Music Effect on Concentration and Gait in Cerebral Palsy Children During Physical Therapy Sessions (NMT\CP)

Effect of Physiotherapy With Auditory Cueing on Concentration and Gait in Children With Spastic Cerebral Palsy

• To investigate the effect of music therapy as an additional intervention with physical therapy on concentration in children with spastic CP.
• To investigate the effect of music therapy as an additional intervention with physical therapy on gait parameters for the children with spastic CP.

Study Overview

• Status: Not yet recruiting
• Conditions: Gait; Attention
• Intervention / Treatment: Behavioral: Music therapy; Other: physical therapy traditional

Detailed Description

Physical therapy only could be not attractive for child if it done by the traditional way; focus on motor part and no need to involve the sensory part through the rehabilitation.

Sense of hearing could be a unique one to stimulate for a better child attention during physical therapy session, even child with blindness could benefit from this idea.

Using music for attracting attention of the child as a therapeutic way so the child can walk properly regarding time and pace.

Singing as a live form of music could be more sensitive and interactive for child-therapist bond which is important to include the child as an active participant as child is being rehabilitated not just treatment.

Rehabilitation means to involve the child as a whole at this complicated process, not to move a passive limb.

Rehabilitation of CP:

• A "temporal axis": Habilitation/rehabilitation should begin early and continuously - a minimum within the first years of child's life - and intensively - individually designed to meet child's needs.
• A "spatial axis": where individual space, family, school, and social affair places must be all considered.
• An "individual axis": Rehabilitation must observe the child as an active participant, not as a passive person of whom needs care.
• A "relational axis": the standard of taking into consideration the relationship of the child and people who take care of him/her in different contexts of their life (Trabacca et al., 2016).

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Shrouk Mahmoud Mohamed researcher at Cairo university faculty of physical therapy, master; Phone Number: +201002952353; Email: shrouk.rere@gmail.com
• Study Contact Backup: Name: Maya Galal Abd-Alwahab, Doctorate; Phone Number: +201141904589; Email: maya.galal@pt.cu.edu.eg

Study Locations

• Egypt
  • Giza Governorate
    • Dokki, Giza Governorate, Egypt, 02
      • Faculty of Physical Therapy Cairo University

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• • The children age ranged from 5 to 7 years old (early childhood).

  • Spasticity degree ranges from 1 to 1+ as measured by the Modified Ashworth Scale
  • Children with lack of concentration according to MARS (Moss Attention Rating Scale)
  • Children can stand alone and walk.

Exclusion Criteria:

• • Children with deafness.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: MT and PT; music and physical therapy	Behavioral: Music therapy; Neurologic music therapy (NMT) Listening to music and moving rhythmically.; Other: physical therapy traditional; program for gait improvement ( Standing, balance and gait training)
Active Comparator: PT; Physical therapy	Other: physical therapy traditional; program for gait improvement ( Standing, balance and gait training)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
concentration as a cognitive function	ability of child to pay attention during physical therapy sessions and be interactive with the therapist, measured by Moss Attention Rating Scale, score of 22 (minimum score) to less than 110 (maximum score), Higher scores indicate better attention.	pre intervention and 3 months post intervention
Gait	improvement measured by Gross motor function measure 88 (gait section), 0 (minimum score) to 100 (maximum score) percentage %	pre intervention and 3 months post intervention
Kinovea, (Spatial and Temporal Parameters)	Kinovea, (Spatial and Temporal Parameters); Step length in centimeters (higher score better)	pre and 3 months post intervention
Kinovea, (Spatial and Temporal Parameters) ; stride length in centimeters (higher score better)	Kinovea, (Spatial and Temporal Parameters); stride length in centimeters (higher score better)	pre and 3 months post intervention
Gait (cadence)	Using Kinovea, cadence measured in steps\minute (lower score better).	pre and 3 months post intervention

Collaborators and Investigators

• Sponsor: Cairo University
• Collaborators: physical therapy of cairo university
• Investigators: Study Chair: Kamal El-sayed Shoukry, Doctorate, Professor of Physical Therapy for Pediatrics Faculty of Physical Therapy Cairo University

Study record dates

Study Major Dates

• Study Start (Estimated): May 20, 2026
• Primary Completion (Estimated): December 15, 2026
• Study Completion (Estimated): May 15, 2027

Study Registration Dates

• First Submitted: May 13, 2026
• First Submitted That Met QC Criteria: June 3, 2026
• First Posted (Actual): June 4, 2026

Study Record Updates

• Last Update Posted (Actual): June 4, 2026
• Last Update Submitted That Met QC Criteria: June 3, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: CP; gait; children; music; attention; auditory cue; sensory motor rehabilitation
• Additional Relevant MeSH Terms: Therapeutics; Complementary Therapies; Patient Care; Psychotherapy; Behavioral Disciplines and Activities; Rehabilitation; Aftercare; Continuity of Patient Care; Sensory Art Therapies; Music Therapy
• Other Study ID Numbers: P.T.REC/012/002297

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