Dual Task Training in Spastic Cerebral Palsy

Not Applicable

Not yet recruiting

• Conditions: Spastic Cerebral Palsy
• Interventions: Other: conventional therapy; Other: Dual Task Training

• Registration Number: NCT06407856
• Lead Sponsor: Riphah International University

Brief Summary

Cerebral palsy(CP) is a non-progressive disorder, undergoing mishap to the developing brain and it affect a person's ability to move and maintain balance and posture. Old name of CP is "Little's disease". In Spastic diplegic, muscle stiffness is mainly in the legs, with the arms less affected or not affected at all. There could be secondary musculoskeletal problems due to muscle weakness resulting from poor alignment, limited range of motion, and asymmetrical posture. These deformities are negatively affected by biomechanical movements and can affect balance and gait functions. The main goal of rehabilitation in children with cerebral palsy is to restore independent walking. However, children with cerebral palsy have limited mobility, which leads to gait disorders (short steps, slow walking speed, increased swing phase and postural instability). Therefore, it is important to choose an effective training method to improve the balance and gait of children with cerebral palsy. Walking training can help improve muscle tone, postural control and gait function as well as improve muscle strength, endurance, and coordination of the lower extremities. A growing body of evidence supports implementing dual-task gait training for enhancing functional mobility and cognitive performance. This will be a randomized controlled trial, data will be collected from Rising Sun Institute, Mughalpura campus. A study will be conducted on 32 patients. Inclusion criteria of this study is spastic diplegic CP children with age between 6 to 12 years, with GMFCS level 1 to 3 and those who can walk 50 m without mechanical walking aids and maintain standing for more than 5 seconds without falling will be included. Exclusion criteria of this study is low intellectual ability (IQ \< 80) and behavioral symptoms which might affect participation in the protocol, none of the children had surgery or botulinum toxin injections during the year prior to the assessment. Group1 will receive conventional therapy for 30 minutes a day, 3 times a week for 8 weeks. And group 2 will receive conventional therapy with dual-task training for 30 minutes a day, 3 times a week for 8 weeks. For the pre- and post-evaluation of all participants Berg balance scale and Gait outcome assessment list-(GOAL) will be used. Data will be analyzed through SPSS version 23.00.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-05
• Study First Submitted: 2024-05-06
• Study First Submitted QC: 2024-05-06
• Last Update Submitted: 2024-05-06
• Study First Posted: 2024-05-09
• Last Update Posted: 2024-05-09
• Study Start: 2024-05-15
• Primary Completion: 2024-08-05
• Study Completion: 2024-08-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Participant's age will be between 6-12 years.
• Patient should be diagnosed with spastic diplegic cerebral palsy.
• GMFCS I-III

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Exclusion Criteria

• Low intellectual ability (IQ < 80) and behavioral symptoms which might affect participation in the protocol.
• If patient had any progressive neurological disorder disease.
• If he/she had surgery or botulinum toxin injections during the year prior to the assessment will also be excluded

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
conventional therapy	conventional therapy	This group will only receive conventional physical therapy.
Dual Task Training with Conventional Therapy	conventional therapy	This group will only receive Dual Task Training along conventional therapy
Dual Task Training with Conventional Therapy	Dual Task Training	This group will only receive Dual Task Training along conventional therapy

Primary Outcome Measures

Name	Time	Method
Pediatric Balance Scale	baseline and 8 weeks	The (PBS) pediatric balance scale, a modification of the Berg Balance Scale, was developed as a balance measure for school-age children with mild-to-moderate motor impairments. It gives good test-retest and interrater reliability when used, ranged from 0.87 to 1.0
Gait Outcome Assessment List-(GOAL)	baseline and 8 weeks	Gait Outcome Assessment List-(GOAL) is a valid assessment of gait function in ambulant children with CP. It has the potential to improve understanding of the child's and parents' priorities and thus, in conjunction with IGA, provide a more balanced assessment across the domains of theorld Health Organization's International Classification of Functioning, Disability and Health. It is a valid and reliable tool. It has a reliability of 0.92 and validity of 0.90

Trial Locations

Locations (1)

Imran Amjad; 🇵🇰 Lahore, Punjab, Pakistan