Motor Imagery Training in Children With Unilateral Cerebral Palsy

Abant Izzet Baysal University

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Motor Imagery Training; Other: Traditional physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03954808

AbantIBU-FTR-DK-1

Details and patient eligibility

About

Motor imagery (MI) is a promising method to improve more cognitive aspects of motor behaviour, and may, thus, be effective for facilitating motor planning in children with Cerebral Palsy (CP). MI training facilitates the neural plasticity by enhancing the neuronal cortical pathways in brain. In children with CP, motor planning and MI capacity were found to be affected by studies. In the literature, there are studies about the evaluation of MI in Unilateral CP but there is insufficient number of studies included in MI in the rehabilitation program.

The aim of the study was to investigate the effect of motor imagery training for gait and lower extremity muscle activity (with EMG), functional capacity, quality of life, and time performance variables in Children with Unilateral CP.

The eligible participants will be allocated three groups, including motor imagery training group, traditional physiotherapy control group, and healthy control group. All the assessments will be performed before and after the training in the 8-week motor imagery training group and 6 weeks after the end of training. The participants in the control group will be evaluated with a 8-week interval and 6 weeks after the end of physiotherapy training. The healthy participants will be assessed only once. The motor imagery training will be designed for the individual basis with standard protocols. It will be applied two times a week for 8 weeks. All sessions will be performed in the clinic.

Full description

Unilateral CP and age matched healthy individuals will be participate the study between the ages of 7 and 18 years. Children's gross motor skills classified with GMFCS.

The control group individuals will be given a traditional physiotherapy two days per week for a total of 8 weeks (traditional physiotherapy session will last 45 minutes). Motor imagery training group will receive a traditional physiotherapy and motor imagery training within a specific program, two days a week for a total of 8 weeks (30 minutes traditional physiotherapy session+15 minutes MI training) .

Within the scope of MI training, individual training program will be determined by taking into consideration the needs of the individuals and the expectations for gait. The basic case of PETTLEP (Physical, Environment, Task, Timing, Learning, Emotion, Perspective) will be followed. MI training will be given individually with the same physiotherapist.

Enrollment: 51 patients

Sex: All

Ages: 7 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Diagnosis of Cerebral Palsy voluntary participation
• Age between 7-18 years, Children with Unilateral Cerebral Palsy
• With suitable cognitive state for training
• To attend a formal school
• GMFCS Level I-II
• IQ>70 Children with Unilateral Cerebral Palsy (from children's file)
• Mini-Mental State Exam For Children score above 24

Exclusion criteria

• Severe cognitive impairment and not able to follow task instructions
• IQ<70 Children with Unilateral Cerebral Palsy (from children's file)
• Who received motor imagery training last 6 months
• Severe Vision and hearing problems
• Botox or surgeries in the last 6 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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51 participants in 3 patient groups

Motor imagery training group

Experimental group

Description:

Children with Cerebral Palsy. Motor imagery training group will receive a traditional physiotherapy and motor imagery training within a specific program, two days a week for a total of 8 weeks (30 minutes traditional physiotherapy session+15 minutes MI training). The motor imagery training will be designed for the individual basis with standard protocols. All sessions will be performed in the clinic.

Treatment:

Other: Motor Imagery Training

Cerebral Palsy control group

Active Comparator group

Description:

Children with Cerebral Palsy. Traditional physiotherapy control group individuals will be given a traditional physiotherapy two days per week for a total of 8 weeks (traditional physiotherapy session will last 45 minutes).

Treatment:

Other: Traditional physiotherapy

Typically developing control group

No Intervention group

Description:

Age matched healthy individuals, with no treatment.