Dual Task Training in Spastic Cerebral Palsy

Riphah International University

Status: Completed

Conditions: Spastic Cerebral Palsy

Treatments: Other: conventional therapy; Other: Dual Task Training

Study type: Interventional

Funder types: Other

Identifiers

NCT06407856

REC/RCR&AHS/23/0774

Details and patient eligibility

About

Cerebral palsy(CP) is a non-progressive disorder, undergoing mishap to the developing brain and it affect a person's ability to move and maintain balance and posture. Old name of CP is "Little's disease". In Spastic diplegic, muscle stiffness is mainly in the legs, with the arms less affected or not affected at all. There could be secondary musculoskeletal problems due to muscle weakness resulting from poor alignment, limited range of motion, and asymmetrical posture. These deformities are negatively affected by biomechanical movements and can affect balance and gait functions. The main goal of rehabilitation in children with cerebral palsy is to restore independent walking. However, children with cerebral palsy have limited mobility, which leads to gait disorders (short steps, slow walking speed, increased swing phase and postural instability). Therefore, it is important to choose an effective training method to improve the balance and gait of children with cerebral palsy. Walking training can help improve muscle tone, postural control and gait function as well as improve muscle strength, endurance, and coordination of the lower extremities. A growing body of evidence supports implementing dual-task gait training for enhancing functional mobility and cognitive performance. This will be a randomized controlled trial, data will be collected from Rising Sun Institute, Mughalpura campus. A study will be conducted on 32 patients. Inclusion criteria of this study is spastic diplegic CP children with age between 6 to 12 years, with GMFCS level 1 to 3 and those who can walk 50 m without mechanical walking aids and maintain standing for more than 5 seconds without falling will be included. Exclusion criteria of this study is low intellectual ability (IQ < 80) and behavioral symptoms which might affect participation in the protocol, none of the children had surgery or botulinum toxin injections during the year prior to the assessment. Group1 will receive conventional therapy for 30 minutes a day, 3 times a week for 8 weeks. And group 2 will receive conventional therapy with dual-task training for 30 minutes a day, 3 times a week for 8 weeks. For the pre- and post-evaluation of all participants Berg balance scale and Gait outcome assessment list-(GOAL) will be used. Data will be analyzed through SPSS version 23.00.

Enrollment: 32 patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participant's age will be between 6-12 years.
• Patient should be diagnosed with spastic diplegic cerebral palsy.
• GMFCS I-III

Exclusion criteria

• Low intellectual ability (IQ < 80) and behavioral symptoms which might affect participation in the protocol.
• If patient had any progressive neurological disorder disease.
• If he/she had surgery or botulinum toxin injections during the year prior to the assessment will also be excluded

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

conventional therapy

Experimental group

Description:

This group will only receive conventional physical therapy.

Treatment:

Other: conventional therapy

Dual Task Training with Conventional Therapy

Experimental group

Description:

This group will only receive Dual Task Training along conventional therapy

Treatment:

Other: Dual Task Training

Other: conventional therapy