Virtual Reality versusTask-oriented for Gait in CP

South Valley University

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: selected physical therapy program

Study type: Interventional

Funder types: Other

Identifiers

NCT04533789

P.T.REC/012/001729

Details and patient eligibility

About

The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy

Full description

This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP.

A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in hemiplegic cp. In a future study, seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.

Enrollment: 45 patients

Sex: All

Ages: 7 to 9 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Their age will ranging from 7 to 9 years.
2. Children participated in this study will from both sexes.
3. Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale.
4. All children will able to walk supported or unsupported by the therapist.
5. Children will able to follow the instructions during testing and training.
6. All children had no fixed contractures or deformities at the lower limb.

Exclusion criteria

1. Children with visual or auditory problems.
2. Children with history of epilepsy.
3. Children with structural joints deformities of the lower limbs.
4. Children with history of surgical interference in lower limbs less than one year.
5. Children with convulsions and fixed contractures.
6. Uncooperative children.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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45 participants in 3 patient groups

the control group

Experimental group

Description:

Group 1 the control group received selected physical therapy program which contain strengthening exercises for upper limb and lower limb muscles, stretching exercises for elbow extensors, hand supinator, wrist extensors, knee extensors and ankle dorsiflexors, balancing exercises, coordination exercises and gait training exercises in open environment.

Treatment:

Other: selected physical therapy program

virtual reality

Experimental group

Description:

Group 2 the study group received the same physical therapy program 30 min. plus virtual reality for 30 min.

Treatment:

Other: selected physical therapy program

Task oriented

Experimental group

Description:

Group 3 the study group received the same physical therapy program 30 min. plus task oriented training for 30 min.

Treatment:

Other: selected physical therapy program