Effect of Nordic Walking on Gait-asymmetry Patterns in Children With Hemiparesis

Not Applicable

Not yet recruiting

• Conditions: Cerebral Palsy
• Interventions: Other: designed physical therapy program; Other: Nordic walking

• Registration Number: NCT05644652
• Lead Sponsor: Cairo University

Brief Summary

Nordic walking is a physical activity consisting of walking with poles similar to ski poles. The poles are designed for the purpose of activating the upper body during walking. The poles are equipped with rubber or spike tips and the walking itself resembles.

Detailed Description

Compared to normal walking in Nordic walking there is a stronger involvement of the upper body. Furthermore, by using the poles, the muscles in the upper body can be activated, and the length of each step taken is supposedly increased, resulting in a faster gait .

Study Timeline

• Study First Submitted: 2022-09-29
• Status Verified: 2022-11
• Study First Submitted QC: 2022-11-30
• Last Update Submitted: 2022-11-30
• Study First Posted: 2022-12-09
• Last Update Posted: 2022-12-09
• Study Start: 2023-01-01
• Primary Completion: 2024-01-30
• Study Completion: 2024-01-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Their age will range from 6-10 years, from both sexes.
• Level I, II and III of gross motor functional classification system (GMFCS) (Jooyeon et al., 2011)
• Grade 1 and 1+ spasticity according to the Modified Ashworth Scale (MAS). (Cloptonetal et al., 2005).

Exclusion Criteria

• Uncontrolled epilepsy.
• Mental retardation or autistic features.
• Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
• Structural or fixed soft tissue deformities of the lower and/or upper extremities.
• Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities.
• Botox injection in the lower and/or upper extremities in the past 6 months.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Nordic walking group	designed physical therapy program	Children in this group will receive the same designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. while the Nordic walking training for 20 minutes will replace the functional gait training.
Nordic walking group	Nordic walking	Children in this group will receive the same designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. while the Nordic walking training for 20 minutes will replace the functional gait training.
control group	designed physical therapy program	15 Children in this group will receive a designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months.

Primary Outcome Measures

Name	Time	Method
Assessment of gait	after 3 successive months	The gait parameters will be assessed by kinovea software. Kinovea, free 2D motion analysis software, was created in 2009 via the non-profit collaboration of several researchers, athletes, coaches and programmers from all over the world. It enables the analysis of distances, angles, coordinates and spatial-temporal parameters frame by frame from a video recording. These measurements can be made from different perspectives, since the software carries out calibrations in non-perpendicular planes to the camera-object line analyzed. spatio-temporal parameters will be measured