Virtual Reality Versus Balance Beam on Walking Performance in Children With Spastic Hemiplegic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 入组人数
- 75
- 试验地点
- 2
- 主要终点
- Balance it will be assist by HUMAC Balance Assessment system
研究概览
简要总结
Is there any difference between the use of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children?
详细描述
To compare the effect of Virtual reality and the traditional physical therapy program based on Neurodevelopmental technique with Spastic Hemiplegic Children.
To compare the effect of Balance beam and the traditional physical therapy program based on Neurodevelopmental technique with Spastic Hemiplegic Children.
To compare the effect of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children.
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
- Single (Participant)
入排标准
- 年龄范围
- 7 Years 至 11 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranges from 7 to 11 years old, from both genders.
- •Modified Ashworth scale adopted from, (Bohannon and Smith,1987) was used to select the patients with grade 1 and 1+ of Spasticity.
- •They were able to stand and walk.
- •Gross motor function measure scale GMFM (level I &II). (Russell et al. ,2013).
- •Children with good mentality to understand the evaluation steps.
排除标准
- •Children who have orthopedic surgery or Botulinum Toxin-A injection in the last 6 months.
- •Children who have any spinal deformities.
- •Children with severe muscle contracture.
研究组 & 干预措施
children treated by the traditional physical therapy program based on Neurodevelopmental technique
Twenty-five cerebral palsied hemiplegic children will be treated by the traditional physical therapy program ( balance board, single limb support, standing with throwing ball ) based on Neurodevelopmental technique for 6 month
干预措施: Virtual Reality (Device)
children treated by Virtual Reality for 15 min. besides the traditional physical therapy program
twenty-five cerebral palsied hemiplegics will be included in this group; they will be receive the regular physical therapy program in addition to training by Virtual reality with use of the HMD helmet allows users to perceive a 3D stereoscopic images that enable participants to interact with different balance games as football Soccer, football heading (known as Soccer Heading), the tight rope walks and the Penguin slide game.
干预措施: Virtual Reality (Device)
children treated by Balance Beam for 15 min besides the traditional physical therapy program
Twenty-five cerebral palsied hemiplegics will be included in this group; they will be receive the regular physical therapy program in addition to training by standing and walking in balance beam by differentiate levels of walking balance proficiency as varying widths of beam and walking in different direction (forward or backward).
干预措施: Virtual Reality (Device)
结局指标
主要结局
Balance it will be assist by HUMAC Balance Assessment system
时间窗: 6 month
Evaluation materials that used in assist balance : HUMAC Balance Assessment system consists of: 1- The force platform 2- The HUMAC CD holding the operating program This test will be use assess the sensory integration of balance and postural control in the conditions of eyes open and eyes closed from standing, lasts for 30 second and the test was repeated for three times and the mean value is calculated from the result of each trial which appears in the form of percent of stability in each trial
Walking ability
时间窗: 6 month
Evaluation materials Six Minute Walk Test (6MWT) it is a valid and reliable instrumentation using to asses walking capacity The child of this test is to walk as far as possible for 6 minutes. You will walk back and forth in this hallway, after the test, measured walking capacity exercise (BP, HR and SpO2) were re-measured.
次要结局
未报告次要终点
研究者
Mohanad Mohsen Madboly Elsayed
Principal Investigator, Pediatrics department, Faculty of Physical Therapy, Cairo University
Cairo University