The Relationship of Forward and Backward Walking with SMC, Trunk Control and Balance in Children with Cerebral Palsy

NCT05962749 | Completed

• 1 other identifier: 2023-743
• Study Type: observational
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Children aged between 6-18 years old, diagnosed with cerebral palsy and meeting the inclusion criteria, will be included in this study. All children and their parents who agree to participate in the study will be informed about the study and will be required to sign an "Informed Consent Form" indicating their voluntary participation. To evaluate gait, the 3-Meter Backward Walking Test (3MBWT) and the 10-Meter Walk Test (10MWT) will be performed on a flat. The Selective Control Assessment of the Lower Extremity (SCALE) will be used to assess selective motor control in the lower extremity (hip, knee, ankle, subtalar, and toe joints). To evaluate trunk control, the Trunk Control Measurement Scale (TCMS) will be applied in a sitting position. For balance assessment, the Pediatric Balance Scale will be used to reflect activities of daily living. To assess functional independence, the Pediatric Functional Independence Measure (WeeFIM) will be applied. The Modified Ashworth Scale (MAS) will be used to evaluate muscle spasticity.

Conditions

Cerebral Palsy; Balance; Gait Disorders in Children

Keywords

Cerebral Palsy; Backward Walking; Selective Motor Control; Trunk Control; Balance

Outcome Measures

Primary Outcomes (2)

• 3 meter backward walk test (3MBWT)

  The 3-Meter Backward Walk Test (3MBWT) measures the time it takes for a person to walk 3 meters backward. This test assesses balance, coordination, and leg strength, making it especially useful for individuals at risk of falling or those with neurological issues. During the test, the participant is timed while walking backward over a flat 3-meter distance. Completing the distance quickly and safely indicates good balance and backward walking ability, while taking longer may suggest potential issues with balance or motor control. This simple yet effective test is used in clinical settings to evaluate functional mobility and monitor progress over time.

  First day

• 10 meter walk test (10MWT)

  The 10-Meter Walk Test (10MWT) measures the time it takes for a person to walk a distance of 10 meters at their comfortable walking pace. This test is widely used to assess walking speed, gait, and functional mobility, and it can be particularly beneficial for individuals with mobility impairments, including those with neurological conditions or musculoskeletal issues. During the test, the participant is timed while walking the 10-meter distance, with the time recorded starting when the participant's foot crosses the starting line and stopping when they cross the finish line. A shorter completion time indicates better walking speed and mobility, while longer times may suggest difficulties in gait or increased risk of falls. The 10MWT is a straightforward and effective tool used in clinical settings to evaluate functional mobility and track changes over time.

  First day

Secondary Outcomes (5)

• Selective Control Assessment of the Lower Extremities (SCALE)

  First day

• Trunk Control Measurement Scale (TCMS)

  First day

• Pediatric Balance Scale (PBS)

  First day

• Functional Independence Measure for Children (WeeFIM)

  First day

• Modified Ashworth Scale (MAS)

  First day

Study Arms (1)

Children With Cerebral Palsy

Other: Assessment

Interventions

Assessment OTHER

3 meter backward walk test (3MBWT), 10 meter walk test (10MWT), Selective Control Assessment of the Lower Extremities (SCALE), Trunk Control Measurement Scale (TCMS), Pediatric Balance Scale (PBS), Functional Independence Measure for Children (WeeFIM), Modified Ashworth Scale (MAS)

Children With Cerebral Palsy

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Children who apply for rehabilitation in Special Education and Rehabilitation Centers affiliated to the Ministry of National Education in the city of Antalya will be included in the study.

You may qualify if:

• To be diagnosed with cerebral palsy by a specialist physician
• Gross Motor Function Classification System (GMFCS) level I or II
• Children with lower extremity muscles level ≤ 2 according to the Modified Ashworth Scale (MAS)
• Ability to follow verbal commands
• Modified Ashworth Scale (MAS) Level ≤2
• Complete passive range of motion in the ankle and knee joints
• Agree to participate in the study (with parent and child consent)

You may not qualify if:

• Having had Botox (Botulinum toxin) or a surgical operation in the last 6 months
• Having contractures in the ankle and knee joints that affect walking

Sponsors & Collaborators

• Alanya Alaaddin Keykubat University: lead

Study Sites (1)

Alanya Alaaddin Keykubat University

Antalya, Alanya, 07425, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Restraint, Physical

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Behavior Control; Therapeutics; Immobilization; Investigative Techniques

Study Officials

• Ebru Keklikci, Res. Assist.

  Alanya Alaaddin Keykubat University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: July 19, 2023
• First Posted: July 27, 2023
• Study Start: July 17, 2023
• Primary Completion: March 15, 2024
• Study Completion: March 15, 2024
• Last Updated: November 8, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)