Additional Effect of Visual Feedback Along With AOT on Balance,Mobility and Cognition in CP

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Action Observation Therapy; Other: Action Observation Therapy along with visual feedback

• Registration Number: NCT05775315
• Lead Sponsor: Riphah International University

Brief Summary

the study aims to find the effectiveness of visual feedback along with action observation therapy in cerebral palsy. the effect of AOT on mobility, cognition and balance of the targeted population will be the intrest of the researcher

Detailed Description

Not available

Study Timeline

• Study Start: 2022-09-16
• Study First Submitted: 2023-03-07
• Study First Submitted QC: 2023-03-07
• Study First Posted: 2023-03-20
• Status Verified: 2023-07
• Primary Completion: 2023-07-01
• Study Completion: 2023-07-01
• Last Update Submitted: 2023-07-31
• Last Update Posted: 2023-08-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

• Without visual impairment and visual field defects
• Mini-Mental state examination for Children (MMC) score >25
• GMFCS (gross motor function classification system) I-III
• Children with Modified Ashworth Scale (MAS) less than 2

Exclusion Criteria

• Unable to walk
• Children with severe co-morbidities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Action Observation Therapy	Action Observation Therapy	exercises of AO protocol
Visual feedback and Action Observation Therapy	Action Observation Therapy along with visual feedback	Excercises of AO protocol infront of a mirror

Primary Outcome Measures

Name	Time	Method
Timed 10-meter walk test	12 weeks	The test can be used to measure the gait ability and speed. The acceleration area 2.5m and deceleration area 2.5m can be marked on the ground as start and end point for the test. Participants are asked to walk for 15 minutes on comfortable flat floor at a comfortable speed and then the walking speed is recorded through stopwatch over 10 m between these points. The mean value of the three trials was used and expressed as m/s(14).
Mini Mental State Exam	12 weeks	It is a cognitive screening task and scoring system for 3 to 14 years old child (25). It is presented by 11 questions involving five basic cognitive abilities i.e. attention-concentration, orientation, registration, recall and language and constructive ability. The possible score range is from 0 to 37, from which 17 or lower score indicating as moderate to severe cognitive impairment of children.
Gross Motor Function Classification Scale (GMFCS)	12 weeks	Gross Motor Function measure (GMFM) is the valid and standard observational instrument to measure change in gross motor function in CP children. The tool consists of 66 items with 5 dimensions. These dimensions are the major motor functions i.e. supine/rolling, sitting, crawling/kneeling, standing and walking/running/jumping. Each task is rated according to the scoring guidelines i.e. higher score indicated better gross motor function. Each GMFM item is graded on 4-point scale i.e. 0 for unable to initiate the task, 1 for able to initiate the task, 2 for able to perform the task partially and 3 for able to perform the task completely. At the end these score summed up into total score. The component B,C,D and E of GMFCS will be used in this study respectively.
Pediatric Balance Scale (PBS)	12 weeks	PBS is a modified form of Berg Balance Scale (BSS) which was developed for balance measurement in CP child. It can be performed without specialized equipment and is easy to administrate. It includes 14 items with 5-level grading to assess the functional activities that child must safely and independently form at home, community, activities including sitting balance, sit to stand/stand to sit, transfer, stepping, reaching forward, reaching to floor, turning and stepping on and off at elevated surface. Each activity is rated according to scale from 0 to 4 i.e. 0 for unable to perform and 4 for able to perform without difficulty.

Trial Locations

Locations (1)

Center for Profound Education Trust; 🇵🇰 Rawalpindi, Punjab, Pakistan