Action Observation Therapy in Children With Spastic Diplegia (AOT/CP)
2026年6月11日 更新者：Esraa Elsayed Ali Hassan Elkiky、Cairo University
Effect of Live Versus Video Action Observation Training on Balance and Gait in Children With Spastic Diplegia
The aim of this study is to compare the effect of live versus video action observation training (AOT) on balance and gait in children with spastic diplegia.
調査の概要
状態
まだ募集していません
条件
詳細な説明
Children with spastic diplegic often face difficulties with balance and walking, affecting their independence and quality of life. Because of the impact of reduced gait speed and other gait abnormalities on their participation and quality of life, the main focus of physical therapy interventions is to improve balance and gait of children with cerebral palsy (CP).
Action observation training is a developing rehabilitation based on mirror neurons that activate when one performs movements or observes the movements of others. It is applied to improve motor skills and learning in athletes, healthy people, and patients with motor disorders.
Although many studies have focused on the application of action observation training (AOT), especially in improving upper limb function in individuals with stroke or children with CP, there is still a lack of sufficient research examining its effects on spasticity, gross motor abilities, balance, and gait in children with CP.
There is one study comparing the effects of live and video forms of AOT on upper limb function in children with hemiparetic CP. The researchers found that live AOT was more effective than video AOT in improving upper limb performance.
To our knowledge, there are no previous studies that compare the effect of live and video forms of AOT on balance and gait in children with spastic diplegia. Addressing this gap may provide valuable insights into the optimal mode of AOT delivery for enhancing balance and gait.
研究の種類
介入
入学 (推定)
45
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Esraa Elsayed Ali Elkiky, M.Sc
- 電話番号：+20 10 92002696
- メール：esraa.elkiky@gmail.com
研究連絡先のバックアップ
- 名前：Mai Elsayed Abbass, PhD
研究場所
-
-
-
Giza、エジプト、12511
- Outpatient clinic of the Faculty of physical therapy, Cairo University
-
コンタクト：
- Esraa Elsayed Ali Elkiky, M.Sc
- 電話番号：+20 10 92002696
- メール：esraa.elkiky@gmail.com
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Children of diplegia who walk by a crouch gait.
- The age of the selected children will range from 4 to 7 years old.
- Degree of spasticity will range from 1 to 1+, according to modified Ashworth scale (MAS).
- They will be selected as Level II according to Gross motor function classification system (GMFCS).
- They will be able to understand the tasks and researchers' instructions.
- Their heights are not less than 1 meter to be able to see the screen of the Biodex balance system.
Exclusion Criteria:
- Visual or auditory impairments.
- Vestibular impairments.
- Fixed deformities of the upper, lower limbs, and the spine.
- Botulinum toxin (Botox) injection for the last six months.
- Orthopedic surgeries in the last six months.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：A selected physical therapy program
Fifteen children will receive one hour of a selected physical therapy program, three times per week for 3 months.
|
Participants will receive a conventional physical therapy program, 3 sessions per week for 3 months.
The program will include approximation exercises, balance training, functional activities (sit-to-stand, squatting, stair climbing), gait training with obstacles, walking exercises on different surfaces, and stretching exercises for the upper and lower limbs.
The intervention aims to improve balance, mobility, coordination, and functional performance.
|
|
実験的：A selected physical therapy program + Live action observation training (AOT)
Fifteen children will receive 30 minutes of the same selected physical therapy program plus 30 minutes of live AOT, three times per week for 3 months.
|
Participants will receive a conventional physical therapy program, 3 sessions per week for 3 months.
The program will include approximation exercises, balance training, functional activities (sit-to-stand, squatting, stair climbing), gait training with obstacles, walking exercises on different surfaces, and stretching exercises for the upper and lower limbs.
The intervention aims to improve balance, mobility, coordination, and functional performance.
Participants will receive live AOT for 30 minutes, 3 times per week, for 3 months.
Each task will involve 3 minutes of observing the therapist performing the activity, followed by 3 minutes of verbal guidance and 3 minutes of task execution by the child.
A 1-minute rest period will be provided between tasks.
|
|
実験的：A selected physical therapy program + Video action observation training (AOT)
Fifteen children will receive 30 minutes of the same selected physical therapy program plus 30 minutes of video AOT, three times per week for 3 months.
|
Participants will receive a conventional physical therapy program, 3 sessions per week for 3 months.
The program will include approximation exercises, balance training, functional activities (sit-to-stand, squatting, stair climbing), gait training with obstacles, walking exercises on different surfaces, and stretching exercises for the upper and lower limbs.
The intervention aims to improve balance, mobility, coordination, and functional performance.
Participants will receive video-based AOT for 30 minutes, 3 times per week, for 3 months.
They will observe task demonstrations presented on a computer screen from multiple viewing angles, followed by guided practice and task performance, similar to the live AOT protocol.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Overall Stability Index (OSI)
時間枠：3 months
|
It will be assessed using the Biodex Balance System.
Participants will stand on a dynamic platform at stability level 5 for three 30-second trials.
The Overall Stability Index (OSI) will be recorded as a measure of postural stability in all directions.
Lower OSI values indicate better balance control and greater postural stability.
|
3 months
|
|
Anteroposterior Stability Index (APSI)
時間枠：3 months
|
It will be measured using the Biodex Balance System during dynamic balance testing.
APSI reflects the participant's ability to maintain balance in the forward and backward directions.
Lower APSI scores indicate improved anteroposterior postural control.
|
3 months
|
|
Mediolateral Stability Index (MLSI)
時間枠：3 months
|
It will be assessed using the Biodex Balance System.
MLSI evaluates the participant's ability to control balance in the side-to-side direction during dynamic standing.
Lower MLSI values indicate better mediolateral stability and balance performance.
|
3 months
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Hip Flexion Angle
時間枠：3 months
|
It will be assessed using Kinovea motion analysis software during gait.
Reflective markers will be placed on anatomical landmarks, and participants will walk at a self-selected speed while being recorded with a high-definition camera.
Hip flexion will be measured during the late swing phase, corresponding to peak hip flexion.
Greater hip flexion angles toward normative values will indicate improved gait kinematics.
|
3 months
|
|
Knee Flexion Angle
時間枠：3 months
|
It will be evaluated using Kinovea software from recorded gait videos.
Anatomical markers will be positioned on the greater trochanter, lateral femoral condyle, and lateral malleolus.
Knee flexion will be measured during the terminal stance phase.
Changes toward normal knee kinematics will be considered indicative of gait improvement.
|
3 months
|
|
Ankle Dorsiflexion Angle
時間枠：3 months
|
It will be measured using Kinovea software during gait analysis.
Reflective markers placed on the lower limb and foot will be used to calculate ankle joint kinematics.
Ankle dorsiflexion will be assessed at initial contact.
Increased dorsiflexion toward normal gait values will indicate improved gait performance.
|
3 months
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- スタディチェア：Eman Ibrahem El-Hadidy, PhD、Professor, Cairo university
- スタディディレクター：Mai Elsayed Abbass, PhD、Ass. Professor, Cairo university
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年6月20日
一次修了 (推定)
2026年9月20日
研究の完了 (推定)
2026年9月30日
試験登録日
最初に提出
2026年6月11日
QC基準を満たした最初の提出物
2026年6月11日
最初の投稿 (実際)
2026年6月16日
学習記録の更新
投稿された最後の更新 (実際)
2026年6月16日
QC基準を満たした最後の更新が送信されました
2026年6月11日
最終確認日
2026年6月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。