The Effect of Motor Imagery Training on Muscle Activity, Motor Imagery and Functional Movement Skills in Individuals Unilateral Cerebral Palsy
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Abant Izzet Baysal University
- Enrollment
- 51
- Locations
- 1
- Primary Endpoint
- Movement Imagery Questionnaire-Children(MIQ-C)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Motor imagery (MI) is a promising method to improve more cognitive aspects of motor behaviour, and may, thus, be effective for facilitating motor planning in children with Cerebral Palsy (CP). MI training facilitates the neural plasticity by enhancing the neuronal cortical pathways in brain. In children with CP, motor planning and MI capacity were found to be affected by studies. In the literature, there are studies about the evaluation of MI in Unilateral CP but there is insufficient number of studies included in MI in the rehabilitation program.
The aim of the study was to investigate the effect of motor imagery training for gait and lower extremity muscle activity (with EMG), functional capacity, quality of life, and time performance variables in Children with Unilateral CP.
The eligible participants will be allocated three groups, including motor imagery training group, traditional physiotherapy control group, and healthy control group. All the assessments will be performed before and after the training in the 8-week motor imagery training group and 6 weeks after the end of training. The participants in the control group will be evaluated with a 8-week interval and 6 weeks after the end of physiotherapy training. The healthy participants will be assessed only once. The motor imagery training will be designed for the individual basis with standard protocols. It will be applied two times a week for 8 weeks. All sessions will be performed in the clinic.
Detailed Description
Unilateral CP and age matched healthy individuals will be participate the study between the ages of 7 and 18 years. Children's gross motor skills classified with GMFCS. The control group individuals will be given a traditional physiotherapy two days per week for a total of 8 weeks (traditional physiotherapy session will last 45 minutes). Motor imagery training group will receive a traditional physiotherapy and motor imagery training within a specific program, two days a week for a total of 8 weeks (30 minutes traditional physiotherapy session+15 minutes MI training) . Within the scope of MI training, individual training program will be determined by taking into consideration the needs of the individuals and the expectations for gait. The basic case of PETTLEP (Physical, Environment, Task, Timing, Learning, Emotion, Perspective) will be followed. MI training will be given individually with the same physiotherapist.
Investigators
Demet Karabulut
PhD Student
Abant Izzet Baysal University
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of Cerebral Palsy voluntary participation
- •Age between 7-18 years, Children with Unilateral Cerebral Palsy
- •With suitable cognitive state for training
- •To attend a formal school
- •GMFCS Level I-II
- •IQ\>70 Children with Unilateral Cerebral Palsy (from children's file)
- •Mini-Mental State Exam For Children score above 24
Exclusion Criteria
- •Severe cognitive impairment and not able to follow task instructions
- •IQ\<70 Children with Unilateral Cerebral Palsy (from children's file)
- •Who received motor imagery training last 6 months
- •Severe Vision and hearing problems
- •Botox or surgeries in the last 6 months
Outcomes
Primary Outcomes
Movement Imagery Questionnaire-Children(MIQ-C)
Time Frame: Change from Baseline at 8 weeks and 14 weeks
Visual and Kinesthetic motor imagery ability will be evaluated with MIQ-C. Includes 12 items in total. The individual is asked to visualize four different movements from three different imagery perspectives. The clearness of the imagination is scored using a Likert-type scale between 1 (very difficult to feel) -7 (very easy to feel)
Mental Chronometry for Timed Up and Go Test
Time Frame: Change from Baseline at 8 weeks and 14 weeks
Motor imagery capacity will be evaluated by mental chronometry. This paradigm compares the duration between the actual movement and the imagined movement similar task duration. In this paradigm, participants are asked to do the Timed Up and Go test (TUG) and then they are asked to imaging the TUG. The timing of the imaging and actual movement will be determined by the stopwatch. Then compare the duration of actual and imagined movements. The temporal accuracy between actual and imagined movement will be calculated in terms of the delta time.
Secondary Outcomes
- Gross Motor Function Classification System (GMFCS)(At Baseline)
- Mini-Mental State Exam For Children (Mmc)(At Baseline)
- Surface electromyography (sEMG)(Change from Baseline at 8 weeks and 14 weeks)
- Pediatric Evaluation of Disability Inventory (PEDI)(Change from Baseline at 8 weeks and 14 weeks)
- Timed Up and Go Test(Change from Baseline at 8 weeks and 14 weeks)
- Conner's Parent Rating Scale-Revised Short form (CPRS-RS)(At Baseline)
- Modified Tardieu Scale (MTS)(Change from Baseline at 8 weeks and 14 weeks)
- Pediatric Outcomes Date Collection (PODCI) (Questionnaire)(Change from Baseline at 8 weeks and 14 weeks)
- Five Times Sit to Stand Test(Change from Baseline at 8 weeks and 14 weeks)
- Mental Chronometry for Five Times Sit to Stand Test(Change from Baseline at 8 weeks and 14 weeks)
- Functional muscle strength(Change from Baseline at 8 weeks and 14 weeks)
- Motor imagery clarity scale(Change from Baseline at 4 weeks and 8 weeks)
- 10-Meter Walk Test(Change from Baseline at 8 weeks and 14 weeks)
- Mental Chronometry for 10-Meter Walk Test(Change from Baseline at 8 weeks and 14 weeks)
- Laterality Task(Change from Baseline at 8 weeks and 14 weeks)
- Motor imagery entertainment scale(Change from Baseline at 4 weeks and 8 weeks)