Effect of Task Oriented Training With Functional Electrical Stimulation on Balance in Children With Hemiparesis

NCT07648511 | Recruiting

• 1 other identifier: Nourhan_Msc
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the efficacy of combination of task-oriented training and Functional electrical stimulation of ankle dorsiflexor muscles on:

1. 1.Strength of ankle muscles in children with hemiparesis.
2. 2.Balance in children with hemiparesis.

Conditions

Hemiparesis; Children, Only

Outcome Measures

Primary Outcomes (1)

• Assessment of balance

  Pediatric balance scale will be used to assess balance for all children participated in this study. It contains 14-item. Scoring for each item is scored 0 points (lowest function) to 4 points (highest function), with maximum score of 56 points. Calculation of the total score by summation of the score of the 14 items

  at baseline and after 8 weeks

Secondary Outcomes (1)

• Assessment of muscle strength

  at baseline and after 8 weeks

Study Arms (2)

conventional exercise program

ACTIVE COMPARATOR

The control group consist of 18 children will receive conventional exercise program for 60 min.

Other: Selected therapeutic program

task-oriented training

EXPERIMENTAL

Study group consist of 18 children will receive task-oriented training while applying the functional electrical stimulation on the affected lower limb for 20 min in addition to conventional exercise program for 40 min.

Other: Selected therapeutic program; Other: Selected Task oriented training program; Device: Selected Functional electrical stimulation

Interventions

Selected therapeutic program OTHER

The program will run three days a week on non-consecutive days, focusing on various exercises for children. Activities include: 1) knee manipulation for balance; 2) guided body weight shifting; 3) balancing on a board; 4) training for equilibrium and protective reactions; 5) gait training in a closed environment with obstacles; 6) open environment gait training; 7) strengthening exercises for the back, hips, and knees; and 8) passive stretching for tight muscles in both lower and upper limbs.

conventional exercise program; task-oriented training

Selected Task oriented training program OTHER

1\. Activities involve standing and reaching for objects at various distances and heights. 2. Sit-to-stand tasks are performed from different chair heights and while carrying objects. 3. Stepping activities occur in various directions and on different block heights and surfaces. 4. Alternating heel and toe raises focus on increasing repetitions. 5. Stairs are ascended and descended with added weight and object carrying. 6. Backward walking starts near a wall, progressing to shuttle runs. 7. Walking on a balance beam involves increased speed and varied surfaces.

task-oriented training

Selected Functional electrical stimulation DEVICE

The study will utilize Everyway Medical Instruments for electrical stimulation, with one electrode on the tibialis anterior muscle and the other on the common peroneal nerve. A tilt sensor will trigger stimulation during the swing phase of the tibia. The stimulation parameters include a pulse frequency of 25-40 hertz, a pulse duration of 250 to 300 milliseconds, and an on-off time ratio of 1:2 for 20 minutes, aimed at inducing ankle dorsiflexion while preventing inversion.

task-oriented training

Eligibility Criteria

• Age: 6 Years - 9 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 6 to 9 years.
• Able to follow simple instructions.
• Degree of spasticity is ranging from 1to 1+ 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.

You may not qualify if:

• The children will be excluded if they have one or more of the following criteria:
• Visual, hearing disorders.
• Recent Botox injection or orthopedic surgery in the lower limb in the last 6 months before the start of the study.
• Any fixed deformity of lower limb.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Damietta general hospital.

Damietta, Egypt

RECRUITING

MeSH Terms

Conditions

Paresis

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Nourhan Reda Abdel Razek Dawood, physical therapist

CONTACT

01017173755; Eman_pediatrics2016@yahoo.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: June 10, 2026
• First Posted: June 15, 2026
• Study Start: April 5, 2026
• Primary Completion: June 5, 2026
• Study Completion (Estimated): July 5, 2026
• Last Updated: June 15, 2026

Record last verified: 2026-06

Locations

EG (1)