Comparison of Inclined Backwalk vs Kneel Walk on Genurecurvatum in Hemiplegic Cerebral Palsy

Not Applicable

Recruiting

• Conditions: Hemiplegic Cerebral Palsy

• Registration Number: NCT05770778
• Lead Sponsor: Sehat Medical Complex

Brief Summary

The 40-68% of ambulating hemiplegic children walk with genu recurvatum and hemiplegic patients shows excessive anterior pelvic tilts (\>4 cm) during the stance phase. The objective of the study is to compare the effects of inclined backward treadmill walk vs kneel walk on genu recurvatum in hemiplegic cerebral palsy. 50 participants will be chosen according to inclusion exclusion criteria of the study which will be randomly allocated into two equal groups . One group will receive treadmill training programme with specifically designed physical therapy program according to child need for one hour for each child. And other group will receive kneel walking programme specifically designed physical therapy program according to child need for one hour for each child. The pre and post assessment of genurecurvatum will be assessed by Goniometer.

Detailed Description

Efficiency of walking and the development of independent gait are often the focus of therapeutic interventions for children with CP. Motor learning theory suggests that when encountering a new motor skill or adapting a motor skill to a specific situation, a group of interconnected neurons is selected from a primary neuronal repertoire based on prior experience of the task. Generated movement patterns and postural adjustments are then refined via afferent feedback. Therefore, it has been argued that to develop and improve a motor skill such as walking, opportunities for repetitive practice of the skill need to be offered. For this reason use of a mechanical treadmill may improve walking in children with CP. Treadmill walking provides increased opportunity to repetitively train the whole gait cycle, facilitate an improved gait pattern. Improved walking has the potential to increase the mobility and positively influence the societal participation of children with CP at home, at school and in the wider community.

Study Timeline

• Status Verified: 2023-02
• Study Start: 2023-02-03
• Study First Submitted: 2023-02-24
• Study First Submitted QC: 2023-03-14
• Last Update Submitted: 2023-03-14
• Study First Posted: 2023-03-15
• Last Update Posted: 2023-03-15
• Primary Completion: 2023-06
• Study Completion: 2023-07

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• GMFM level (I & II)
• knee hyperextension ranged from 10 to 20 degrees

Exclusion Criteria

• Children with comorbidities (other knee deformities, surgical intervention or fractures) will not included in this study.
• Children who recently have botulinum toxin injection.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Range of Motion	Change from baseline at 3rd Month	The limit or length ranges of each plane of the joint

Trial Locations

Locations (1)

Sehat Medical Complex, Lahore; 🇵🇰 Lahore, Punjab, Pakistan