Effect of Nordic Walking on Gait-asymmetry Patterns in Children With Hemiparesis

Cairo University (CU)

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Nordic walking; Other: designed physical therapy program

Study type: Interventional

Funder types: Other

Identifiers

NCT05644652

Nordic walking

Details and patient eligibility

About

Nordic walking is a physical activity consisting of walking with poles similar to ski poles. The poles are designed for the purpose of activating the upper body during walking. The poles are equipped with rubber or spike tips and the walking itself resembles.

Full description

Compared to normal walking in Nordic walking there is a stronger involvement of the upper body. Furthermore, by using the poles, the muscles in the upper body can be activated, and the length of each step taken is supposedly increased, resulting in a faster gait .

Enrollment: 40 patients

Sex: All

Ages: 6 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Their age will range from 6-10 years, from both sexes.
• Level I, II and III of gross motor functional classification system (GMFCS) (Jooyeon et al., 2011)
• Grade 1 and 1+ spasticity according to the Modified Ashworth Scale (MAS). (Cloptonetal et al., 2005).

Exclusion criteria

• Uncontrolled epilepsy.
• Mental retardation or autistic features.
• Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
• Structural or fixed soft tissue deformities of the lower and/or upper extremities.
• Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities.
• Botox injection in the lower and/or upper extremities in the past 6 months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

control group

Experimental group

Description:

15 Children in this group will receive a designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months.

Treatment:

Other: designed physical therapy program

Nordic walking group

Experimental group

Description:

Children in this group will receive the same designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. while the Nordic walking training for 20 minutes will replace the functional gait training.

Treatment:

Other: designed physical therapy program

Other: Nordic walking