Does Increasing Auditory Cueing Affect Gait Parameters in Children With Cerebral Palsy During a Functional Task?

Study Overview
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Brief Summary
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To determine the clinical efficacy of auditory cueing using a cross over design to investigate whether increasing auditory cueing frequency by 20% above self paced cadence affects gait parameters in children with Cerebral Palsy when performing a functional task.

Detailed Description
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Introduction: Cerebral Palsy is a non progressive disorder occurring in early brain development, resulting in inefficient ambulatory pattern. The use of sensory cues to facilitate loco-motor activity has been suggested as providing the necessary trigger to synchronise movement with greater beneficial outcomes observed at higher frequency intensities within the adult population. Thus auditory cueing could have the potential to alter gait parameters during a functional task. Aim: To explore if increasing auditory cueing frequency (AC20) affects gait during a functional task compared to auditory cueing at self-paced cadence (ACSC). Method: Nineteen children with CP levels 1 and 2 on the Gross Motor Function Classification Scale participated using paired analysis. Outcomes were compared to the mean values for temporal spatial gait data within the conditions using a cross over design. TS data was obtained by using the GAITRite® walkway system whilst walking holding a cup.

Official Title
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Does Increasing Auditory Cueing Affect Gait Parameters in Children With Cerebral Palsy During a Functional Task?

Conditions
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Cerebral Palsy, Children

Intervention / Treatment
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* Device: Auditory Cueing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children with Cerebral Palsy aged 5 to 11 years old who were scored as levels 1 to 2 on the Gross Motor Function Classification Scale. Cognitive status average or above on the Weschler Intelligence Scale for children. Able to hear without the use of a hearing aid. Exclusion Criteria: Hearing impairment that results in the use of a hearing aid. Walking with assistance of a mobility aid. Cardiovascular problems or other associated health problems which limits the child waking multiple times over the GAITRite®.

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 11 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Auditory cueing at self paced cadence<br>Participants performed a functional task with auditory cueing set at self paced cadence. | Device: Auditory Cueing<br>* Auditory cueing set at different frequency rates<br>|
| Experimental: Cueing at 20% above self paced cadence<br>Participants performed a functional task with auditory cueing set at 20% above self paced cadence whilst performing a functional task. | Device: Auditory Cueing<br>* Auditory cueing set at different frequency rates<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Step Length as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of length was recorded in centimetres. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Velocity as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of velocity was recorded in cm's per second. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. | 
| Step Time as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of step time was recorded in seconds. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. | 
| Cadence as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of cadence was recorded in steps per minute. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. | 
| Time Spent in Double Support as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. This was record in percentage of time spent in double support (%). | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. | 
| Time Spent in Single Support as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. This was record in percentage of time spent in double support (%). | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Auditory Cueing, Gait