Effect of Motor Imagery Training on Gait and Balance in Children With Spastic Hemiplegia

NCT04765917 | Unknown DMC

• 1 other identifier: Ekamal_phd2021
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to:

• Investigate the effect of motor imagery training on gait kinematics in children with spastic hemiplegia.
• Determine the effect of motor imagery training on balance in children with spastic hemiplegia.
• Assess the effect of motor imagery training on trunk endurance in children with spastic hemiplegia.

Conditions

Cerebral Palsy, Spastic

Outcome Measures

Primary Outcomes (5)

• Assessing the change in Spatial parameters of gait

  Analysis of Spatial parameters of gait by using Kinovea software via 2D gait analysis in order to measure the changes in: stride length (cm), Step length (cm).

  "through study completion, an average of 3 months"

• Assessing the change in cadence

  Analysis of temporal parameters of gait by using Kinovea software via 2D gait analysis in order to measure the changes in: cadence (number of steps / minute).

  "through study completion, an average of 3 months"

• Assessing the change in Angular displacement of joint in gait cycle

  Analysis of Angular displacement of joint in gait cycle by using Kinovea software via 2D gait analysis in order to measure the changes in: Ankle dorsiflexion angle in initial contact, hip flexion angle at initial swing and knee extension at midstance. All of these parameters will be measured in degrees.

  "through study completion, an average of 3 months"

• Assessing the change in Balance

  Evaluation of balance by using HUMAC balance system in order to measure the change in: modified clinical test of sensory integration test (score), limits of stability (score) and weight shift (score). The highest score is (100) and the lower score is (0). The higher scores means a better outcome.

  "through study completion, an average of 3 months"

• Assessing the change in walking speed

  Analysis of temporal parameters of gait by using Kinovea software via 2D gait analysis in order to measure the changes in: walking speed (meter / minute).

  "through study completion, an average of 3 months"

Secondary Outcomes (1)

• Assessing the change in Trunk muscles endurance

  "through study completion, an average of 3 months"

Study Arms (2)

Selected Physical Therapy group

ACTIVE COMPARATOR

The Control group will receive a selected physical therapy program for 60 minutes, 3 times/week for 3 successive months including the following exercises

Other: Selected physical Therapy program

Motor imagery training

EXPERIMENTAL

Children allocated to the study group will receive the same selected physical therapy program given to the control group for 30 min in addition to 30 minutes motor imagery training program

Other: Selected physical Therapy program; Other: Motor imagery training program

Interventions

Selected physical Therapy program OTHER

-Facilitation of balance reactions from standing position including: Standing on one leg, weight shifting from standing position, stoop and recover from standing, squat from standing, standing on balance board and pushing the child in different directions. * Facilitation of counterpoising mechanism through instructing the child to kick ball from standing position as well as catching and throwing ball with his hands. * Strengthening exercises for weakened muscles in upper and lower limbs muscle. * Strengthening exercises for back and abdominal muscles. * Stretching exercises for tight muscles in upper and lower limbs. * Gait training activities for correction of gait pattern including: walking on balance beam, walking on balance board, walking on uneven surface, walking using different obstacles (rolls, wedges, stepper) and walking up and down stairs. * Jumping in place and jumping a board.

Motor imagery training; Selected Physical Therapy group

Motor imagery training program OTHER

As a preparation each child will be shown a video of 5 minutes of normal movements. They will be positioned in a comfortable position. The screen is in the child's visual field. Children will be asked to close their eyes and imagine they will perform the physically practiced task for 10 minutes, similar to one shown in the video. Sequence of the task will be verbally explained to the child for better recalling of sensations in muscles during the movements. During the entire exercise schedule child's attention will be focused on the position, and movement of their body, on proprioceptive inputs coming from the leg muscles and on the tactile sensations of foot floor contact. Thereafter, the child will be asked to perform the sequence of tasks, rehearsed mentally for 20 minutes.

Motor imagery training

Eligibility Criteria

• Age: 7 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Their chronological age will be ranged from 7-10 years.
• Their motor function will be at level I according to according to Gross Motor Function Classification System GMFCS (Palisano et al., 2008).
• The degree of spasticity for these children will ranged from grade 1 to 1+ according to Modified Ashworth Scale (Bohannon and Smith, 1987).
• They will be able to follow instructions during evaluation and treatment.

You may not qualify if:

• Children will be excluded from the study if they have:
• Cardiovascular or respiratory disorders.
• Botulinium muscular injection in the last 6 months
• Surgical interference in lower limbs.
• Musculoskeletal problems or fixed deformities in the spine and/or lower extremities.
• Seizures.
• Visual or hearing impairment.
• Mentally retarded children

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy - Cairo University

Cairo, 12316, Egypt

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: 2 different groups receive different interventions at the same time during the study

Study Record Dates

• First Submitted: February 16, 2021
• First Posted: February 23, 2021
• Study Start: February 1, 2021
• Primary Completion: March 1, 2022
• Study Completion: April 1, 2022
• Last Updated: April 13, 2021

Record last verified: 2021-04

Locations

EG (1)