Virtual Reality versusTask-oriented for Gait in CP

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: selected physical therapy program

• Registration Number: NCT04533789
• Lead Sponsor: South Valley University

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 Timeline

• Study Start: 2019-05-22
• Primary Completion: 2020-05-22
• Study Completion: 2020-07-29
• Status Verified: 2020-08
• Study First Submitted: 2020-08-16
• Study First Submitted QC: 2020-08-26
• Last Update Submitted: 2020-08-26
• Study First Posted: 2020-09-01
• Last Update Posted: 2020-09-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

1. Their age will ranging from 7 to 9 years.
2. Children participated in this study will from both sexes.
3. Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
4. All children will able to walk supported or unsupported by the therapist.
5. Children will able to follow the instructions during testing and training.
6. All children had no fixed contractures or deformities at the lower limb.

Exclusion Criteria

1. Children with visual or auditory problems.
2. Children with history of epilepsy.
3. Children with structural joints deformities of the lower limbs.
4. Children with history of surgical interference in lower limbs less than one year.
5. Children with convulsions and fixed contractures.
6. Uncooperative children.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
the control group	selected physical therapy program	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.
virtual reality	selected physical therapy program	Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min.
Task oriented	selected physical therapy program	Group 3 the study group received the same physical therapy program 30 min. plus task oriented training for 30 min.

Primary Outcome Measures

Name	Time	Method
cadence (number)	cadence assessed at day 90.	number of steps in each min.
step length of affected side (cm)	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)
stride length of affected side(cm)	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)

Trial Locations

Locations (1)

South Valley University, Faculty of Physical Therapy; 🇪🇬 Qina,, Egypt