Gait Rehabilitation in Diplegic Children

Cairo University (CU)

Status: Completed

Conditions: Spastic Diplegia; Cerebral Palsy

Treatments: Other: gait training

Study type: Interventional

Funder types: Other

Identifiers

NCT05294874

pediatrics

Details and patient eligibility

About

Background: Standing and walking serve an individual's basic need to move from place to place, and both are the most common activities that people do on a daily basis.

Aim: to investigate the combined effect of botulinum toxin A (BoNT-A) injection and ankle weight on the gait of diplegic children who are using Ankle foot orthoses.

Full description

Methods: Sixty children with spastic diplegia were included in this prospective, controlled trial. Children were divided into three groups, each with 20 patients: Group 1 received classical gait rehabilitation; Group 2 received the same gait training while adding ankle weight ; and Group 3 received the same as group 2 plus botulinum toxin injection. The Modified Ashworth Scale (MAS),knee range-of-motion measures, and Hoffman /Myogenic reflex ratio were used to examine patients before the commencement of treatment and post-treatment.

Enrollment: 45 patients

Sex: All

Ages: 5 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosed as spastic diplegia.
• They were able to follow simple verbal instructions.
• The use of Ankle Foot Orthoses.
• Spasticity grade of 1+ or 2 in both calf and hamstring muscles according to modified Ashworth's scale (MAS).
• level I or II on the Gross Motor Function Classification System (GMFCS).

Exclusion criteria

• fixed contractures or deformities in the lower limbs.
• surgical orthopedic intervention.
• Botulinum A injection or use of neuromuscular blockers in the previous 6 months before the start of study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

45 participants in 3 patient groups

classical gait training

Active Comparator group

Description:

physical therapy exercises including classical gait training

Treatment:

Other: gait training

classical gait training using ankle weight

Active Comparator group

Description:

physical therapy exercises including classical gait training while using ankle weight

Treatment:

Other: gait training

gait training using ankle weight after botulinum toxin injection

Experimental group

Description:

physical therapy exercises including classical gait training while using ankle weight and with BOTOX injection

Treatment:

Other: gait training