Virtual Reality versusTask-oriented for Gait in CP

August 26, 2020 updated by: Nehad Ahmed Youness Abo-zaid, South Valley University

Wii Sport Games Versus Task-oriented Training on Gait in Children With Unilateral Cerebral Palsy

The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP.

A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in hemiplegic cp. In a future study, seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.

Study Type

Interventional

Enrollment (Actual)

45

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
      • Qina,, Egypt, 83523
        • South Valley University, Faculty of Physical Therapy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

7 years to 9 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Their age will ranging from 7 to 9 years.
  2. Children participated in this study will from both sexes.
  3. Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
  4. All children will able to walk supported or unsupported by the therapist.
  5. Children will able to follow the instructions during testing and training.
  6. All children had no fixed contractures or deformities at the lower limb.

Exclusion Criteria:

  1. Children with visual or auditory problems.
  2. Children with history of epilepsy.
  3. Children with structural joints deformities of the lower limbs.
  4. Children with history of surgical interference in lower limbs less than one year.
  5. Children with convulsions and fixed contractures.
  6. Uncooperative children.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: the control group
Group 1 the control group received selected physical therapy program which contain strengthening exercises for upper limb and lower limb muscles, stretching exercises for elbow extensors, hand supinator, wrist extensors, knee extensors and ankle dorsiflexors, balancing exercises, coordination exercises and gait training exercises in open environment.
Other: selected physical therapy program
strengthening muscles of upper and lower limbs, balancing exercise, gait training in open environment, stretching for elbow flexors and forearm pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors
Experimental: virtual reality
Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min.
Other: selected physical therapy program
strengthening muscles of upper and lower limbs, balancing exercise, gait training in open environment, stretching for elbow flexors and forearm pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors
Experimental: Task oriented
Group 3 the study group received the same physical therapy program 30 min. plus task oriented training for 30 min.
Other: selected physical therapy program
strengthening muscles of upper and lower limbs, balancing exercise, gait training in open environment, stretching for elbow flexors and forearm pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
cadence (number)
Time Frame: cadence assessed at day 0.
number of steps in each min.
cadence assessed at day 0.
cadence (number)
Time Frame: cadence assessed at day 90.
number of steps in each min.
cadence assessed at day 90.
step length of affected side (cm)
Time Frame: step length assessed at day 0.
distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)
step length assessed at day 0.
step length of affected side (cm)
Time Frame: step length assessed at day 90.
distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)
step length assessed at day 90.
stride length of affected side(cm)
Time Frame: stride length assessed at day 0.
the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)
stride length assessed at day 0.
stride length of affected side(cm)
Time Frame: stride length assessed at day 90.
the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)
stride length assessed at day 90.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

South Valley University

Investigators

  • Principal Investigator: Mohammed E Ali, PhD student, South Valley University, Faculty of Physical Therapy

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 22, 2019

Primary Completion (Actual)

May 22, 2020

Study Completion (Actual)

July 29, 2020

Study Registration Dates

First Submitted

August 16, 2020

First Submitted That Met QC Criteria

August 26, 2020

First Posted (Actual)

September 1, 2020

Study Record Updates

Last Update Posted (Actual)

September 1, 2020

Last Update Submitted That Met QC Criteria

August 26, 2020

Last Verified

August 1, 2020

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • P.T.REC/012/001729

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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