Virtual Reality versusTask-oriented for Gait in CP

NCT04533789 | Completed

• 1 other identifier: P.T.REC/012/001729
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy

Conditions

Cerebral Palsy

Keywords

wii sport; task oriented training; hemiplegic cerebral palsy

Outcome Measures

Primary Outcomes (6)

• cadence (number)

  number of steps in each min.

  cadence assessed at day 0.

• cadence (number)

  number of steps in each min.

  cadence assessed at day 90.

• step length of affected side (cm)

  distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)

  step length assessed at day 0.

• step length of affected side (cm)

  distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)

  step length assessed at day 90.

• stride length of affected side(cm)

  the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)

  stride length assessed at day 0.

• stride length of affected side(cm)

  the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)

  stride length assessed at day 90.

Study Arms (3)

the control group

EXPERIMENTAL

Group 1 the control group received selected physical therapy program which contain strengthening exercises for upper limb and lower limb muscles, stretching exercises for elbow extensors, hand supinator, wrist extensors, knee extensors and ankle dorsiflexors, balancing exercises, coordination exercises and gait training exercises in open environment.

Other: selected physical therapy program

virtual reality

EXPERIMENTAL

Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min.

Other: selected physical therapy program

Task oriented

EXPERIMENTAL

Group 3 the study group received the same physical therapy program 30 min. plus task oriented training for 30 min.

Other: selected physical therapy program

Interventions

selected physical therapy program OTHER

strengthening muscles of upper and lower limbs, balancing exercise, gait training in open environment, stretching for elbow flexors and forearm pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors

Task oriented; the control group; virtual reality

Eligibility Criteria

• Age: 7 Years - 9 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Their age will ranging from 7 to 9 years.
• Children participated in this study will from both sexes.
• Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
• All children will able to walk supported or unsupported by the therapist.
• Children will able to follow the instructions during testing and training.
• All children had no fixed contractures or deformities at the lower limb.

You may not qualify if:

• Children with visual or auditory problems.
• Children with history of epilepsy.
• Children with structural joints deformities of the lower limbs.
• Children with history of surgical interference in lower limbs less than one year.
• Children with convulsions and fixed contractures.
• Uncooperative children.

Sponsors & Collaborators

• South Valley University: lead

Study Sites (1)

South Valley University, Faculty of Physical Therapy

Qina, 83523, Egypt

Location

Related Publications (4)

• Wang X, Wang Y. Gait analysis of children with spastic hemiplegic cerebral palsy. Neural Regen Res. 2012 Jul 15;7(20):1578-84. doi: 10.3969/j.issn.1673-5374.2012.20.008.

  PMID: 25657696 BACKGROUND

• Patterson KK, Gage WH, Brooks D, Black SE, McIlroy WE. Evaluation of gait symmetry after stroke: a comparison of current methods and recommendations for standardization. Gait Posture. 2010 Feb;31(2):241-6. doi: 10.1016/j.gaitpost.2009.10.014. Epub 2009 Nov 22.

  PMID: 19932621 BACKGROUND

• Grasso R, Assaiante C, Prevost P, Berthoz A. Development of anticipatory orienting strategies during locomotor tasks in children. Neurosci Biobehav Rev. 1998 Jul;22(4):533-9. doi: 10.1016/s0149-7634(97)00041-9.

  PMID: 9595566 BACKGROUND

• Gatica-Rojas V, Mendez-Rebolledo G, Guzman-Munoz E, Soto-Poblete A, Cartes-Velasquez R, Elgueta-Cancino E, Cofre Lizama LE. Does Nintendo Wii Balance Board improve standing balance? A randomized controlled trial in children with cerebral palsy. Eur J Phys Rehabil Med. 2017 Aug;53(4):535-544. doi: 10.23736/S1973-9087.16.04447-6. Epub 2016 Nov 24.

  PMID: 27882910 RESULT

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Mohammed E Ali, PhD student

  South Valley University, Faculty of Physical Therapy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Single (Outcomes Assessor) Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group 1 (control group) and Group 2 (virtual reality group), group 3 (task oriented training)
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of physical therapy

Model Details: G 1 (control) received traditional physical therapy program for 60 min. G 2 (study) received traditional physical therapy program for 30 min. and virtual reality for 30 min. G 3 (study) received traditional physical therapy program for 30 min. and task oriented training for 30 min. all groups treated for four successive months.

Study Record Dates

• First Submitted: August 16, 2020
• First Posted: September 1, 2020
• Study Start: May 22, 2019
• Primary Completion: May 22, 2020
• Study Completion: July 29, 2020
• Last Updated: September 1, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)