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Effects of Dual Task Training on Balance, Activity and Participation in Children With Cerebral Palsy

Not Applicable
Completed
Conditions
Cerebral Palsy
Interventions
Other: Dual task training
Other: Dual task training with backward walking
Registration Number
NCT06407765
Lead Sponsor
Riphah International University
Brief Summary

Cerebral palsy is a non progressive neurodevelopmental disorder that usually effects the muscles of the patients effecting its tone, strength and eventually ability to move. Dual tasking training incorporates more than one task at a time, it can b either physical task with movement or mental tasks. Backward walking is used to challenge the proprioception.

The study is a randomized controlled trial to assess the effects of Dual task training with and without Backward walking on balance, activity and participations on children with cerebral palsy. Study will be conducted in PSRD and Rehab care. Sample will be recruited randomly and then divided into two groups control and experimental group. Control group will receive dual task training and experimental group will receive both dual task training and backward walking. This treatment would continue for 4 weeks. Patient will be assessed both at the start and end of 4 weeks. The outcome tools for assessment of balance, activity and participation will be following: Pediatric Berg Balance Scale, Time up and Go test and Participation of daily life PODCI Questionnaire. Ethical consideration will be followed and informed consent will be taken from legal guardians.

Detailed Description

The randomized control trail includes two groups; Control and experimental group. Control group will receive Dual task training. Dual task training incorporates cognitive and motor task. motor task like waking on balance beam is combined with visual memory tasks like pointing towards an object the therapists asks, ask the patient to collect the hanging stars while different shapes are hanging above him, name the object in the picture shown to patient. This treatment will continue for 4 weeks, 4 times a week for 40 minutes.

Experimental group will receive both Dual task training and Backward walking. with the activities mentioned above patient will be asked to walk backward with any obstacle firstly with complete physiotherapist assistance and then gradually with less assistance. Secondly patients will be asked to cover a distance of 15 m through the treatment room's hallway while holding a safety bar with the hand on the unaffected side. Third, without using a safety bar, the participants were urged to walk freely. Lastly, the participants tried to walk backwards at a reasonable pace while progressively increasing their distance travelled and speed. the duration of the treatment will be the same. The patients will be assessed first at the start of treatment and then at the end of 4 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Children with cerebral palsy who have already received a diagnosis
  • Children with GMFCS Level I-II
  • Children between the ages of 6 and 12
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Exclusion Criteria
  • Being unable to complete the cognitive task, which involves counting back one after each number between 0 and 100
  • Posing a behavioral issue that makes it challenging to engage in the study
  • Being unable to walk independently
  • Children with concomitant cardiac conditions
  • Any musculoskeletal surgery performed during the previous six months
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Dual Task TrainingDual task trainingThis group will receive Dual task training
Dual task training with Backward walkingDual task training with backward walkingThis group will receive both Dual task training with Backward walking
Primary Outcome Measures
NameTimeMethod
Pediatric Berg Balance Scale4 weeks

A version of Berg's Balance Scale, the Pediatrics Balance Scale (PBS) was created as a balancing assessment for school-age children with mild to moderate motor deficits. There is a 0.998 intra-class correlation value (ICC).

Participation of Daily Life PODCI Questionnaire4 weeks

The PODCI is a parent-reported outcome measure that evaluates children's expectations of healthcare interventions as well as their mobility, physical function, comfort, and happiness. When assessing quality of life issues and walking function in children with cerebral palsy, the PODCI shows good validity and reliability.

Time up and go test4 weeks

In clinical practice, the "timed up and go" (TUG) test is a brief assessment tool used to evaluate adults' functional mobility. The TUG test has a high level of dependability in children as well, with an ICC of 0.99 both within a session and between tests.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Riphah international university

🇵🇰

Lahore, Punjab, Pakistan

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