- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05740020
Effect of Virtual Reality in Spider Cage on Gross Motor Performance and Balance in Children With Spastic Diplegia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The current study will be directed to investigate effect of virtual reality on gross motor and balance as the weakness of the trunk muscles and lower limb muscles along with spasticity potentially predispose balance and walking issues of children with bilateral spastic CP .
The balance deficits in children with CP are multifactorial. According to the system's model proposed by Woollacott and Shumway-Cook, multiple systems contribute to postural dysfunction in children with CP. Muscle weakness and stiffness of lower limb muscles account for biomechanical constraints and postural malalignment during standing and functional balancing.
Virtual reality is one of the novel technology-based approaches to treat balance and motor function in children with CP. It utilizes the interactive simulations created in computer hardware and software, in which the children find opportunities to engage in environments appearing real to them .
After reviewing the available previous published studies, it was found that there is no previous study directly compared between the effects of virtual reality and physical therapy in spider cage on gross motor performance and balance with diplegic children CP children. Both therapeutic modalities were found to induce good clinical outcomes when studied separately, so this study will be conducted to examine the effectiveness of virtual reality.
The greater demand for physical therapy for Paediatrics' signifies the need for more effective, safer and evident therapeutic modalities. The findings of this study will help both; the therapists and the children to save time, effort and reach the best results in concise times.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Amr Mohsen, bachelor's
- Phone Number: 01019161542
- Email: Amr201220142016@gmail.com
Study Locations
-
-
Kafrelsheikh
-
Kafr Ash Shaykh, Kafrelsheikh, Egypt
- Physical Therapy
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Children will be included in the study if they fulfil the following criteria:
- A medical diagnosis of spastic diplegic CP made by pediatricians or pediatric neurologists.
- Children with spasticity grades ranged from 1 to 2+ according to Modified Ashworth scale (MAS).
- Their age range from 6 to 12 years.
- Children who can sit on the chair with good balance and recognize and follow verbal orders and commands included in both testing and training techniques.
Exclusion Criteria:
Children with a permanent spastic diplegia, who might have one or more of the following, will be excluded:
- They had a permanent deformity (bony or soft tissue contractures).
- Children having visual or auditory defects.
- Current hospitalization for urgent medical reasons.
- Severe mental retardation.
- Children who will undergo fewer than twelve regular sessions of physical therapy at their place will not be included in the survey.
- Children with history of epileptic seizure or any diagnosed cardiac or orthopedic disability that may hinder assessment methods and treatment.
Study Plan
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: Group (A)
Group (A) will receive virtual reality in addition to the traditional exercise program.
|
A specialized VR glasses will be used and VR games application in spider cage
The selected physical therapy program:
5. Gait training activities: aims to improve balance (figure 9). 6. Balance training program: aims to improve balance (figure 10). |
Active Comparator: Group (B)
Group (B) will receive traditional exercise program.
|
The selected physical therapy program:
5. Gait training activities: aims to improve balance (figure 9). 6. Balance training program: aims to improve balance (figure 10). |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
GROSS MOTOR PERFORMANCE
Time Frame: 3 monthes
|
we will use Gross Motor Function Measure 88 (GMFM-88) to measure Gross motor performance. this score range from (0 to 100 ) zero is the minimum value and 100 is the maximum value |
3 monthes
|
BALANCE
Time Frame: 3 monthes
|
we will use Pediatric Balance Scale (PBS) to measure Balance.
this score range from (0 to 56 ) zero is the minimum value and 56 is the maximum value
|
3 monthes
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EG, KFS lab Research 1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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