and descending with progressive load, backward walking beginning near a wall and advancing to open space with shuttle runs, walking on a balance beam with speed and surface variations, core-strengthening crunches, supine bridging with increased knee flexion and repetitions, prone opposite arm-and-leg raises with repetition progression, side bridge exer |
| Conventional physical therapy | Other | Procedure: CONVENTIONAL PHYSICAL THERAPYconvention physical therapy will provide to both the groups comprised stretching exercises, strengthening exercises and positioning. Each spastic muscle will stretch up to the level of mild discomfort where it was held for 20 seconds and the procedure was repeated five times. Each CP child will assess separately for spastic group of muscles. Each weak muscle was made to contract against resistance 10 times in one session. Parents will advise to make their child sit with open legs on bench/block with heels touching the ground. They will also advise to make standing position against a wall with legs in moderate abduction and external rotation for 15 minutes daily after exercises |
Who may qualify
- Ages
- 5 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- Diagnosed cases of hemiplegic cerebral palsy
- Both genders are included
- The children were between 5 and 12 years old.
- Their motor function was at a level I or II based on the GMFCS,
- The degree of spasticity grade 1 to 2 based on the Modified Ashworth Scale.
Key exclusion criteria (7 listed)
- Visual or hearing loss
- Cognitive impairment
- Seizures
- A botulinum toxin injection in the previous six months,
- Lower extremity surgery
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ExperimentalThe intervention consists of a structured taskoriented circuit training program composed of 14 different workstations designed to target functional mobility, lower limb strength, balance, and endurance. Each station addresses a specific motor task, such as standing and reaching, sit-to-stand from variable chair heights, multidirectional stepping on firm and soft surfaces, alternating heel-toe raises, progressive squats (with modifications in depth, duration, and added weight), supine straight leg raises, stair climbing (ascending and descending), backward walking, balance beam walking, core strengthening via crunches and bridges, prone alternating arm/leg raises, side bridges, and cycling on a stationary bicycle with adjustable resistance and direction. | Procedure or surgery | task oriented circuit training |
| CONVENTIONAL PHYSICAL THERAPYSessions: 3 sessions per week (30-40 minutes) Duration: 6-8 weeks Frequency: 3-4 sessions/week Session Length: 30-40 minutes Format: begin with less repetition gradually progress to increase time and repetition HOT PACK: 10 MINS Week 1-2 1. Stretching Exercises Exercise Detail: Spastic muscles are stretched to the point of mild discomfort. Each stretch is held steadily while maintaining proper alignment. Dosage: Hold each stretch for 20 seconds and repeat 5 times for every identified spastic muscle. 2. Strengthening Exercises Exercise Detail: Weak muscles are activated through gentle contractions performed against light resistance. Dosage: Perform 10 repetitions for each weak muscle in every session. 3. Positioning Exercise Detail: Child is positioned in sitting with legs open on a bench or block, heels touching the ground. Standing against a wall with moderate abduction and external rotation is also introduced. Dosage: Maintain sitting as tolerated. Wall -standing for 15 minutes | Procedure or surgery | Conventional physical therapy |
Primary outcome
activity participation
Time frame: 6 weeks
activity participation is assessed by child engagement in daily life measurement scale. A CEDL scaled score ranges from 0 to 100, where 100 indicates the highest level of participation or independence, 70-90 suggests moderate participation, 40-60 indicates limited or inconsistent participation, and below 40 represents significant restrictions
Functional mobility
Time frame: 6 weeks
functional mobility assessed by 6-minute walk test functional changes were evaluated using the minimal clinically important difference (MCID) reported for children with CP. Changes exceeding 6-23 meters is significant. Difference less than 6 meters is insignificant.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Experimental and CONVENTIONAL PHYSICAL THERAPY in people with Cerebral Palsy (CP) and Functional Mobility, run by Foundation University Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 10 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Ahyab Mehreen, DPT (+92 3349279563, ahyab.mehreen@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
activity participation (time frame: 6 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Dec 2025.