Effect of Live Versus Video Action Observation Training on Balance and Gait in Children With Spastic Diplegia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Overall Stability Index (OSI)
研究概览
简要总结
The aim of this study is to compare the effect of live versus video action observation training (AOT) on balance and gait in children with spastic diplegia.
详细描述
Children with spastic diplegic often face difficulties with balance and walking, affecting their independence and quality of life. Because of the impact of reduced gait speed and other gait abnormalities on their participation and quality of life, the main focus of physical therapy interventions is to improve balance and gait of children with cerebral palsy (CP).
Action observation training is a developing rehabilitation based on mirror neurons that activate when one performs movements or observes the movements of others. It is applied to improve motor skills and learning in athletes, healthy people, and patients with motor disorders.
Although many studies have focused on the application of action observation training (AOT), especially in improving upper limb function in individuals with stroke or children with CP, there is still a lack of sufficient research examining its effects on spasticity, gross motor abilities, balance, and gait in children with CP.
There is one study comparing the effects of live and video forms of AOT on upper limb function in children with hemiparetic CP. The researchers found that live AOT was more effective than video AOT in improving upper limb performance.
To our knowledge, there are no previous studies that compare the effect of live and video forms of AOT on balance and gait in children with spastic diplegia. Addressing this gap may provide valuable insights into the optimal mode of AOT delivery for enhancing balance and gait.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 4 Years 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children of diplegia who walk by a crouch gait.
- •The age of the selected children will range from 4 to 7 years old.
- •Degree of spasticity will range from 1 to 1+, according to modified Ashworth scale (MAS).
- •They will be selected as Level II according to Gross motor function classification system (GMFCS).
- •They will be able to understand the tasks and researchers' instructions.
- •Their heights are not less than 1 meter to be able to see the screen of the Biodex balance system.
排除标准
- •Visual or auditory impairments.
- •Vestibular impairments.
- •Fixed deformities of the upper, lower limbs, and the spine.
- •Botulinum toxin (Botox) injection for the last six months.
- •Orthopedic surgeries in the last six months.
研究组 & 干预措施
A selected physical therapy program + Live action observation training (AOT)
Fifteen children will receive 30 minutes of the same selected physical therapy program plus 30 minutes of live AOT, three times per week for 3 months.
干预措施: A selected physical therapy program (Other)
A selected physical therapy program
Fifteen children will receive one hour of a selected physical therapy program, three times per week for 3 months.
干预措施: A selected physical therapy program (Other)
A selected physical therapy program + Live action observation training (AOT)
Fifteen children will receive 30 minutes of the same selected physical therapy program plus 30 minutes of live AOT, three times per week for 3 months.
干预措施: Live action observation training (AOT) (Other)
A selected physical therapy program + Video action observation training (AOT)
Fifteen children will receive 30 minutes of the same selected physical therapy program plus 30 minutes of video AOT, three times per week for 3 months.
干预措施: A selected physical therapy program (Other)
A selected physical therapy program + Video action observation training (AOT)
Fifteen children will receive 30 minutes of the same selected physical therapy program plus 30 minutes of video AOT, three times per week for 3 months.
干预措施: Video action observation training (AOT) (Other)
结局指标
主要结局
Overall Stability Index (OSI)
时间窗: 3 months
It will be assessed using the Biodex Balance System. Participants will stand on a dynamic platform at stability level 5 for three 30-second trials. The Overall Stability Index (OSI) will be recorded as a measure of postural stability in all directions. Lower OSI values indicate better balance control and greater postural stability.
Anteroposterior Stability Index (APSI)
时间窗: 3 months
It will be measured using the Biodex Balance System during dynamic balance testing. APSI reflects the participant's ability to maintain balance in the forward and backward directions. Lower APSI scores indicate improved anteroposterior postural control.
Mediolateral Stability Index (MLSI)
时间窗: 3 months
It will be assessed using the Biodex Balance System. MLSI evaluates the participant's ability to control balance in the side-to-side direction during dynamic standing. Lower MLSI values indicate better mediolateral stability and balance performance.
次要结局
- Hip Flexion Angle(3 months)
- Knee Flexion Angle(3 months)
- Ankle Dorsiflexion Angle(3 months)
研究者
Esraa Elsayed Ali Hassan Elkiky
Principal Investigator, Assistant lecturer
Cairo University