Additional Effects on tDCS With AOT on Lower Limb Functions on Children With Diplegic CP (tDCS)
Additional Effects on Transcranial Direct Current Stimulation (tDCS) With Action Observation Therapy on Lower Limb Functions on Children With Diplegic Cerebral Palsy
The goal of this clinical trial is to evaluate the therapeutic effects of combining active transcranial direct current stimulation (tDCS) with Action Observation Therapy (AOT) in pediatric patients diagnosed with spastic Cerebral Palsy. The main questions it aims to answer are:
- Does combining tDCS with AOT yield significantly greater improvements in gross motor function (measured by GMFM-88) compared to AOT alone?
- Does active tDCS paired with AOT lead to greater reductions in spasticity (MAS) and improvements in walking speed (10MWT) at 6 weeks post-intervention?
Researchers will compare participants receiving active tDCS plus AOT against a control group receiving sham tDCS plus AOT to isolate the synergistic effects of active brain stimulation.
Participants will:
- Complete baseline clinical evaluations including gross motor, spasticity, and gait assessments.
- Undergo scheduled intervention sessions consisting of tDCS administration combined with video-based Action Observation Therapy.
- Attend follow-up assessment sessions at the end of the intervention period and 6 weeks post-intervention.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Dr. Ayesha Bashir, MS-NMPT
- Telefonnummer: +923335256920
- E-Mail: ayesha.bashir@riphah.edu.pk/
Studieren Sie die Kontaktsicherung
- Name: Ayesha Bashir
Studienorte
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-
Punjab Province
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Wah, Punjab Province, Pakistan, 47000
- Rekrutierung
- Alam Family Hospital
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-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Participants diagnosed with spastic diplegic cerebral palsy with a Modified Ashworth Scale (MAS) score of 2
- Age between 6 to 12 years old
- Participants classified as Communication Function Classification System (CFCS) Level II
- Participant with CFCS Level II
Exclusion Criteria:
- Presence of uncontrolled epilepsy (any seizure within the past 6 months).
- Implanted metallic or electronic devices (e.g., pacemaker, cochlear implant, deep brain stimulator).
- Severe dystonia, ataxia, or predominant weakness interfering with upper limb or lower limb function.
- Severe visual impairment (not correctable with aids) preventing participation in action observation tasks.
- Botulinum toxin injections in the affected limb(s) within the past 6 months or planned during study period.
- Orthopedic surgery to the affected limb(s) within the past 12 months or planned during study period.
- Skin conditions, lesions, or infections at electrode placement sites.
- Current use of medications significantly affecting cortical excitability (e.g., high-dose benzodiazepines, anticonvulsants), unless cleared by neurologist.
- Participation in another interventional clinical trial within the past 3 months.
- Any medical or psychiatric condition that, in the investigator's judgment, makes participation unsafe or interferes with study outcomes.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Aktiver Komparator: Experimental Group
TDCS+ Action observation Therapy |
Observation of video recorded Active Anodal tDCS (1-1.5 mA) |
|
Schein-Komparator: Control Group
Sham TDCs + Action Observation Therapy |
Observation of video recorded Sham TDCs |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Gross Motor Functional Measurement (GMFM-88)
Zeitfenster: Baseline and 6 months (post - intervention)
|
Assessment of Gross Motor Capacity focusing on standing |
Baseline and 6 months (post - intervention)
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
10-Meter Walk Test (10MWT)
Zeitfenster: Baseline and 6 weeks (post-intervention)
|
Measures walking speed in meters per second over 10 meters |
Baseline and 6 weeks (post-intervention)
|
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Modified Ashworth Scale (MAS) - Muscle tone
Zeitfenster: Baseline and 6 weeks (post-intervention)
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Evaluate muscle spasticity in lower limb joints |
Baseline and 6 weeks (post-intervention)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Ayesha Bashir, Riphah International University
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Jeong YA, Lee BH. Effect of Action Observation Training on Spasticity, Gross Motor Function, and Balance in Children with Diplegia Cerebral Palsy. Children (Basel). 2020 Jun 18;7(6):64. doi: 10.3390/children7060064.
- Magdy E, Hanna S, Shoukry KE-S. Effect of Action Observation Training on Gross Motor Functions in Children with Spastic Cerebral Palsy. Egyptian Journal of Hospital Medicine. 2025;97(1):3820-6.
- Zhong M, Zhang Y, Luo J, Chen T, Zhang J, Peng T Sr, Han M, Le W, Peng T Jr, Xu K. Safety and effectiveness of non-invasive brain stimulation on mobility and balance function in children with cerebral palsy: a systematic review and meta-analysis. J Neuroeng Rehabil. 2025 May 18;22(1):111. doi: 10.1186/s12984-025-01619-7.
- Lench DH, Christopher P, Gavioli M, Nytes G, Ikonomidou C, Villegas MA, Gillick BT. Long-term outcome safety assessment after teleneuromodulation in children with cerebral palsy. Brain Stimul. 2024 May-Jun;17(3):633-635. doi: 10.1016/j.brs.2024.04.017. Epub 2024 May 11. No abstract available.
- Stein A, Riddle J, Caulfield KA, Dux PE, Friehs MA, Schroeder PA, Craven MP, Groom MJ, Iyer KK, Barlow KM. Safety, Feasibility, and Tolerability of Ten Days of At-Home, Remotely Supervised tDCS During Gamified Attention Training in Children with Acquired Brain Injury: An Open-Label, Dose-Controlled Pilot Trial. Brain Sci. 2025 May 24;15(6):561. doi: 10.3390/brainsci15060561.
- Farzamfar P, Heirani A, Amiri E, Sedighi M, da Silva Machado DG. The Effect of Transcranial Direct Current Stimulation on M1 with and without Mirror Visual Feedback on Range of Motion and Hand Grip Strength of the Affected Upper Limb in Children with Spastic Hemiplegic Cerebral Palsy. Iran J Child Neurol. 2024 Fall;18(4):93-106. doi: 10.22037/IJCN.V18I4.45110. Epub 2024 Sep 29.
- Tang L, Wu Y, Ma J, Lu Y, Wang L, Shan C. Application of tDCS in children with cerebral palsy: A mini review. Front Pediatr. 2022 Sep 20;10:966650. doi: 10.3389/fped.2022.966650. eCollection 2022.
- Christopher P, Sutter EN, Gavioli M, Lench DH, Nytes G, Mak V, Simpson EA, Ikonomidou C, Villegas MA, Saiote C, Gillick BT. Safety, tolerability and feasibility of remotely-instructed home-based transcranial direct current stimulation in children with cerebral palsy. Brain Stimul. 2023 Sep-Oct;16(5):1325-1327. doi: 10.1016/j.brs.2023.08.024. Epub 2023 Aug 29. No abstract available.
- He W, Huang Y, He L, Liu L, Zeng P, Qiu H, Wang X, Zhou H, Chen Z, Xu Y, Zhao J, Wang W, Tang H, Xu K. Safety and effects of transcranial direct current stimulation on hand function in preschool children with hemiplegic cerebral palsy: A pilot study. Front Behav Neurosci. 2022 Sep 9;16:925122. doi: 10.3389/fnbeh.2022.925122. eCollection 2022.
- Beani E, Menici V, Sicola E, Ferrari A, Feys H, Klingels K, Mailleux L, Boyd R, Cioni G, Sgandurra G. Effectiveness of the home-based training program Tele-UPCAT (Tele-monitored UPper Limb Children Action Observation Training) in unilateral cerebral palsy: a randomized controlled trial. Eur J Phys Rehabil Med. 2023 Oct;59(5):554-563. doi: 10.23736/S1973-9087.23.07945-5. Epub 2023 Jul 18.
- Errante A, Beccani L, Verzelloni J, Maggi I, Filippi M, Bressi B, Ziccarelli S, Bozzetti F, Costi S, Ferrari A, Fogassi L. Effectiveness of action observation treatment based on pathological model in hemiplegic children: a randomized-controlled trial. Eur J Phys Rehabil Med. 2024 Aug;60(4):643-655. doi: 10.23736/S1973-9087.24.08413-2. Epub 2024 May 30.
- Simon-Martinez C, Mailleux L, Jaspers E, Ortibus E, Desloovere K, Klingels K, Feys H. Effects of combining constraint-induced movement therapy and action-observation training on upper limb kinematics in children with unilateral cerebral palsy: a randomized controlled trial. Sci Rep. 2020 Jun 26;10(1):10421. doi: 10.1038/s41598-020-67427-2.
- Beani E, Matteucci E, Sicola E, Martini G, Di Lieto MC, Bombonato C, Menici V, Cotardo A, Rizzo M, Filogna S, Camuncoli F, Biagi L, Cioni G, Fedeli F, Gelmini C, Neviani R, Vecchi O, Perazza S, Faccioli S, Errante A, Piras A, Sicuri E, Bozzetti F, Boyd RN, Ferrari A, Fogassi L, Sgandurra G. ACT-ON-DIP: Study Protocol of a Randomized Controlled Trial of a Home-Based ACTion Observation Tele-RehabilitatioN for Upper Limb in Children with DIPlegic Cerebral Palsy. Children (Basel). 2025 Sep 14;12(9):1229. doi: 10.3390/children12091229.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
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
- Erkrankungen des Gehirns
- Erkrankungen des zentralen Nervensystems
- Erkrankungen des Nervensystems
- Hirnschaden, chronisch
- Zerebralparese
- Therapeutika
- Verhaltensdisziplinen und Aktivitäten
- Elektrische Stimulationstherapie
- Krampfhafte Therapie
- Psychiatrische somatische Therapien
- Elektroschock
- Psychologische Techniken
- Transkranielle Direktstromstimulation
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- RCRAHS-ISB/REC/MS-PT/02470
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