Oculomotor Training in Spastic Diplegia: Effects on Postural Stability and Motor Proficiency

NCT07731074 | Active Not Recruiting

• 1 other identifier: P.T.REC/012/006212
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized clinical trial investigates the effect of oculomotor training on postural stability and motor proficiency in children with spastic diplegia. Participants will undergo structured oculomotor exercises designed to enhance visual-motor integration and balance control. Outcomes will be assessed using standardized measures of postural stability and motor proficiency before and after intervention. The study aims to determine whether targeted oculomotor training can improve functional motor performance and balance in this pediatric population. By evaluating the effect of structured oculomotor training on postural stability and motor proficiency in children with spastic diplegia, the study seeks to establish whether visual-motor interventions can serve as effective adjuncts to conventional therapy. The rationale is grounded in neuroplasticity: repeated oculomotor exercises may strengthen neural pathways linking visual input to motor output, thereby improving balance and functional performance.

Conditions

Cerebral Palsy Spastic Diplegia

Keywords

Oculomotor training; Postural stability; Spastic diplegia ,Cerebral palsy; Motor proficiency; Pediatric rehabilitation

Outcome Measures

Primary Outcomes (1)

• Postural Stability Index

  Overall Stability Index (OSI) from the Biodex Balance System.

  12 weeks

Secondary Outcomes (1)

• Motor Proficiency

  12 weeks

Other Outcomes (1)

• Functional Balance

  12 weeks

Study Arms (2)

Oculomotor Training + Conventional Physiotherapy

EXPERIMENTAL

Intervention: Participants receive a structured oculomotor training program in addition to Conventional Physiotherapy. Details: Exercises include saccadic eye movements, smooth pursuit, fixation, and visual scanning tasks. Sessions: 45 minutes of Conventional Physiotherapy and 45 minutes of Oculomotor Training , 3 times per week, for 12 weeks. Purpose: To evaluate whether oculomotor training enhances postural stability and motor proficiency beyond conventional therapy.

Behavioral: Oculomotor Training; Behavioral: Conventional Physiotherapy

Conventional Physiotherapy Only

ACTIVE COMPARATOR

Participants receive standard physiotherapy focusing on stretching, strengthening, and balance training. Details: Sessions matched in duration and frequency to the experimental arm (45 minutes, 3 times per week, for 12 weeks). Purpose: Serves as a comparator to determine the added value of oculomotor training.

Behavioral: Conventional Physiotherapy

Interventions

Oculomotor Training BEHAVIORAL

Exercises include saccadic eye movements, smooth pursuit, fixation, and visual scanning tasks.

Oculomotor Training + Conventional Physiotherapy

Conventional Physiotherapy BEHAVIORAL

physiotherapy focusing on stretching, strengthening, and balance training.

Conventional Physiotherapy Only; Oculomotor Training + Conventional Physiotherapy

Eligibility Criteria

• Age: 6 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Their ages will range from 6 to 10 years old. -The degree of spasticity will range from grade 1and1+ according to the Modified Ashworth Scale (MAS)-
• They will be at level I or II according to gross motor classification system (GMFCS).
• They will have mild and moderate visual impairment without (CVI) according to visual assessment scale.
• They will be able to follow verbal command or instructions.

You may not qualify if:

• Uncontrolled seizures.
• Severe vestibular dysfunction.
• Recent orthopedic surgery (within 6 months).
• Severe visual impairment

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer in Pediatric Physical Therapy

Study Record Dates

• First Submitted: July 23, 2026
• First Posted: July 28, 2026
• Study Start: June 1, 2026
• Primary Completion (Estimated): October 15, 2026
• Study Completion (Estimated): November 30, 2026
• Last Updated: July 28, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR
• Time Frame: February,2027

Locations

EG (1)