Dual Task Training With Vestibular Stimulation in Children With Diplegic Cerebral Palsy

NCT07157488 | Not Yet Recruiting DMC

• 1 other identifier: Anam Mujahid
• Study Type: interventional
• Target: 54
• Locations: 0 countries
• Sites: N/A

Brief Summary

Dual task training enhances gross motor function, reduce fatigue and minimize cognitive motor interference in children with diplegic cerebral palsy by promoting neuroplasticity and improving dual task processing. Vestibular stimulation improve balance triggering the vestibulospinal reflex, which play a key role in maintaining posture and reducing the risk of fall. Integrating dual task training with vestibular stimulation can provide a more holistic rehabilitation strategy by enhancing balance and posture stability through improved vestibular system activation, supporting motor and cognitive coordination by challenging the brain to handle tasks concurrently, and boosting functional mobility by mimicking everyday situations that require divided attention. This RCT evaluates its effectiveness in optimizing motor-cognitive integration, functional mobility and endurance compared to conventional motor training approaches.

Conditions

Diplegic Cerebral Palsy

Keywords

Diplegic cerebral palsy; Dual task training; Vestibular stimulation

Outcome Measures

Primary Outcomes (1)

• Gross Motor Function Measure (GMFM-88)

  The GMFM-88 is a standardized observational instrument designed to measure changes in gross motor function in children with cerebral palsy. Scores range from 0-100, with higher scores indicating better gross motor performance.

  Baseline and at 12 weeks (post-intervention, within 1 week of completion)

Study Arms (2)

Conventional Physical Therapy With Dual Task Training

ACTIVE COMPARATOR

Participants receive conventional physical therapy combined with dual task training. Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021). Conventional PT (20 min): Wide leg squatting, hip flexion/extension, hip abduction/adduction, knee extension/flexion with ankle weights (Uysal et al., 2024). Dual Task Training (20 min): Balance activities (semi-tandem stance, tiptoe, heel stance, one-leg stance, line walking) combined with cognitive tasks (verbal fluency, simple math, memory recall, daily routine recall). Session Duration: 50 minutes, 3 times/week for 12 weeks.

Behavioral: Conventional Physical Therapy With Dual Task Training; Behavioral: Dual Task Training With Vestibular Stimulation

Dual Task Training With Vestibular Stimulation

EXPERIMENTAL

Participants receive dual task training combined with vestibular stimulation exercises. Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021). Dual Task Training (20 min): Same protocol as Arm 1 (balance + cognitive tasks). Vestibular Stimulation (20 min): Sliding activity on physio roll (10 repetitions) and vertical bouncing while seated on physio roll for 10 minutes (Parashar et al., 2017). Session Duration: 50 minutes, 3 times/week for 12 weeks.

Behavioral: Conventional Physical Therapy With Dual Task Training; Behavioral: Dual Task Training With Vestibular Stimulation

Interventions

Conventional Physical Therapy With Dual Task Training BEHAVIORAL

Participants undergo a 50-minute session, 3 times/week for 12 weeks. Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021). Conventional PT (20 min): Wide leg squatting, hip flexion/extension, hip abduction/adduction, knee extension/flexion with ankle weights (Uysal et al., 2024). Dual Task Training (20 min): Balance activities (semi-tandem stance, tiptoe, heel stance, one-leg stance, line walking) with cognitive activities (verbal fluency, simple math, memory recall, daily routine recall).

Conventional Physical Therapy With Dual Task Training; Dual Task Training With Vestibular Stimulation

Dual Task Training With Vestibular Stimulation BEHAVIORAL

Participants undergo a 50-minute session, 3 times/week for 12 weeks. Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021). Dual Task Training (20 min): Same as Intervention 1 (balance + cognitive tasks). Vestibular Stimulation (20 min): Sliding activity on physio roll (10 repetitions) and vertical bouncing on physio roll for 10 minutes (Parashar et al., 2017).

Conventional Physical Therapy With Dual Task Training; Dual Task Training With Vestibular Stimulation

Eligibility Criteria

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

You may qualify if:

• \- Diagnosis of diplegic cerebral palsy (confirmed by physician/therapist).
• Age between 6-12 years.
• Gross Motor Function Classification System (GMFCS) levels II-III.
• Ability to walk with or without assistive devices.
• Stable medical condition for the past 6 months.
• Parental/guardian consent to participate.

You may not qualify if:

• History of recent orthopedic surgery (within the past 6 months).
• Botulinum toxin injections within the past 6 months.
• Severe uncontrolled epilepsy or other uncontrolled medical conditions.
• Severe cognitive impairment preventing ability to follow instructions.
• Significant visual, auditory, or vestibular disorders unrelated to cerebral palsy.
• Participation in another interventional clinical study within the last 3 months.

Sponsors & Collaborators

• University of Lahore: lead

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: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Aqsa Majeed

Study Record Dates

• First Submitted: August 27, 2025
• First Posted: September 5, 2025
• Study Start: September 1, 2025
• Primary Completion: December 1, 2025
• Study Completion: December 1, 2025
• Last Updated: September 5, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share