Clinical trial NCT05787977: The Effect of Treadmill Training With Visual Feedback and Rhythmic Auditory Cue on Gait and Balance in Cerebral Palsy
Official title: The Effect of Treadmill Training With Visual Feedback and Rhythmic Auditory Cue on Gait and Balance in Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hemiplegic Cerebral Palsy
Keywords: Treadmill training
Visual Feedback and Rhythmic Auditory cue
Gait and Balance
Hemiplegic Cerebral palsy
Lead sponsor: Sehat Medical Complex
Sponsor class: OTHER
First posted: 2023-03-28
Enrollment: 28
Sex: ALL
Minimum age (years): 5
Maximum age (years): 11
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The development of efficient and independent walking is an important therapeutic goal for many children with cerebral palsy (CP). Consequently, there has been growing interest in determining the effects of treadmill training programs for these children.

This study helped to investigates the effect of treadmill training with visual feedback and rhythmic auditory cue (VF+RAC) for walking symmetry and balance ability. Participants were chosen from Sehat medical complex and they were randomly allocated to either the VF+RAC or the Control group. The VF+RAC group received treadmill training with VF and RAC, and the Control group undergo treadmill training without any visual and auditory stimulation. VF+RAC and Control groups was trained five times per week for eight weeks. After eight weeks of training the gait pattern and balance were evaluated by the gait parameters, 6min Walk test, Pediatric Balance Scale and Berg balance scale.

Detailed description: Cerebral palsy is the most common cause of childhood-onset, lifelong physical disability in most countries, affecting about 1 in 500 neonates with an estimated prevalence of 17 million people worldwide. Cerebral palsy is a non-progressive brain injury or lesion acquired during the antenatal, perinatal or early postnatal period. The clinical manifestations of cerebral palsy vary greatly in the type of movement disorder, the degree of functional ability and limitation and the affected parts of the body.

Auditory entrainment can influence gait performance in movement disorders. The entrainment can incite neurophysiological and musculoskeletal changes to enhance motor execution. Biofeedback systems have been extensively used in walking exercises for gait improvement.

Eligibility criteria: Inclusion Criteria:

* children having GMF level 1 and 2,
* willing to participate,
* Pediatric subjects Diagnosed with cerebral palsy, receiving Neurodevelopmental
* Rehabilitation program regularly.

Exclusion Criteria

* Child using any sort of auditory aid
* Children with visual limitation,
* Child using orthosis for lower extremity

Primary outcomes:
measure: 6 Minutes Walk Test
timeFrame: Change from baseline at 8th week
measure: Pediatric Balance scale
timeFrame: Change from baseline at 8th Week
measure: Berg Balance Scale
timeFrame: Change from baseline at 8th week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Sehat Medical Complex, Lahore
state: Punjab
Study officials:
affiliation: University of Lahore
name: Momina Mehmood
role: PRINCIPAL_INVESTIGATOR
References: