Effects of TOT on Walking in Children With CP

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Conventional rehabilitation treatment; Other: Task oriented training

• Registration Number: NCT04561349
• Lead Sponsor: Riphah International University

Brief Summary

The purpose of the study was to determine the effects of task oriented training (TOT) on walking and balance in children with spastic Cerebral Palsy (CP).

Detailed Description

The aim of study is to evaluate the effectiveness of task-oriented training on the walking in Cerebral Palsy children and compare its results with that of the conservative rehabilitation treatment. By training children to walk using task oriented training not only improves their walk and balance but also encourage them to actively participate in their own treatment process. Task oriented training approach can prove to be an effective technique for those CP children who can perform ambulation and have defined targets for gross motor activities

Study Timeline

• Study Start: 2018-06-01
• Primary Completion: 2019-01-01
• Study Completion: 2019-01-30
• Status Verified: 2020-09
• Study First Submitted: 2020-09-17
• Study First Submitted QC: 2020-09-22
• Last Update Submitted: 2020-09-22
• Study First Posted: 2020-09-23
• Last Update Posted: 2020-09-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Spastic CP children of age between 4 to 14 years
• With spasticity 2 or less on Modified Ashworth scale
• Who can walk (GMFCS level 1-3) and can
• Can perform different activities on command

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Exclusion Criteria

• Children with cognitive impairment
• Lower limb surgery in last 6 months
• Tetraplegic CP and who are unable to walk and follow command

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Conventional rehabilitation treatment	Conventional rehabilitation treatment	Conventional rehabilitation treatment includes mat activities and range of motion (ROM) of all limbs, Lower limb strengthening and stretching, walking, cycling
Task-oriented training (TOT)	Task oriented training	Task-oriented training consisted of different functional tasks for lower limbs to improve balance and walk

Primary Outcome Measures

Name	Time	Method
Functional Walking Test (FWT)	6th week	The purpose of function walk test is to evaluate the walking balance and functional walking ability of a child. It has 5 main components. With different scores each, that is 3, 2 and 1. Also it specifies if there is any asymmetry between Right and Left lower limb and better limb functioning is recorded. Total score of FWT is 23 points
Modified Ashworth scale (MAS)	6th week	The modified Ashworth scale is a muscle tone assessment scale used to assess the resistance experienced during passive range of motion, which does not require any instrumentation and is quick to perform.; A score of 1 indicates no resistance, and 5 indicates rigidity.
Timed Up and Go test (TUG)	6th week	A line was marked on floor at a distance at a distance of 3 meters (9.8 feet) leveled walking. A score of 30 seconds or more suggests that the person may be prone to falls. Alternatively, a recommended practical cut-off value for the TUG to indicate normal versus below normal performance is 12 seconds.
Gross Motor Function Classification System (GMFCS)	6th week	GMFCS divides the CP children into 5 levels, where level 1 is the least affected and most functional children and level 5 most affected and least functional.

Trial Locations

Locations (1)

Armed Forces Institute of Rehabilitation Medicine (AFIRM); 🇵🇰 Rawalpindi, Punjab, Pakistan