Effect of Lower Extremity Modified Constraint-induced Movement Therapy on Locomotion in Children With Hemiplegia

NCT07686809 | Recruiting

• 1 other identifier: Mohamed Ali-PhD
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

• To determine the effect of modified constraint-induced movement therapy on spatial and temporal gait parameters in children with hemiplegia.
• To determine the effect of modified constraint-induced movement therapy on functional mobility in children with hemiplegia.

Conditions

Spastic Hemiplegic Cerebral Palsy

Outcome Measures

Primary Outcomes (1)

• assessment of spatial gait parameters

  Kinovea is a free 2D motion analysis software that facilitates inexpensive, sensor-free video-based motion assessments suitable for clinical practice. Its reliability has been established for measuring cervical range of motion (ROM) in both sagittal and frontal planes, dominant wrist joint ROM, shoulder ROM, and ankle joint ROM during walking. Additionally, it effectively measures spatial gait parameters, including stride length, step length, and hip, knee, and ankle angles at initial contact and mid-swing stages of the gait cycle. Required tools for its use include a walking area, digital camera, adhesive skin marks, and a tripod.

  At baseline and after Four weeks

Secondary Outcomes (2)

• assessment of Temporal gait parameters

  At baseline and after four weeks

• assessment of the functional mobility

  At baseline and after four weeks

Study Arms (2)

Modified constraint induced movement therapy

EXPERIMENTAL

Fifteen children will receive a conventional physical therapy program for 1 hour and modified constraint-induced movement therapy for 30 minutes 3 times per week for 4 weeks.

Other: Modified constraint-induced movement therapy; 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 4 weeks.

Other: Conventional physical therapy

Interventions

Modified constraint-induced movement therapy OTHER

Three tasks will be designed to be performed for 10 min each while using the knee scooter as a method of constraint-induced movement therapy The 3 tasks will be as follows: 1. Walking with knee scooter forward on 8 meter walkway 2. Walking with knee scooter backward on 8 meter walkway 3. Standing with the knee scooter on balance board

Modified constraint induced movement therapy

Conventional physical therapy OTHER

1. Repetitive motor training following shaping task * Step on stool. * Squat to stand. * Pressing the pedal stepper. * Walking on treadmill. * Bicycle. * Air walker. 2. Behavioral strategies: * Walking with picking toys from ground * Passing obstacles * Walking with a ball, moving it by the lower extremity

Conventional physical therapy; Modified constraint induced movement therapy

Eligibility Criteria

• Age: 6 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• The age of the selected children will range from 6 to 8 years old.
• Degree of spasticity will range from 1+ to 2 according to the modified Ashworth scale.
• The level of motor function of the children will be levels I-II according to the Gross Motor Function Classification System.
• Participants will present a score between 41 to 56 points on the pediatric balance scale.
• They will be able to follow instructions and understand commands.

You may not qualify if:

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

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

outpatient clinic faculty of physical therapy, Cairo University

Cairo, Egypt

RECRUITING

Central Study Contacts

Mohamed Ali Taha

CONTACT

01022599920; dr.mo7amed.ali224@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 29, 2026
• First Posted: July 7, 2026
• Study Start: June 1, 2026
• Primary Completion: July 30, 2026
• Study Completion (Estimated): August 30, 2026
• Last Updated: July 7, 2026

Record last verified: 2026-07

Locations

EG (1)