Effects of Dual Task Training on Gait Parameters in Spastic Diplegic Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Kutahya Health Sciences University
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Gate speed of time-distance gait parameters
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This study aims to investigate the effects of dual task training on gait and balance parameters, gross motor function skills, functional mobility skills, functional independence levels and health-related quality of life o in children with spastic diplegic cerebral palsy. The clinical study's hypothesis is the dual task training programs are superior to conventional physiotherapy programs to improve the parameters in spastic diplegic cerebral palsy.
Detailed Description
In this self-controlled study, children with spastic diplegic cerebral palsy, aged 7-16, who were at level 1 or 2 according to the Gross Motor Function Classification System, scored 27 and above from the Modified Mini Mental Test were included. Children are recruited to the routine physiotherapy program 45 minutes 2 days a week for 8 weeks, and in addition to the routine physiotherapy program dual task training program 45 minutes 2 days a week for the next 8 weeks. The children will evaluate at baseline, after the routine physiotherapy program and after the dual task training program. Children will be evaluate with Gross Motor Function Measurement-88,Modified Ashworth Scale , gait platform, Edinburgh Visual Gait Score, Pediatric Berg Balance Scale,1 Minute Walk Test, Functional Independence Measure, Pediatric Quality of Life Inventory TM-Cerebral Palsy Module.
Investigators
Eda Ozge OKUR
Principal Investigator
Kutahya Health Sciences University
Eligibility Criteria
Inclusion Criteria
- •Having been diagnosed with spastic diplegic cerebral palsy,
- •Being at level 1 or 2 according to the Gross Motor Function Classification System,
- •Being at level 1 according to Communication Function Classification System,
- •To adapt to the evaluations,
- •To get 27 points or above from the Modified Mini Mental Test (MMMT).
Exclusion Criteria
- •Having had injuries such as strains, sprains or fractures of the lower extremity in the last six months,
- •Having undergone a surgical intervention or Botulinum toxin in the last six months,
- •Having any known chronic systemic problems,
- •Having uncontrollable seizures,
- •Having vision or hearing problems.
Outcomes
Primary Outcomes
Gate speed of time-distance gait parameters
Time Frame: Change from baseline time-distance gait parameters at 8th week and 16th week
Gate speed will be evaluated using with gait platform. The software gives the outcome as km/h.
Visual gait analysis
Time Frame: Change from baseline visual gait analysis at 8th week and 16th week
Visual gait analysis will be performed with Edinburgh Visual Gait Score. Edinburg Visual Gait Score is scoring between 0 to 34 for each lower extremity. The higher scores points above 0 means abnormal gate.
Stride length of time-distance gait parameters
Time Frame: Change from baseline time-distance gait parameters at 8th week and 16th week
Stride length will be evaluated using with gait platform.The software gives the outcome as cm.
Functional balance
Time Frame: Change from baseline functional balance at 8th week and 16th week
Functional balance will be evaluate using with Pediatric Berg Balance Scale. The scale is scoring 0-56. The higher scores indicate better functional balance.
Step time of time-distance gait parameters
Time Frame: Change from baseline time-distance gait parameters at 8th week and 16th week
Step time will be evaluated using with gait platform.The software gives the outcome as sec and calcules for each lower extremity.
Cadance of time-distance gait parameters
Time Frame: Change from baseline time-distance gait parameters at 8th week and 16th week
Step time will be evaluated using with gait platform.The software gives the outcome as steps/min.
Center of Pressure path length of balance parameters
Time Frame: Change from baseline balance parameters at 8th week and 16th week.
Center of Pressure path length will be evaluated using with gait platform. The software gives the outcome as mm.
Step length of time-distance gait parameters
Time Frame: Change from baseline time-distance gait parameters at 8th week and 16th week
Step lengt will be evaluated using with gait platform. The software gives the outcome as cm and calcules for each lower extremity.
Stride time of time-distance gait parameters
Time Frame: Change from baseline time-distance gait parameters at 8th week and 16th week
Step time will be evaluated using with gait platform.The software gives the outcome as sec.
Ellipse area of balance parameters
Time Frame: Change from baseline balance parameters at 8th week and 16th week.
Ellipse area will be evaluated using with gait platform. The software gives the outcome as mm2.
Secondary Outcomes
- Functional Mobility Skills(Change from baseline Functional Mobility Skills at 8th week and 16th week)
- Gross Motor Function Measurement(Change from baseline Gross Motor Function Measurement at 8th week and 16th week)
- Muscle Tonus(Change from baseline Muscle Tonus at 8th week and 16th week)
- Health-related quality of life(Change from baseline health-related quality of life at 8th week and 16th week)
- Functional Independence Levels(Change from baseline Functional Independence Levels at 8th week and 16th week)