Effect of a Light Stimulated Footsteps Pathway on Kinematics of Gait in Spastic Diplegic Children
Overview
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- Amira saad mohamed
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- step length
Overview
Brief Summary
PURPOSE: The purpose of this study will be investigation of the effect oflight stimulated footsteps pathway on kinematics of gait in spastic diplegic children BACKGROUND: The goal of most therapy procedures for children with spastic cerebral palsy is to increase their walking abilities. Locomotor training usinglight stimulated footsteps pathwayhas been recommended for the rehabilitation of children with cerebral palsy in an effort to improve walking independence and gait speed.
HYPOTHESES: Walking on light stimulated footsteps pathway may not affect kinematics of gait in spastic diplegic children RESEARCH QUESTION: Does walking on light stimulated footsteps pathway have any effect onkinematics of gait in spastic diplegic children?
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 4 Years to 8 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age will range between5 and 8 years old.
- •They had Grade 1 and 1+ hypertonia according to Modified Ashworth Scale (Bohannon and Smith, 1987)
- •Motor Classification System, they were at level I and II (GMFCS)
- •They will capable of following commands and comprehend them.
- •They will exhibit defective gait kinematics, which can be determined through gait kinematics evaluation.
- •All patients who will be enrolled to the study will have their informed consent.
Exclusion Criteria
- •Epilepsy history.
- •Taking any anti spastic drugs.
- •Both lower limbs had permanent deformity.
- •Surgical intervention history.
- •Have visual or auditory defects.
- •Chest infections or unstable cardiac status.
- •Infective skin conditions.
- •Markedly high or low blood pressure.
- •Individuals with cardiopulmonary conditions.
- •Individuals with any pelvic disease.
Arms & Interventions
Control Group (A)
This group of fifteen children received a regular traditional therapeutic exercise program three times per week for three month based on the Pragmatic approach .
Intervention: therapeutic exercise (Other)
Study Group (B)
The fifteen children in this group got the same therapeutic exercise program as the control group, as well as 30 minutes of gait training on light stimulated footsteps pathway three times per week for three month.
Intervention: therapeutic exercise (Other)
Study Group (B)
The fifteen children in this group got the same therapeutic exercise program as the control group, as well as 30 minutes of gait training on light stimulated footsteps pathway three times per week for three month.
Intervention: gait training on light stimulated footsteps pathway (Other)
Outcomes
Primary Outcomes
step length
Time Frame: At baseline and re assessed following 3 months
kinovea software used to evaluate step length The unit of measurement for Step Length is centimeter (cm)
step width
Time Frame: At baseline and re assessed following 3 months
kinovea software used to evaluate step width The unit of measurement for Step width is centimeter (cm)
spasticity
Time Frame: At baseline and re assessed following 3 months
The Modified Ashworth Scale (MAS) used for evaluation MAS assigns a grade of spasticity from a 0-4 ordinal scale. The grade is assigned by moving a joint/muscle through a high velocity quick stretch.
gross motor function
Time Frame: At baseline and re assessed following 3 months
The Gross Motor Function Measure (GMFM) is a standardized tool used to assess changes in gross motor function in children, particularly those with cerebral palsy. The GMFM uses a four-point ordinal scale for scoring each item, where: 0: Does not initiate 1. Initiates (but does not complete) 2. Partially completes 3. Completes the task fully Scores can be summed to calculate raw and percent scores for each dimension and a total GMFM score.
Secondary Outcomes
No secondary outcomes reported
Investigators
Amira saad mohamed
lecturer of physical therapy
Cairo University