Effect of Nordic Walking on Gait-asymmetry Patterns in Children With Hemiparesis

March 26, 2026 updated by: Amira Mahmoud Abd-elmonem, Cairo University
Nordic walking is a physical activity consisting of walking with poles similar to ski poles. The poles are designed for the purpose of activating the upper body during walking. The poles are equipped with rubber or spike tips and the walking itself resembles.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Compared to normal walking in Nordic walking there is a stronger involvement of the upper body. Furthermore, by using the poles, the muscles in the upper body can be activated, and the length of each step taken is supposedly increased, resulting in a faster gait .

Study Type

Interventional

Enrollment (Actual)

40

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
      • Giza, Egypt
        • Cairo University

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

6 years to 10 years (Child)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Their age will range from 6-10 years, from both sexes.
  • Level I, II and III of gross motor functional classification system (GMFCS) (Jooyeon et al., 2011)
  • Grade 1 and 1+ spasticity according to the Modified Ashworth Scale (MAS). (Cloptonetal et al., 2005).

Exclusion Criteria:

  • Uncontrolled epilepsy.
  • Mental retardation or autistic features.
  • Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
  • Structural or fixed soft tissue deformities of the lower and/or upper extremities.
  • Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities.
  • Botox injection in the lower and/or upper extremities in the past 6 months.

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: control group
15 Children in this group will receive a designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months.
Other: designed physical therapy program

it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (15minutes each) as follows:

  • Flexibility exercises to restore joint mobility of soft tissues.
  • Static and dynamic balance exercises
  • Functional strengthening exercises.
  • Functional gait training.
Experimental: Nordic walking group
Children in this group will receive the same designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. while the Nordic walking training for 20 minutes will replace the functional gait training.
Other: Nordic walking
it will be conducted according to the guidelines of the International Nordic Walking Federation
Other: designed physical therapy program

it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (15minutes each) as follows:

  • Flexibility exercises to restore joint mobility of soft tissues.
  • Static and dynamic balance exercises
  • Functional strengthening exercises.
  • Functional gait training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assessment of gait
Time Frame: after 3 successive months
The gait parameters will be assessed by kinovea software. Kinovea, free 2D motion analysis software, was created in 2009 via the non-profit collaboration of several researchers, athletes, coaches and programmers from all over the world. It enables the analysis of distances, angles, coordinates and spatial-temporal parameters frame by frame from a video recording. These measurements can be made from different perspectives, since the software carries out calibrations in non-perpendicular planes to the camera-object line analyzed. spatio-temporal parameters will be measured
after 3 successive months

Collaborators and Investigators

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

Sponsor

Cairo University

Investigators

  • Study Chair: Emam H El-negamy, Phd, Cairo university, faculty of physical therapy
  • Principal Investigator: Maricha A Nashed, B.Sc., Cairo 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)

July 1, 2023

Primary Completion (Actual)

May 30, 2024

Study Completion (Actual)

June 30, 2024

Study Registration Dates

First Submitted

September 29, 2022

First Submitted That Met QC Criteria

November 30, 2022

First Posted (Actual)

December 9, 2022

Study Record Updates

Last Update Posted (Actual)

March 31, 2026

Last Update Submitted That Met QC Criteria

March 26, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Nordic walking

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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