Effect of Virtual Reality in Spider Cage on Gross Motor Performance and Balance in Children With Spastic Diplegia

NCT05740020 | Completed

• 1 other identifier: EG, KFS lab Research 1
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study will detect the effect of virtual reality in spider cage on gross motor performance and balance in children with spastic diplegia.

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (2)

• GROSS MOTOR PERFORMANCE

  we will use Gross Motor Function Measure 88 (GMFM-88) to measure Gross motor performance. this score range from (0 to 100 ) zero is the minimum value and 100 is the maximum value

  3 monthes

• BALANCE

  we will use Pediatric Balance Scale (PBS) to measure Balance. this score range from (0 to 56 ) zero is the minimum value and 56 is the maximum value

  3 monthes

Study Arms (2)

Group (A)

EXPERIMENTAL

Group (A) will receive virtual reality in addition to the traditional exercise program.

Device: virtual reality glasses; Other: The traditional exercise program

Group (B)

ACTIVE COMPARATOR

Group (B) will receive traditional exercise program.

Other: The traditional exercise program

Interventions

virtual reality glasses DEVICE

A specialized VR glasses will be used and VR games application in spider cage

Group (A)

The traditional exercise program OTHER

The selected physical therapy program: 1. Neurodevelopmental approach: aims to facilitate typical motor development and function and to prevent secondary impairments (figure 4). 2. Approximation: aims to control spasticity and stimulate the joint mechanoreceptors (figure 5). 3. Stretching exercise: aims to maintain length and flexibility of shorten muscles (figure 6). 4. Strengthening exercise: aims to improve the functional ability (figure 7). 5. Spider suspension exercise for 30 minutes (figure 8). 5\. Gait training activities: aims to improve balance (figure 9). 6. Balance training program: aims to improve balance (figure 10).

Group (A); Group (B)

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children will be included in the study if they fulfil the following criteria:
• A medical diagnosis of spastic diplegic CP made by pediatricians or pediatric neurologists.
• Children with spasticity grades ranged from 1 to 2+ according to Modified Ashworth scale (MAS).
• Their age range from 6 to 12 years.
• Children who can sit on the chair with good balance and recognize and follow verbal orders and commands included in both testing and training techniques.

You may not qualify if:

• Children with a permanent spastic diplegia, who might have one or more of the following, will be excluded:
• They had a permanent deformity (bony or soft tissue contractures).
• Children having visual or auditory defects.
• Current hospitalization for urgent medical reasons.
• Severe mental retardation.
• Children who will undergo fewer than twelve regular sessions of physical therapy at their place will not be included in the survey.
• Children with history of epileptic seizure or any diagnosed cardiac or orthopedic disability that may hinder assessment methods and treatment.

Sponsors & Collaborators

• Amr Mohsen Mohamed Abo Khatwa: lead

Study Sites (1)

Physical Therapy

Kafr ash Shaykh, Kafrelsheikh, Egypt

Location

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: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: bachelor's degree of physical therapy

Study Record Dates

• First Submitted: February 13, 2023
• First Posted: February 22, 2023
• Study Start: April 1, 2023
• Primary Completion: July 1, 2023
• Study Completion: July 1, 2023
• Last Updated: January 18, 2024

Record last verified: 2024-01

Locations

EG (1)