Effect of Motor Imagery Training on Ataxic Children After Medulloblastoma Resection

Cairo University (CU)

Status: Completed

Conditions: Cerebellar Ataxia

Treatments: Other: motor imaginary training; Other: physical thertapy training

Study type: Interventional

Funder types: Other

Identifiers

NCT04790981

P.T.REC/ 012/001935

Details and patient eligibility

About

Background: after resection of medulloblastoma in children they suffer from signs and symptoms of ataxia which impedes their activities of daily living.

purpose: to investigate the effect motor imagery training on balance, severity of ataxia and gait parameters on children after resection of medulloblastoma.

Methods: Fifty children surfing from cerebellar ataxia after medulloblastoma resection were selected from tumors hospital of Cairo University, their age ranged from seven to nine years old, they were randomly assigned into two matched control and study groups. The control groups received the selected physical therapy program while, the study group received motor imaginary training in addition to the selected physical therapy program. Both groups were evaluated by ataxic rating scale, pediatric berg balance scale and kinematic gait analysis by kinovea software.

Full description

Motor imagery is an effective method to enhance motor performance applied in rehabilitation programs it did not impose a physical load on patients, was confirmed through clinical evidence from meta-analysis. Motor imagery means thinking in motor task with executing it to activate motor cortical areas as 25% of the brain neurons are mirror neurons and fire by thinking.

Enrollment: 50 patients

Sex: All

Ages: 7 to 9 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The children had signs of ataxia
• loss of balance
• able to understand and execute test instructions
• the children are in the follow up period after medulloblastoma resection.

Exclusion criteria

• medically unstable
• visual impairment
• increased intracranial pressure
• any other neuromuscular diseases.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

50 participants in 2 patient groups

selected physical therapy program group

Active Comparator group

Description:

The Control group received the selected physical therapy program for one hour, three times weekly for three successive months including facilitation of balance and protective reactions from standing position, standing on one leg, weight shifting from standing, squat to standing, strengthening exercises for trunk muscles and for upper and lower extremities musculatures, gait training activities for correction of gait pattern

Treatment:

Other: physical thertapy training

motor imaginary training and selected physical therapy program group

Active Comparator group

Description:

The study group received the selected physical therapy program for one hour, three times weekly for three successive months in addition to motor imagery program for 30 minutes as the following. Each child shown a video of 5 minutes of illustrating normal movements while the child resting in semi-reclined sitting in quiet room in front the screen. Children then asked to close their eyes and imagine practicing the task like the illustrative video. Repetition of the exercises depend on the children ranging from 5 to 10 repetitions per exercise

Treatment:

Other: motor imaginary training