The Effect of Treadmill Back Walking Training on Balance and Function in Cerebral Palsy

Study Overview
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Brief Summary
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The aim of this study was to investigate the effect of treadmill back walking training on balance and function in cerebral palsy. In our study, scientific data will be prepared by clinical measurement tools in order to determine whether there is balance and walking effect of easy and practicable treadmill back walking training in the clinical setting in Cerebral Palsy.

Detailed Description
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Measurements will be made at baseline and after each 8 weeks of physiotherapy program, the results will be compared. 30 minutes of the physiotherapy session, which we will apply for 2 days and 45 minutes; in the prone, supine, crawling and above knee positions; They will take physiotherapy training based on neurodevelopmental therapy consisting of fine motor activities, standing up, weight transfer, stretching, strengthening and balance exercises with mat activities such as rotation, weight transfer, sitting. Term: After the first measurements, the participants will take 8 minutes, 2 days a week, the regular physiotherapy session based on 30 minutes Neurodevelopmental Therapy as described above, as well as 15 minutes conventional walking training, then the measurements will be repeated. Term: After the second measurements, the participants will take 8 weeks, 2 days a week, the regular physiotherapy session based on 30 minutes of Neurodevelopmental Therapy as described above, as well as 15 minutes of treadmill back walking training, then the measurements will be repeated. Term: After the third measurements, the participants will take 8 weeks, 2 days a week, the regular physiotherapy session based on the 30 minute Neurodevelopmental Therapy described above, as well as the 15-minute treadmill walking forward training, then the measurements will be repeated. Statistical method (s) to be used: In the analysis of the results to be obtained in our study, SPS statistics 22.0 version of SPSS statistical package will be used under the Windows operating system Statistical Package for Social Sciences (SPSS). Descriptive statistical information will be shown as arithmetic mean ± Standard Deviation (x statistical ± Ss) or percentage (%) and the level of statistical significance will be considered as p≤0.05.

Official Title
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The Effect of Treadmill Back Walking Training on Balance and Function in Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: walking training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Those who are between 6 and 18 years old and have a medical report on the diagnosis of cerebral palsy, Classes classified as Level I and II by Gross Motor Function Classification System (GMFCS), Lower extremity spasticity classified as 1st and 2nd degree according to Modified Modified Ashworth Scale, To understand and apply verbal commands and instructions. Volunteer to participate in the study, Read and approve the informed consent form. Exclusion Criteria: Active epileptic seizures Those with visual or auditory defects, Those with fixed deformities in the lower extremities, Patients with a history of surgery in the lower extremity musculoskeletal system in the last 6 months Injection of Botulinum Toxin (BOTOX) for lower extremity within the last 6 months Spasticity drug users, Those with mental and cognitive problems will be excluded from the study

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 18 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: Other
Intervention Model: Single Group Assignment
Interventional Model Description: Those who are between 6 and 18 years old and have a medical report on the diagnosis of cerebral palsy,
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: treadmill back walking training<br>15 minutes conventional walking training, 15 minutes of treadmill back walking training, 15-minute treadmill forward walking training | Other: walking training<br>* 15 minutes of conventional walking training 15 minutes of treadmill backward walking training 15 minutes of treadmil forward walking training<br>* Other names: treadmill forward walking training;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Pediatric Balance Scale | It can be considered as a simple, valid scale for studying functional balance capacity in children with spastic SP (Yi 2012). Pediatric Berg Balance Scale (PBBS) will be used to evaluate the functional balance of daily living activities. Higher scores mean a better outcome. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Rivermead Visual Gait Assessment | RVGA allows rapid assessment and documentation of gait disturbances without equipment in the clinic and demonstration of clinical changes (Lord, et al. 1998). Visual parameters of walking in our study will be evaluated by The Rivermead Visual Gait Assessment (RVGA). Higher scores mean a worse outcome. | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebral palsy, treadmill, backward walking, balance, spasticity