Wii Sport Games Versus Task-oriented Training on Gait in Children With Unilateral Cerebral Palsy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- South Valley University
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- stride length of affected side(cm)
Study Overview
Brief Summary
The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy
Detailed Description
This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP.
A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in hemiplegic cp. In a future study, seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Masking Description
Single (Outcomes Assessor) Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group 1 (control group) and Group 2 (virtual reality group), group 3 (task oriented training)
Eligibility Criteria
- Ages
- 7 Years to 9 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Their age will ranging from 7 to 9 years.
- •Children participated in this study will from both sexes.
- •Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
- •All children will able to walk supported or unsupported by the therapist.
- •Children will able to follow the instructions during testing and training.
- •All children had no fixed contractures or deformities at the lower limb.
Exclusion Criteria
- •Children with visual or auditory problems.
- •Children with history of epilepsy.
- •Children with structural joints deformities of the lower limbs.
- •Children with history of surgical interference in lower limbs less than one year.
- •Children with convulsions and fixed contractures.
- •Uncooperative children.
Arms & Interventions
the control group
Group 1 the control group received selected physical therapy program which contain strengthening exercises for upper limb and lower limb muscles, stretching exercises for elbow extensors, hand supinator, wrist extensors, knee extensors and ankle dorsiflexors, balancing exercises, coordination exercises and gait training exercises in open environment.
Intervention: selected physical therapy program (Other)
virtual reality
Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min.
Intervention: selected physical therapy program (Other)
Task oriented
Group 3 the study group received the same physical therapy program 30 min. plus task oriented training for 30 min.
Intervention: selected physical therapy program (Other)
Outcomes
Primary Outcomes
stride length of affected side(cm)
Time Frame: stride length assessed at day 90.
the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)
cadence (number)
Time Frame: cadence assessed at day 90.
number of steps in each min.
step length of affected side (cm)
Time Frame: step length assessed at day 90.
distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)
cadence (number)
Time Frame: cadence assessed at day 0.
number of steps in each min.
step length of affected side (cm)
Time Frame: step length assessed at day 0.
distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)
stride length of affected side(cm)
Time Frame: stride length assessed at day 0.
the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)
Secondary Outcomes
No secondary outcomes reported
Investigators
Nehad Ahmed Youness Abo-zaid
Lecturer of physical therapy
South Valley University