Moderate Versus High-intensity Interval Training in Children With Diplegia.

Moderate Intensity Training Versus High Intensity Interval Training on Gait and Energy Expenditure in Children With Spastic Diplegia.

The aim is to compare the effects of moderate-intensity training and high-intensity interval training on gait, energy expenditure, and functional mobility in children with spastic diplegia. Methods: Thirty children with spastic diplegic cerebral palsy were allocated randomly into two groups (n=15 each). The group A and the group B. Assessment of functional mobility and energy expenditure and gait analysis for all children of both groups were assessed before and after the suggested period of treatment.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy
• Intervention / Treatment: Procedure: Moderate intensity training; Procedure: High intensity interval training

Detailed Description

Methods: Thirty children with with spastic diplegic cerebral palsy were allocated randomly into two groups ( n= 15 each). The group A (received aerobic training with moderate intensity endurance training "MIET" by walking or running on a treadmill) and the group B (received aerobic training exercises in a form of high intensity interval training "HIT" by walking or running on a treadmill). Treatment was delivered for 20minutes, 3 times per week for two successive months. Assessment of functional mobility and energy expenditure using Timed Up and Go(TUG) test and Energy Expenditure Index Heart Rate(EEIHR) respectively, while gait analysis for both lower limb angles of (hips and Knees) assessment using 2d gait analysis by( Kinovea) software. All children of both groups assessed before and after the suggested period of treatment.

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

Contacts and Locations

Study Locations

• Egypt
  • Giza, Egypt
    • Faculty of physical therapy, Cairo University

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

1. Their age ranged from 3 to 5 years old
2. The degree of spasticity ranged from 1+ to 2 according to modified Ashworth scale
3. They were able to walk with limitations or holding on according to Gross Motor Function Classification System (II, III).
4. They were able to follow instructions and understand commands.
5. They were medically stable.

Exclusion criteria:

1. Children who had bone and tendon lengthening surgeries within the last 6 months.
2. Children with lung and heart diseases and disorders.
3. Children with fixed deformities in joints and bones of lower limbs.
4. Children performing different sorts of physical activities.
5. Children receiving any medications affecting muscle and mental function or antiepileptic drugs that affect the mental function.
6. Children with perceptual defects.
7. Children with any visual or sound-related issues.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A; Group A (received aerobic training with moderate intensity endurance training "MIET" by walking or running on a treadmill). Treatment was delivered for 20minutes, 3 times per week for two successive months.	Procedure: Moderate intensity training; Moderate-intensity endurance training (MIET) by walking or running on a treadmill
Experimental: Group B; Group B (received aerobic training exercises in the form of high-intensity interval training (HIT) by walking or running on a treadmill). Treatment was delivered for 20minutes, 3 times per week for two successive months.	Procedure: High intensity interval training; Aerobic training exercises in a form of high-intensity interval training (HIIT) by walking or running on a treadmill

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Gait	Assessed by 2D gait analysis	2 months
Functional mobility	Assessed by Time Up and Go test	2 months
Energy Expenditure	Assessed by Energy Expenditure Index Heart Rate	2 months

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Mai E. Abbass, Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): November 23, 2024
• Primary Completion (Actual): March 10, 2025
• Study Completion (Actual): March 10, 2025

Study Registration Dates

• First Submitted: December 4, 2025
• First Submitted That Met QC Criteria: December 4, 2025
• First Posted (Actual): December 17, 2025

Study Record Updates

• Last Update Posted (Actual): December 17, 2025
• Last Update Submitted That Met QC Criteria: December 4, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: Cerebral palsy
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Brain Damage, Chronic; Cerebral Palsy; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Physical Conditioning, Human; Exercise; High-Intensity Interval Training
• Other Study ID Numbers: P.T.REC/012/002427

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