EFFECT OF A LIGHT STIMULATED FOOTSTEPS PATHWAY ON GAIT IN SPASTIC CHILDREN

NCT07289347 | Active Not Recruiting

• 1 other identifier: 012/006097
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

PURPOSE: The purpose of this study will be investigation of the effect oflight stimulated footsteps pathway on kinematics of gait in spastic diplegic children BACKGROUND: The goal of most therapy procedures for children with spastic cerebral palsy is to increase their walking abilities. Locomotor training usinglight stimulated footsteps pathwayhas been recommended for the rehabilitation of children with cerebral palsy in an effort to improve walking independence and gait speed. HYPOTHESES: Walking on light stimulated footsteps pathway may not affect kinematics of gait in spastic diplegic children RESEARCH QUESTION: Does walking on light stimulated footsteps pathway have any effect onkinematics of gait in spastic diplegic children?

Conditions

Spastic Diplegia

Outcome Measures

Primary Outcomes (4)

• step length

  kinovea software used to evaluate step length The unit of measurement for Step Length is centimeter (cm)

  At baseline and re assessed following 3 months

• step width

  kinovea software used to evaluate step width The unit of measurement for Step width is centimeter (cm)

  At baseline and re assessed following 3 months

• spasticity

  The Modified Ashworth Scale (MAS) used for evaluation MAS assigns a grade of spasticity from a 0-4 ordinal scale. The grade is assigned by moving a joint/muscle through a high velocity quick stretch.

  At baseline and re assessed following 3 months

• gross motor function

  The Gross Motor Function Measure (GMFM) is a standardized tool used to assess changes in gross motor function in children, particularly those with cerebral palsy. The GMFM uses a four-point ordinal scale for scoring each item, where: 0: Does not initiate 1. Initiates (but does not complete) 2. Partially completes 3. Completes the task fully Scores can be summed to calculate raw and percent scores for each dimension and a total GMFM score.

  At baseline and re assessed following 3 months

Study Arms (2)

Group A

ACTIVE COMPARATOR

This group of fifteen children received a regular traditional therapeutic exercise program three times per week for three month based on the Pragmatic approach .

Other: therapeutic exercise

Group B

EXPERIMENTAL

The fifteen children in this group got the same therapeutic exercise program as the control group, as well as 30 minutes of gait training on light stimulated footsteps pathway three times per week for three month.

Other: therapeutic exercise; Other: gait training on light stimulated footsteps pathway

Interventions

therapeutic exercise OTHER

Balance training from different positions. Weight shifting exercises by facilitation of single limb support while standing. Ascending and descending stairs. Gait training between parallel bars applied three times per week for three month

Group A; Group B

gait training on light stimulated footsteps pathway OTHER

same routine program as the control group as well as 30 minutes of gait training on light stimulated footsteps pathway: 1. Walk on the light stimulated footsteps (Forward steps) 2. Walk on the light stimulated footsteps (backward steps) 3. Tandem gait over light yellow line applied three times per week for three month

Group B

Eligibility Criteria

• Age: 4 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age will range between5 and 8 years old.
• They had Grade 1 and 1+ hypertonia according to Modified Ashworth Scale (Bohannon and Smith, 1987)
• Motor Classification System, they were at level I and II (GMFCS)
• They will capable of following commands and comprehend them.
• They will exhibit defective gait kinematics, which can be determined through gait kinematics evaluation.
• All patients who will be enrolled to the study will have their informed consent.

You may not qualify if:

• Epilepsy history.
• Taking any anti spastic drugs.
• Both lower limbs had permanent deformity.
• Surgical intervention history.
• Have visual or auditory defects.
• Chest infections or unstable cardiac status.
• Infective skin conditions.
• Markedly high or low blood pressure.
• Individuals with cardiopulmonary conditions.
• Individuals with any pelvic disease.
• Individuals undergoing radiation therapy or chemotherapy.
• Hepatic or pancreatic diseases.

Sponsors & Collaborators

• Amira saad mohamed: lead

Study Sites (1)

Cairo University

Giza, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Exercise Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

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: SPONSOR INVESTIGATOR
• PI Title: lecturer of physical therapy

Study Record Dates

• First Submitted: December 4, 2025
• First Posted: December 17, 2025
• Study Start: September 20, 2025
• Primary Completion: April 27, 2026
• Study Completion (Estimated): May 20, 2026
• Last Updated: March 27, 2026

Record last verified: 2026-03

Locations

EG (1)