Music Effect on Concentration and Gait in Cerebral Palsy Children During Physical Therapy Sessions

Официальное название

Effect of Physiotherapy With Auditory Cueing on Concentration and Gait in Children With Spastic Cerebral Palsy

Обзор

* To investigate the effect of music therapy as an additional intervention with physical therapy on concentration in children with spastic CP. * To investigate the effect of music therapy as an additional intervention with physical therapy on gait parameters for the children with spastic CP.

Подробное описание

Physical therapy only could be not attractive for child if it done by the traditional way; focus on motor part and no need to involve the sensory part through the rehabilitation.

Sense of hearing could be a unique one to stimulate for a better child attention during physical therapy session, even child with blindness could benefit from this idea.

Using music for attracting attention of the child as a therapeutic way so the child can walk properly regarding time and pace.

Singing as a live form of music could be more sensitive and interactive for child-therapist bond which is important to include the child as an active participant as child is being rehabilitated not just treatment.

Rehabilitation means to involve the child as a whole at this complicated process, not to move a passive limb.

Rehabilitation of CP:

* A "temporal axis": Habilitation/rehabilitation should begin early and continuously - a minimum within the first years of child's life - and intensively - individually designed to meet child's needs. * A "spatial axis": where individual space, family, school, and social affair places must be all considered. * An "individual axis": Rehabilitation must observe the child as an active participant, not as a passive person of whom needs care. * A "relational axis": the standard of taking into consideration the relationship of the child and people who take care of him/her in different contexts of their life (Trabacca et al., 2016).

Вмешательства

• Поведенческое Music therapy
  Neurologic music therapy (NMT) Listening to music and moving rhythmically.
• Другое physical therapy traditional
  program for gait improvement ( Standing, balance and gait training)

Первичные конечные точки

• concentration as a cognitive function [Срок оценки: pre intervention and 3 months post intervention]
• Gait [Срок оценки: pre intervention and 3 months post intervention]
• Kinovea, (Spatial and Temporal Parameters) [Срок оценки: pre and 3 months post intervention]
• Kinovea, (Spatial and Temporal Parameters) ; stride length in centimeters (higher score better) [Срок оценки: pre and 3 months post intervention]
• Gait (cadence) [Срок оценки: pre and 3 months post intervention]

Критерии участия

Критерии включения

• • The children age ranged from 5 to 7 years old (early childhood).

• Spasticity degree ranges from 1 to 1+ as measured by the Modified Ashworth Scale
• Children with lack of concentration according to MARS (Moss Attention Rating Scale)
• Children can stand alone and walk.

Критерии исключения

• • Children with deafness.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Faculty of Physical Therapy Cairo University — Dokki

Идентификаторы

NCT: NCT07625878 · P.T.REC/012/002297

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗