Forward Versus Backward Gait Training on Functional Abilities in Children With Spastic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Gross Motor Function Measure (GMFM-88) score
研究概览
简要总结
This study aims to compare the effects of forward versus backward gait training on functional abilities in children with spastic cerebral palsy. Participants will receive gait training sessions focusing on either forward or backward walking to evaluate improvements in balance, mobility, and gross motor function.
详细描述
> Cerebral palsy is a common neurological disorder in children that affects movement and posture. Spastic cerebral palsy is characterized by muscle stiffness and impaired motor control, which limits the child's functional mobility.
Gait training is an essential part of rehabilitation programs for children with cerebral palsy. Previous studies have shown that both forward and backward walking can improve motor performance, but limited evidence exists comparing the two methods directly.
The present randomized clinical trial aims to compare the effects of forward gait training versus backward gait training on functional abilities in children with spastic cerebral palsy. Participants will be randomly assigned into three groups: group (A) will receive a designed physical therapy program. group (B) will receive the same program with forward gait training on treadmill. group (C) will receive the same designed physical therapy program beside backward gait training on treadmill three times weekly over three successive months.
Outcome measures will include muscle strength of measurements, range of motion of lower limb,gait pattern changes and gross motor function measurements.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 9 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1-All children will be spastic diplegic cerebral palsy. 2- Age will be ranged from 6-9 years old.
- •They will have spasticity grade 1 to 1+ according to Modified Ashwarth's Scale (Appendix II).
- •4. Both genders will be included.
- •Their gross motor function ability will be selected at level I, II according to Gross Motor Function Classification System (GMFCS).
- •6. They will be able to understand and follow verbal commands included in evaluation and training.
排除标准
- •1- Any surgical intervention in upper or lower limbs. 2¬- Any type of fracture. 3- Visual and/or auditory defects. 4- Other neurological conditions rather than CP. 5- Significant tightness or fixed deformity of lower limbs and spine. 6- Congenital heart disease.
研究组 & 干预措施
control group (designed physical therapy program)
participants will receive designed physical therapy exercises only
干预措施: control group ( designed physical therapy program) (Behavioral)
forward gait training
participants will receive designed physical therapy exercises beside forward gait training.
干预措施: forward gait training (Behavioral)
backward gait training
participants will receive designed physical therapy exercises beside backward gait training.
干预措施: backward gait training (Behavioral)
结局指标
主要结局
Gross Motor Function Measure (GMFM-88) score
时间窗: Baseline and after three months of intervention
The GMFM-88 will be used to assess changes in gross motor function in children with spastic cerebral palsy before and after the intervention. Higher scores indicate better motor performance.
次要结局
未报告次要终点
研究者
Ramy Abdulmoneem Abdullah Khidr
Principal Investigator and Physiotherapist, Ministry of Health - Egypt
Cairo University