Effect of Coordinative Locomotor Training in Children With Cerebral Palsy

NCT07651995 | Active Not Recruiting

• 1 other identifier: TUF/EIRB/ 199 /26
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy is a brain disorder that affects how children move their bodies. Children with spastic hemiplegic CP have stiffness on one side of the body, making it hard to walk and balance. This study will test a special exercise program called Coordinative Locomotor Training (CLT). CLT uses running and skating movements to train both arms and legs to work together. The investigator want to see if CLT works better than regular physiotherapy for improving coordination and balance in participants. Half of the children will do CLT, and the other half will do regular exercises. The investogar will measure their balance and walking ability before and after 4 weeks of training.

Conditions

Cerebral Palsy; Hemiplegia; Spastic cp

Keywords

Coordinative Locomotor Training; Spastic Hemiplegia; PNF; Pediatric Balance; Physiotherapy

Outcome Measures

Primary Outcomes (2)

• Change in Interlimb Coordination

  Measured by 1-step time asymmetry (NAI) during gait analysis.

  Baseline (Week 0) and Post-intervention (Week 8)

• Change in Dynamic Balance

  Measured by the Pediatric Balance Scale (PBS). A 14-item scale scoring from 0 to 56. Higher scores indicate better balance.

  Baseline (Week 0) and Post-intervention (Week 8)

Secondary Outcomes (1)

• Change in Functional Gait Speed

  Baseline (Week 0) and Post-intervention (Week 8)

Study Arms (2)

Coordinative Locomotor Training (CLT)

EXPERIMENTAL

PNF-based sprinter and skater patterns in supine, sitting, and standing.

Other: Coordinative Locomotor Training

Conventional Physiotherapy (CPT)

ACTIVE COMPARATOR

ROM exercises, stretching, and resistance training.

Other: Conventional Physiotherapy

Interventions

Conventional Physiotherapy OTHER

rotational exercises (5 min), then passive stretching of hamstrings, quadriceps, and ankle plantarflexors combined with resistance training using elastic bands (15 min).

Conventional Physiotherapy (CPT)

Coordinative Locomotor Training OTHER

Participants perform PNF sprinter pattern (flexion/adduction/external rotation on one side with extension/abduction/internal rotation on the opposite side) and skater pattern (reciprocal upper and lower limb movements). Exercises are done for 3 sets of 5 reps, 10-sec holds, 30 min/session, 3x/week for 4 weeks.

Coordinative Locomotor Training (CLT)

Eligibility Criteria

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

You may qualify if:

• Children aged 8 to 12 years.
• Diagnosed with spastic hemiplegic cerebral palsy.
• GMFCS Level I or II.
• Ability to follow simple verbal instructions.
• Medically stable with no changes in anti-spastic medication in the last 3 months.

You may not qualify if:

• Orthopedic surgery or Botulinum toxin injection in the last 6 months.
• Severe cognitive impairment preventing cooperation.
• Visual or vestibular deficits affecting balance.
• Uncontrolled seizures.
• Other neurological or musculoskeletal disorders unrelated to CP.

Sponsors & Collaborators

• University of Faisalabad: lead

Study Sites (1)

The University of Faisalabad

Faisalābad, Punjab Province, 3800, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy; Hemiplegia

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor, Department of Rehabilitation Sciences

Study Record Dates

• First Submitted: June 8, 2026
• First Posted: June 16, 2026
• Study Start: February 15, 2026
• Primary Completion: June 15, 2026
• Study Completion (Estimated): August 10, 2026
• Last Updated: July 23, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)