Effect of Task Oriented Training With Functional Electrical Stimulation on Balance in Children With Hemiparesis
To investigate the efficacy of combination of task-oriented training and Functional electrical stimulation of ankle dorsiflexor muscles on:
- Strength of ankle muscles in children with hemiparesis.
- Balance in children with hemiparesis.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Nourhan Reda Abdel Razek Dawood, physical therapist
- Telefonnummer: 01017173755
- E-Mail: Eman_pediatrics2016@yahoo.com
Studienorte
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Damietta, Ägypten
- Rekrutierung
- Damietta general hospital.
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Kontakt:
- Nourhan Reda Abdel Razek Dawood, physical therapist
- Telefonnummer: 01017173755
- E-Mail: Eman_pediatrics2016@yahoo.com
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Kind
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- The age of the selected children will be ranged from 6 to 9 years.
- Able to follow simple instructions.
- Degree of spasticity is ranging from 1to 1+ according to modified Ashworth scale.
- The level of motor function of the children will be levels I-II according to Gross Motor Function Classification System.
Exclusion Criteria:
The children will be excluded if they have one or more of the following criteria:
- Visual, hearing disorders.
- Recent Botox injection or orthopedic surgery in the lower limb in the last 6 months before the start of the study.
- Any fixed deformity of lower limb.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Aktiver Komparator: conventional exercise program
The control group consist of 18 children will receive conventional exercise program for 60 min.
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The program will run three days a week on non-consecutive days, focusing on various exercises for children.
Activities include: 1) knee manipulation for balance; 2) guided body weight shifting; 3) balancing on a board; 4) training for equilibrium and protective reactions; 5) gait training in a closed environment with obstacles; 6) open environment gait training; 7) strengthening exercises for the back, hips, and knees; and 8) passive stretching for tight muscles in both lower and upper limbs.
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Experimental: task-oriented training
Study group consist of 18 children will receive task-oriented training while applying the functional electrical stimulation on the affected lower limb for 20 min in addition to conventional exercise program for 40 min.
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The program will run three days a week on non-consecutive days, focusing on various exercises for children.
Activities include: 1) knee manipulation for balance; 2) guided body weight shifting; 3) balancing on a board; 4) training for equilibrium and protective reactions; 5) gait training in a closed environment with obstacles; 6) open environment gait training; 7) strengthening exercises for the back, hips, and knees; and 8) passive stretching for tight muscles in both lower and upper limbs.
1. Activities involve standing and reaching for objects at various distances and heights.
2. Sit-to-stand tasks are performed from different chair heights and while carrying objects.
3. Stepping activities occur in various directions and on different block heights and surfaces.
4. Alternating heel and toe raises focus on increasing repetitions.
5. Stairs are ascended and descended with added weight and object carrying.
6. Backward walking starts near a wall, progressing to shuttle runs.
7. Walking on a balance beam involves increased speed and varied surfaces.
The study will utilize Everyway Medical Instruments for electrical stimulation, with one electrode on the tibialis anterior muscle and the other on the common peroneal nerve.
A tilt sensor will trigger stimulation during the swing phase of the tibia.
The stimulation parameters include a pulse frequency of 25-40 hertz, a pulse duration of 250 to 300 milliseconds, and an on-off time ratio of 1:2 for 20 minutes, aimed at inducing ankle dorsiflexion while preventing inversion.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Assessment of balance
Zeitfenster: at baseline and after 8 weeks
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Pediatric balance scale will be used to assess balance for all children participated in this study.
It contains 14-item.
Scoring for each item is scored 0 points (lowest function) to 4 points (highest function), with maximum score of 56 points.
Calculation of the total score by summation of the score of the 14 items
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at baseline and after 8 weeks
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Assessment of muscle strength
Zeitfenster: at baseline and after 8 weeks
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Each child will practice two trials per test to ensure familiarity.
Peak force values will be recorded using the handheld dynamometer after three trials for both break and method tests for each muscle group.
Standardized instructions will be provided, and encouragement will be given for maximal effort.
During the break test, force will increase progressively over one second to maximize muscle fiber activation.
Children will be shown test conduct prior to starting three trials.
For the tibialis anterior muscle test, children will lay on a plinth with legs restrained and push against a device with their foot.
Assessing ankle muscle groups, especially plantar flexors and dorsiflexors, is crucial for understanding power generation in walking and gait speed, particularly in stroke patients, while testing positions will be optimized for clinical feasibility.
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at baseline and after 8 weeks
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- Nourhan_Msc
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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