Virtual Reality Versus Balance Beam on Spastic Hemiplegic Cerebral Palsy

NCT05463718 | Unknown

• 1 other identifier: 012/003683
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 2

Brief Summary

Is there any difference between the use of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children?

Conditions

Balance Problems in Spastic Hemiplegic Children; Walking Performance in Spastic Hemiplegic Children

Outcome Measures

Primary Outcomes (2)

• Balance it will be assist by HUMAC Balance Assessment system

  Evaluation materials that used in assist balance : HUMAC Balance Assessment system consists of: 1- The force platform 2- The HUMAC CD holding the operating program This test will be use assess the sensory integration of balance and postural control in the conditions of eyes open and eyes closed from standing, lasts for 30 second and the test was repeated for three times and the mean value is calculated from the result of each trial which appears in the form of percent of stability in each trial

  6 month

• Walking ability

  Evaluation materials Six Minute Walk Test (6MWT) it is a valid and reliable instrumentation using to asses walking capacity The child of this test is to walk as far as possible for 6 minutes. You will walk back and forth in this hallway, after the test, measured walking capacity exercise (BP, HR and SpO2) were re-measured.

  6 month

Study Arms (3)

children treated by the traditional physical therapy program based on Neurodevelopmental technique

EXPERIMENTAL

Twenty-five cerebral palsied hemiplegic children will be treated by the traditional physical therapy program ( balance board, single limb support, standing with throwing ball ) based on Neurodevelopmental technique for 6 month

Device: Virtual Reality

children treated by Virtual Reality for 15 min. besides the traditional physical therapy program

EXPERIMENTAL

twenty-five cerebral palsied hemiplegics will be included in this group; they will be receive the regular physical therapy program in addition to training by Virtual reality with use of the HMD helmet allows users to perceive a 3D stereoscopic images that enable participants to interact with different balance games as football Soccer, football heading (known as Soccer Heading), the tight rope walks and the Penguin slide game.

Device: Virtual Reality

children treated by Balance Beam for 15 min besides the traditional physical therapy program

EXPERIMENTAL

Twenty-five cerebral palsied hemiplegics will be included in this group; they will be receive the regular physical therapy program in addition to training by standing and walking in balance beam by differentiate levels of walking balance proficiency as varying widths of beam and walking in different direction (forward or backward).

Device: Virtual Reality

Interventions

Virtual Reality DEVICE

children treated by Virtual Reality for 15 min. besides the traditional physical therapy program

children treated by Balance Beam for 15 min besides the traditional physical therapy program; children treated by Virtual Reality for 15 min. besides the traditional physical therapy program; children treated by the traditional physical therapy program based on Neurodevelopmental technique

Eligibility Criteria

• Age: 7 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age ranges from 7 to 11 years old, from both genders.
• Modified Ashworth scale adopted from, (Bohannon and Smith,1987) was used to select the patients with grade 1 and 1+ of Spasticity.
• They were able to stand and walk.
• Gross motor function measure scale GMFM (level I \&II). (Russell et al. ,2013).
• Children with good mentality to understand the evaluation steps.

You may not qualify if:

• Children who have orthopedic surgery or Botulinum Toxin-A injection in the last 6 months.
• Children who have any spinal deformities.
• Children with severe muscle contracture.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (2)

Physical Therapy

Cairo, Egypt

NOT YET RECRUITING

Physical Therapy

Cairo, Egypt

RECRUITING

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Pediatrics department, Faculty of Physical Therapy, Cairo University

Study Record Dates

• First Submitted: June 19, 2022
• First Posted: July 19, 2022
• Study Start: August 1, 2022
• Primary Completion: November 1, 2022
• Study Completion: December 1, 2022
• Last Updated: July 19, 2022

Record last verified: 2022-01

Locations

EG (2)