Effect of Rhythmic Auditory Stimulation on Balance in Children With Cerebral Palsy.

Study Overview
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Brief Summary
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To evaluate the effect of Rhythmic Auditory Stimulation (RAS) on balance in children with cerebral palsy.

Official Title
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Effect of Rhythmic Auditory Stimulation on Functional Balance in Children With Cerebral Palsy, A Randomized Control Trial.

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Rhythmic auditory stimulation (RAS)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with cerebral palsy at 7-15 years old with Gross motor function classification system 1-3. Patients can understand and follow to command. Exclusion Criteria: Patients who received surgery/chemo-denervation injection/injury at spine/pelvic/lower extremities in last 6 months. Patients with intrathecal baclofen pump implantation. Patients with other signs and/or symptoms of neurological deficit that effect ability to ambulation.

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 15 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Rhythmic auditory stimulation (RAS) group<br>Physical therapy including stretching and strengthening exercise and ambulation training with rhythmic auditory stimulation. | Other: Rhythmic auditory stimulation (RAS)<br>* A therapeutic application of pulsed rhythmic or musical stimulation in order to improve gait or movement<br>|
| No Intervention: Conventional group<br>Conventional physical therapy including stretching exercise, strengthening exercise and ambulation training. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timed up and go - in children | The tool to assess functional mobility in pediatric population. This is a timed measure during which the child has to stand up from a chair, walk 3 m, turn around, walk back, and sit down. Higher timed measure mean worse outcome. | Change from baseline Timed up and go - in children at after intervention 3 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pediatric Balance Scale | A modified version of the Berg Balance Scale from 0-56. That is used to assess functional balance skills in children. Higher scores mean better outcome. | Change from baseline Pediatric Balance Scale at after intervention 3 weeks | 
| Gross Motor Function Measure | The tool to evaluate gross motor function in children with cerebral palsy. The score from 0-186. Higher scores mean better outcome. | Change from baseline Gross Motor Function Measure at after intervention 3 weeks | 
| Gait Velocity | Gait speed used by 10 meter test recorded in Kilometer per hour. Higher timed measure mean better outcome. | Change from baseline Gait Velocity at after intervention 3 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral palsy, Rhythmic Auditory Stimulation, Balance