Cognitive and Motor Tasks in Cerebral Palsy

Effect of Cognitive and Motor Tasks on Gait in Individuals With Cerebral Palsy

Various gait deviations are observed in children with cerebral palsy. Our aim was to determine the effect of cognitive task (CT) and motor task (MT) on gait in children with cerebral palsy (CP). 15 children with CP, between 9-15 years old, with Communication Function Classification System (CFSS) level I, with Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) level I-II were included in the study. The gait with four different conditions (single gait, CT, MT and CT&MT) was evaluated by Kinovea video analysis method on a 10-meter course.

Results:

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy; Motor Activity; Gait Disorders, Neurologic; Cognitive Orientation
• Intervention / Treatment: Diagnostic test: 2D Gait analysis

Detailed Description

All children with CP were instructed to walk on the track under four different conditions:

• Single: Walking without task at a self-selected speed
• Cognitive Task (CT): Walking while counting down rhythmically from 20 in threes
• Motor Task (MT): Walking while carrying an empty box
• CT + MT: Walking while carrying an empty box and counting down rhythmically from 20 in threes

The task was explained to individuals by a physiotherapist. The individuals were not allowed to use orthosis during walking performance. Running was not accepted. 30 seconds were given to take a break between tasks. The physiotherapist followed the individuals along the track in case of any falling. If the child was not able to complete the track (falling or need to rest), the evaluation was accepted uncomplete and was excluded from the database.

The Kinovea-08.15 software program was used to assess all of the outputs (images and videos) from the camera

• Study Type: Observational
• Enrollment (Actual): 15

Contacts and Locations

Study Locations

• Turkey
  • Beykoz
    • Istanbul, Beykoz, Turkey, 34815
      • Istanbul Medipol University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 9 years to 15 years (CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

15 children with Cerebral Palsy, between 9-15 years old

Description

Inclusion Criteria:

• having been diagnosed with CP in the health committee
• being between 9-15 years of age, having a mental level as "normal" (in terms of compliance with the exercises)
• being in Gross Motor Function Classification System (GMFSC) Level I-II
• being in Manual Ability Classification System (MACS) Level I-II
• being in Communication Function Classification System (CFSS) Level I (communication method is speech).

Exclusion Criteria:

• having a mental retardation
• having severe vision impairment
• underwenting Botulinum Toxin (BOTOX) injection or surgery affecting lower extremities in the last 6 months.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort

Intervention / Treatment

Children with hemiparetic Cerebral palsy; 15 children with CP, between 9-15 years old

Diagnostic test: 2D Gait analysis; The gait with four different conditions (single gait, Cognitive Task, Motor Task and Cognitive Task&Motor Task) was evaluated by Kinovea video analysis method on a 10-meter course.; Single: Walking without task at a self-selected speed; Cognitive Task (CT): Walking while counting down rhythmically from 20 in threes; Motor Task (MT): Walking while carrying an empty box; CT + MT: Walking while carrying an empty box and counting down rhythmically from 20 in threes

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
2D Gait analysis	Kinovea video analysis	through study completion, an average of 1 year

Collaborators and Investigators

• Sponsor: Istanbul Medipol University Hospital

Study record dates

Study Major Dates

• Study Start (ACTUAL): November 1, 2018
• Primary Completion (ACTUAL): May 1, 2019
• Study Completion (ACTUAL): July 1, 2019

Study Registration Dates

• First Submitted: April 14, 2021
• First Submitted That Met QC Criteria: April 15, 2021
• First Posted (ACTUAL): April 20, 2021

Study Record Updates

• Last Update Posted (ACTUAL): April 20, 2021
• Last Update Submitted That Met QC Criteria: April 15, 2021
• Last Verified: April 1, 2021

More Information

Terms related to this study

• Keywords: Cerebral Palsy; Gait; Cognitive Task; Dual Task Paradigm; Motor Task
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Cerebral Palsy; Nervous System Diseases; Paralysis; Gait Disorders, Neurologic
• Other Study ID Numbers: CogMo-CP2021

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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