Dual-task Training in Children With Cerebral Palsy

The Effect of Dual-task Training on Activity and Participation in Children With Cerebral Palsy

There are studies investigating the dual-task effect in sitting, standing up without sitting and walking in children with spastic CP. Some of these studies investigated motor-motor, some of them motor-cognitive dual-task states, and children with CP were compared to typically developing children. In all these studies, it is clearly seen that children with CP have more dual-task complexities than their typically developing peers. Some of these studies draw attention to dual-task education in children with CP. However, other than a randomized controlled study and a case report in the literature, we did not find any studies investigating the effectiveness of dual-task training in children with CP. When the literature is examined in detail, there is no study that examines the effect of dual-task exercise programs on walking activities and children's participation in daily life in children with CP.

This study has been planned based on this deficiency in the literature. Based on ICF, This study has been planned dual-task training for children with CP.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy; Physical Disability; Hemiplegic Cerebral Palsy; Activity, Motor; Participation, Patient; Diplegia
• Intervention / Treatment: Other: dual-task training

• Study Type: Interventional
• Enrollment (Actual): 25
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ordu, Turkey
    • Ordu Uni

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 7 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Being diagnosed with cerebral palsy,
• Having spastic type unilateral and bilateral involvement,
• Being between the ages of 7-18,
• Being GMFCSS Level I and Level II,
• Continuing normal education (not being a mainstreaming student),
• Not having any surgical operation involving the musculoskeletal system in the last 6 months,
• Not having Botulinum Toxin application in the last 6 months.

Exclusion Criteria:

• Failing to accomplish the cognitive task (starting from a number between 0-100 and not counting back 1 each)
• Being a behavioral problem that makes it difficult to participate in the study,
• Inability to walk without support

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: control group; classical physical therapy+ classical physical therapy	Other: dual-task training; dual-task training
Other: study group; classical physical therapy+ dual-task training	Other: dual-task training; dual-task training

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
10m walking test	10m walking test (the speed of gait is measured)	5 min
10m walking test with dual-task	10m walking test with dual-task (the speed of gait is measured) (dual- task is counting backwards)	5 min
10m backward walking test	10m backward walking test (the speed of gait is measured)	5 min
10m backward walking test with dual-task	10m backward walking test with dual-task (the speed of gait is measured) (dual- task is counting backwards)	5 min
balance	Balance skills of participators are assessed with 'Pediatric Berg Balance' .	15 min
participation of daily life	Participation of daily life of children are assessed with PODCI questionnaire.	15 min
Visual Gait Assessment	Participators' positions of joints are assessed with Edinburg Visual Score. Children walked 10m walking pathway. The camera records were frontside, backward, and laterals.	10 min

Collaborators and Investigators

• Sponsor: Sema BÜĞÜŞAN ORUÇ

Study record dates

Study Major Dates

• Study Start (Actual): June 27, 2019
• Primary Completion (Actual): February 27, 2020
• Study Completion (Actual): February 27, 2020

Study Registration Dates

• First Submitted: February 26, 2021
• First Submitted That Met QC Criteria: March 1, 2021
• First Posted (Actual): March 2, 2021

Study Record Updates

• Last Update Posted (Actual): March 2, 2021
• Last Update Submitted That Met QC Criteria: March 1, 2021
• Last Verified: March 1, 2021

More Information

Terms related to this study

• Keywords: cerebral palsy; activity; participation; dual-task training
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Cerebral Palsy; Paralysis
• Other Study ID Numbers: Ordu347

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