Effect of Nordic Walking on Gait-asymmetry Patterns in Children With Hemiparesis

NCT05644652 | Completed

• 1 other identifier: Nordic walking
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Nordic walking is a physical activity consisting of walking with poles similar to ski poles. The poles are designed for the purpose of activating the upper body during walking. The poles are equipped with rubber or spike tips and the walking itself resembles.

Conditions

Cerebral Palsy

Keywords

Cerebral palsy; gait; spatio-temporal gait parameters; unilateral cerebral palcy; Nordic walking

Outcome Measures

Primary Outcomes (1)

• Assessment of gait

  The gait parameters will be assessed by kinovea software. Kinovea, free 2D motion analysis software, was created in 2009 via the non-profit collaboration of several researchers, athletes, coaches and programmers from all over the world. It enables the analysis of distances, angles, coordinates and spatial-temporal parameters frame by frame from a video recording. These measurements can be made from different perspectives, since the software carries out calibrations in non-perpendicular planes to the camera-object line analyzed. spatio-temporal parameters will be measured

  after 3 successive months

Study Arms (2)

control group

EXPERIMENTAL

15 Children in this group will receive a designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months.

Other: designed physical therapy program

Nordic walking group

EXPERIMENTAL

Children in this group will receive the same designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. while the Nordic walking training for 20 minutes will replace the functional gait training.

Other: designed physical therapy program; Other: Nordic walking

Interventions

designed physical therapy program OTHER

it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (15minutes each) as follows: * Flexibility exercises to restore joint mobility of soft tissues. * Static and dynamic balance exercises * Functional strengthening exercises. * Functional gait training.

Nordic walking group; control group

Nordic walking OTHER

it will be conducted according to the guidelines of the International Nordic Walking Federation

Nordic walking group

Eligibility Criteria

• Age: 6 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Their age will range from 6-10 years, from both sexes.
• Level I, II and III of gross motor functional classification system (GMFCS) (Jooyeon et al., 2011)
• Grade 1 and 1+ spasticity according to the Modified Ashworth Scale (MAS). (Cloptonetal et al., 2005).

You may not qualify if:

• Uncontrolled epilepsy.
• Mental retardation or autistic features.
• Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
• Structural or fixed soft tissue deformities of the lower and/or upper extremities.
• Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities.
• Botox injection in the lower and/or upper extremities in the past 6 months.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Giza, Egypt

Location

Related Publications (1)

• Nashed MA, Elnegmy EH, El-Tohamy AM, Abd-Elmonem AM. Efficacy of Nordic Walking Versus Conventional Gait Training on Gait Asymmetry Patterns in Children With Hemiparesis. Physiother Res Int. 2026 Jan;31(1):e70139. doi: 10.1002/pri.70139.

  PMID: 41346090 DERIVED

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Nordic Walking

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Walking; Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity

Study Officials

• Emam H El-negamy, Phd

  Cairo university, faculty of physical therapy

  STUDY CHAIR

• Maricha A Nashed, B.Sc.

  Cairo university, faculty of physical therapy

  PRINCIPAL INVESTIGATOR

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: Assist Prof. Physiacl therapy for pediatric department, faculty of physical therapy , Cairo university

Study Record Dates

• First Submitted: September 29, 2022
• First Posted: December 9, 2022
• Study Start: July 1, 2023
• Primary Completion: May 30, 2024
• Study Completion: June 30, 2024
• Last Updated: March 31, 2026

Record last verified: 2026-03

Locations

EG (1)