Weight Distribution Asymmetry in Relation to Speed During Gait in Children With Spastic Cerebral Palsy.

Background: Improving walking ability is one of the major concerns in therapeutic interventions for children with cerebral palsy.

Aim: determine the relation between the weight distributed on both lower limb and speed during walking.

Study Overview

• Status: Completed
• Conditions: Gait, Spastic
• Intervention / Treatment: Other: assesment of gait

Detailed Description

sixty children with spastic diplegia (group A) and forty-five with hemiparesis ( group B) with age ranged from ten to twelve, they had spasticity grade 1 and 1+ according to modified ashworth scale and they were able to walk with assistance (level II on Gross Motor Classification System).Evaluation was held by the Biodex gait trainer for measuring weight distribution on both lower limbs and speed during gait to determine if there was a relation between weight distribution asymmetry and the speed of gait of those children

• Study Type: Interventional
• Enrollment (Actual): 114
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Giza
    • Cairo, Giza, Egypt, 02
      • Faculty of physical therapy,Cairo university

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 10 years to 12 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

The selection criteria to the diplegic group were as follows:

1. children diagnosed as spastic diplegia or hemiplegia;
2. the ability to stand independently without support for not less than 30 seconds;
3. the ability to walk independently; a classification of level II in the Gross Motor Function Classification System (GMFCS);
4. and capability to understand simple verbal commands.

Exclusion criteria:

1. Participants were excluded if they were treated for lower limbs orthopedic surgical or with botulinum toxin injection within the last 6 months
2. or if they had fixed lower limb deformity.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: spastic diplegic group; assessment of the speed and weight distribution during gait	Other: assesment of gait; speed and weight distribution during gait
Experimental: hemiplegic group; assessment of the speed and weight distribution during gait	Other: assesment of gait; speed and weight distribution during gait

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
speed of gait	the velocity of walking	12 weaks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
foot to foot distribution	weight loaded on each lower limb during gait assessment	12 weaks

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Nahla Mohamed, Cairo University

Publications and helpful links

General Publications

• Nahla M. Ibrahim, Mai Elsayed Abbass. EFFECT OF PEDAL TRAINING ON GAIT SPEED IN CHILDREN WITH HEMIPARETIC CEREBRAL PALSY.Int J Physiother Res 2017;5(6):2560-65. ISSN 2321-1822

Study record dates

Study Major Dates

• Study Start (Actual): December 3, 2019
• Primary Completion (Actual): March 5, 2020
• Study Completion (Actual): November 1, 2020

Study Registration Dates

• First Submitted: November 8, 2020
• First Submitted That Met QC Criteria: November 13, 2020
• First Posted (Actual): November 19, 2020

Study Record Updates

• Last Update Posted (Actual): November 19, 2020
• Last Update Submitted That Met QC Criteria: November 13, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Keywords: assymetry-gait-speed-cerebral palsy
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Musculoskeletal Diseases; Muscular Diseases; Neuromuscular Manifestations; Muscle Hypertonia; Cerebral Palsy; Muscle Spasticity; Gait Disorders, Neurologic
• Other Study ID Numbers: correlation study

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: the results will be shared with other researchers as the paper published
• IPD Sharing Time Frame: after publication of the paper
• IPD Sharing Access Criteria: through the journal of the published paper
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No