Набор скоро начнётся NCT07651111

Action Observation Therapy in Children With Spastic Diplegia

Без фазы С лечением Spastic Diplegia

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: A selected physical therapy program, Live action observation training (AOT), Video action observation training (AOT).
Кому может быть актуально: Состояния в реестре: Spastic Diplegia. Базовые параметры: 4 лет — 7 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Египет
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

Не всё понятно в терминах? Прочитайте наш гид для пациентов →

Официальное название

Effect of Live Versus Video Action Observation Training on Balance and Gait in Children With Spastic Diplegia

Обзор

The aim of this study is to compare the effect of live versus video action observation training (AOT) on balance and gait in children with spastic diplegia.

Подробное описание

Children with spastic diplegic often face difficulties with balance and walking, affecting their independence and quality of life. Because of the impact of reduced gait speed and other gait abnormalities on their participation and quality of life, the main focus of physical therapy interventions is to improve balance and gait of children with cerebral palsy (CP).

Action observation training is a developing rehabilitation based on mirror neurons that activate when one performs movements or observes the movements of others. It is applied to improve motor skills and learning in athletes, healthy people, and patients with motor disorders.

Although many studies have focused on the application of action observation training (AOT), especially in improving upper limb function in individuals with stroke or children with CP, there is still a lack of sufficient research examining its effects on spasticity, gross motor abilities, balance, and gait in children with CP.

There is one study comparing the effects of live and video forms of AOT on upper limb function in children with hemiparetic CP. The researchers found that live AOT was more effective than video AOT in improving upper limb performance.

To our knowledge, there are no previous studies that compare the effect of live and video forms of AOT on balance and gait in children with spastic diplegia. Addressing this gap may provide valuable insights into the optimal mode of AOT delivery for enhancing balance and gait.

Вмешательства

Другое A selected physical therapy program
Participants will receive a conventional physical therapy program, 3 sessions per week for 3 months. The program will include approximation exercises, balance training, functional activities (sit-to-stand, squatting, stair climbing), gait training with obstacles, walking exercises on different surfaces, and stretching exercises for the upper and lower limbs. The intervention aims to improve balance, mobility, coordination, and functional performance.
Другое Live action observation training (AOT)
Participants will receive live AOT for 30 minutes, 3 times per week, for 3 months. Each task will involve 3 minutes of observing the therapist performing the activity, followed by 3 minutes of verbal guidance and 3 minutes of task execution by the child. A 1-minute rest period will be provided between tasks.
Другое Video action observation training (AOT)
Participants will receive video-based AOT for 30 minutes, 3 times per week, for 3 months. They will observe task demonstrations presented on a computer screen from multiple viewing angles, followed by guided practice and task performance, similar to the live AOT protocol.

Первичные конечные точки

Overall Stability Index (OSI) [Срок оценки: 3 months]
Anteroposterior Stability Index (APSI) [Срок оценки: 3 months]
Mediolateral Stability Index (MLSI) [Срок оценки: 3 months]

Вторичные конечные точки (3)

Hip Flexion Angle [Срок оценки: 3 months]
Knee Flexion Angle [Срок оценки: 3 months]
Ankle Dorsiflexion Angle [Срок оценки: 3 months]

Критерии участия

Критерии включения

Children of diplegia who walk by a crouch gait.
The age of the selected children will range from 4 to 7 years old.
Degree of spasticity will range from 1 to 1+, according to modified Ashworth scale (MAS).
They will be selected as Level II according to Gross motor function classification system (GMFCS).
They will be able to understand the tasks and researchers' instructions.
Their heights are not less than 1 meter to be able to see the screen of the Biodex balance system.