Effect of AO Training on Gross Motor Function in Children with Spastic Cerebral Palsy

Effect of Action Observation Training on Gross Motor Function in Children with Spastic Cerebral Palsy

The study was conducted to examine the impact of the action observation training (AOT) on gross motor function in children with spastic cerebral palsy.

Study Overview

• Status: Completed
• Conditions: Diplegic Spastic Cerebral Palsy
• Intervention / Treatment: Other: action observation trainingAOT refers to an observational practice that has been used extensively for the goal of motor programming and enhances motor learning and performance

Detailed Description

Thirty children with spastic diplegic cerebral palsy aged from 4 to 7 years were randomly allocated into two groups of equal number; study group (A) and control group (B). Both groups received designed physical therapy program for 45 minutes, three times/ per week for two successive months. In addition, study group received action observation (AO) training for 30 minutes per session. All phases of gait cycle and functional ability of all children participating in both groups was assessed by kenovia software and gross motor function measure (GMFM) walking, running and jumping domain.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • El giza, Egypt
    • Faculty of Physical Therapy , Cairo University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Age ranges from 4 - 7 years. Level Ι - Π according to Gross Motor Functional Classification System (GMFCS) (Appendix II).

Grade 1, +1 and 2 of the Modified Ashworth Scale (Appendix III). Able to follow verbal commands and instructions.

Exclusion Criteria:

• Significant visual or auditory impairments Structural or fixed soft tissue deformities of Lower extremities. Perception disorders. Botox injection in the lower extremity in the past 6 months.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Effect of action observation training on gross motor function in children with cerebral palsy; Action observation training used to improve gross motor function including walking, jumping and running domain in children with cerebral palsy by observing at imitate phases of gait cycle performed by a normal person	Other: action observation trainingAOT refers to an observational practice that has been used extensively for the goal of motor programming and enhances motor learning and performance; In AOT, motor-related information can be available through the visual function by encoding into the mental representation of the memory to organize the intended action
Experimental: action observation training; Action observation training (AO) is cognitive intervention technique that is used to improve and learn exercise skills in sports, athletes, the general public and patient with motor impairment	Other: action observation trainingAOT refers to an observational practice that has been used extensively for the goal of motor programming and enhances motor learning and performance; In AOT, motor-related information can be available through the visual function by encoding into the mental representation of the memory to organize the intended action

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Primary Outcome Measure	1. Gross Motor Function Measure All children were assessed using the GMFM-88 scale. The GMFM scale has been validated to assess change in motor performance in children with CP. In this study we assessed the items of walking, running and jumping of the GMFM. The items are scored on four-point ordinal scales (0=cannot initiate; 1=initiates; 2=partially completes item; 3=completes item independently)	8 weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): May 27, 2023
• Primary Completion (Actual): November 16, 2023
• Study Completion (Actual): February 4, 2024

Study Registration Dates

• First Submitted: December 21, 2024
• First Submitted That Met QC Criteria: December 21, 2024
• First Posted (Actual): March 25, 2025

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: December 21, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Neurologic Manifestations; Musculoskeletal Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Muscular Diseases; Muscle Hypertonia; Neuromuscular Manifestations; Brain Damage, Chronic; Muscle Spasticity; Cerebral Palsy
• Other Study ID Numbers: exercises on motor function

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
• product manufactured in and exported from the U.S.: No