Effect of Vestibular Rehabilitation on Postural Sway and Energy Expenditure in Children With Spastic Diplegia

NCT07617935 | Not Yet Recruiting

• 1 other identifier: Nesma-phd
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

this study will be conducted To determine the effect of vestibular rehabilitation training on postural sway and energy expenditure in children with spastic cerebral palsy and To determine any relation between postural sway and energy expenditure in children with spastic cerebral palsy.

Conditions

Spastic Diplegia

Outcome Measures

Primary Outcomes (1)

• assessment of postural sway

  The process for measuring frontal plane lateral trunk tilt angle during gait involves several steps as per the studies. First, three circular adhesive dots are placed on the sternal notch and the anterior superior iliac spine. A video camera is set up to capture the child's full body while walking. The recorded video is analyzed using Kinovea, dividing the gait cycle into 11 frames at 10% intervals. The angle of trunk deviation from vertical is calculated in these frames by connecting the anterior superior iliac spine markers and the sternal notch to determine the longitudinal axes of the trunk, with the angle measured against a vertical line.

  at base line and after 8 weeks

Secondary Outcomes (1)

• assessment of Energy Expenditure

  at base line and after 8 weeks

Study Arms (2)

vestibular rehabilitation

EXPERIMENTAL

Fifteen children will receive conventional physical therapy program for 1 hour and vestibular rehabilitation for 30 minutes 3 times per week for 8 weeks

Other: vestibular rehabilitation; Other: conventional physical therapy

conventional physical therapy

ACTIVE COMPARATOR

Fifteen children will receive conventional physical therapy program only for 1 hour 3 times per week for 8 weeks.

Other: conventional physical therapy

Interventions

vestibular rehabilitation OTHER

* Bouncing-jumping activities from standing. * linear swinging activities: using swinging platform (standing walking) scooter activity (kneeling, standing), hanging lower limb activities and climbing swinging robe ladder. * By pushing-pulling activities, displacement of the center of gravity is created. * These are activities which enable active equilibrium on steep surfaces such as stairs. * Walking on ramps. * Walking unfamiliar surfaces such as balance disc, balance boards and balance beam

vestibular rehabilitation

conventional physical therapy OTHER

* Balance exercise. * Gait training (forward, backward and side way). * Gait training with obstacles of different sizes. * Gait training in stepper. * Gait training on wooden ramp. * Gait training on balance board. * Training up and down steps different heights. * Stretching exercise for upper limbs and lower limbs. * Strengthening exercises for lower limbs muscles. * Trunk control exercises like abdominal and back exercises.

conventional physical therapy; vestibular rehabilitation

Eligibility Criteria

• Age: 8 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• The age of the selected children will be ranged from 8 to 12 years old.
• Degree of spasticity is ranging from 1+to 2 according to modified Ashworth scale
• The level of motor function of the children will be levels I-II according to Gross Motor Function Classification System
• They are able to follow instructions and understand commands.

You may not qualify if:

• Bone and tendon lengthening surgeries within last 6 months.
• Lung and heart diseases and disorders.
• Vision or hearing problems
• Children with fixed deformities.
• Children with epilepsy.
• Recent intramuscular Botulinum toxin injection or orthopedic surgery within last 6 months.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

outpatient clinic, faculty of physical therapy, Cairo university

Cairo, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Nesma Abdelrhman Farag, assistant lecturer

CONTACT

01016612043; nesmafarag2018@gmail.com

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: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: May 24, 2026
• First Posted: June 1, 2026
• Study Start: June 1, 2026
• Primary Completion (Estimated): August 30, 2026
• Study Completion (Estimated): September 1, 2026
• Last Updated: June 1, 2026

Record last verified: 2026-05

Locations

EG (1)