Wii Sport Games Versus Task-oriented Training on Gait in Children With Unilateral Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- stride length of affected side(cm)
研究概览
简要总结
The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy
详细描述
This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP.
A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in hemiplegic cp. In a future study, seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.
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
- Double (Participant, Investigator)
盲法说明
Single (Outcomes Assessor) Blinding process to participants and care providers was impossible due to the nature of intervention therapy. Data were analyzed by an impartial statistician (outcomes assessor), referring to each arm with an encoded name: Group 1 (control group) and Group 2 (virtual reality group), group 3 (task oriented training)
入排标准
- 年龄范围
- 7 Years 至 9 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Their age will ranging from 7 to 9 years.
- •Children participated in this study will from both sexes.
- •Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
- •All children will able to walk supported or unsupported by the therapist.
- •Children will able to follow the instructions during testing and training.
- •All children had no fixed contractures or deformities at the lower limb.
排除标准
- •Children with visual or auditory problems.
- •Children with history of epilepsy.
- •Children with structural joints deformities of the lower limbs.
- •Children with history of surgical interference in lower limbs less than one year.
- •Children with convulsions and fixed contractures.
- •Uncooperative children.
研究组 & 干预措施
the control group
Group 1 the control group received selected physical therapy program which contain strengthening exercises for upper limb and lower limb muscles, stretching exercises for elbow extensors, hand supinator, wrist extensors, knee extensors and ankle dorsiflexors, balancing exercises, coordination exercises and gait training exercises in open environment.
干预措施: selected physical therapy program (Other)
virtual reality
Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min.
干预措施: selected physical therapy program (Other)
Task oriented
Group 3 the study group received the same physical therapy program 30 min. plus task oriented training for 30 min.
干预措施: selected physical therapy program (Other)
结局指标
主要结局
stride length of affected side(cm)
时间窗: stride length assessed at day 90.
the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)
cadence (number)
时间窗: cadence assessed at day 90.
number of steps in each min.
step length of affected side (cm)
时间窗: step length assessed at day 90.
distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)
cadence (number)
时间窗: cadence assessed at day 0.
number of steps in each min.
step length of affected side (cm)
时间窗: step length assessed at day 0.
distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)
stride length of affected side(cm)
时间窗: stride length assessed at day 0.
the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)
次要结局
未报告次要终点
研究者
Nehad Ahmed Youness Abo-zaid
Lecturer of physical therapy
South Valley University