Forward Versus Backward Gait Training on Functional Abilities in Children With Spastic Cerebral Palsy

NCT07251751 | Completed

• 1 other identifier: Ramy Gait training in C.P
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to compare the effects of forward versus backward gait training on functional abilities in children with spastic cerebral palsy. Participants will receive gait training sessions focusing on either forward or backward walking to evaluate improvements in balance, mobility, and gross motor function.

Conditions

Spastic Cerebral Palsy

Keywords

Gait Training

Outcome Measures

Primary Outcomes (1)

• Gross Motor Function Measure (GMFM-88) score

  The GMFM-88 will be used to assess changes in gross motor function in children with spastic cerebral palsy before and after the intervention. Higher scores indicate better motor performance.

  Baseline and after three months of intervention

Study Arms (3)

control group (designed physical therapy program)

ACTIVE COMPARATOR

participants will receive designed physical therapy exercises only

Behavioral: control group ( designed physical therapy program)

forward gait training

EXPERIMENTAL

participants will receive designed physical therapy exercises beside forward gait training.

Behavioral: forward gait training

backward gait training

EXPERIMENTAL

participants will receive designed physical therapy exercises beside backward gait training.

Behavioral: backward gait training

Interventions

backward gait training BEHAVIORAL

The training program consists of backward walking exercises conducted three times per week for three successive months under the supervision of a physical therapist.

backward gait training

control group ( designed physical therapy program) BEHAVIORAL

Participants receive traditional physical therapy exercises focusing on stretching, strengthening, and balance training for the same duration as the experimental groups.

control group (designed physical therapy program)

forward gait training BEHAVIORAL

The training program consists of forward walking exercises conducted three times per week for three successive months under the supervision of a physical therapist.

forward gait training

Eligibility Criteria

• Age: 6 Years - 9 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• \. Both genders will be included. 5. Their gross motor function ability will be selected at level I, II according to Gross Motor Function Classification System (GMFCS).
• \. They will be able to understand and follow verbal commands included in evaluation and training.

You may not qualify if:

• Any surgical intervention in upper or lower limbs. 2¬- Any type of fracture. 3- Visual and/or auditory defects. 4- Other neurological conditions rather than CP. 5- Significant tightness or fixed deformity of lower limbs and spine. 6- Congenital heart disease.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

El Shohadaa Central Hospital

Shibīn al Kawm, Monoufia, Egypt

Location

Related Publications (1)

• Keep H, Luu L, Berson A, Garland SJ. Validity of the Handheld Dynamometer Compared with an Isokinetic Dynamometer in Measuring Peak Hip Extension Strength. Physiother Can. 2016;68(1):15-22. doi: 10.3138/ptc.2014-62.

  PMID: 27504043 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Ramy A Khidr, PhD

  El shohadaa Central Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator and Physiotherapist, Ministry of Health - Egypt

Study Record Dates

• First Submitted: November 19, 2025
• First Posted: November 26, 2025
• Study Start: November 1, 2025
• Primary Completion: February 1, 2026
• Study Completion: March 1, 2026
• Last Updated: March 19, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)