Идёт набор NCT07686809

Effect of Lower Extremity Modified Constraint-induced Movement Therapy on Locomotion in Children With Hemiplegia

Без фазы С лечением Spastic Hemiplegic Cerebral Palsy

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: Modified constraint-induced movement therapy, Conventional physical therapy.
Кому может быть актуально: Состояния в реестре: Spastic Hemiplegic Cerebral Palsy. Базовые параметры: 6 лет — 8 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 →

Обзор

* To determine the effect of modified constraint-induced movement therapy on spatial and temporal gait parameters in children with hemiplegia. * To determine the effect of modified constraint-induced movement therapy on functional mobility in children with hemiplegia.

Подробное описание

Children with spastic hemiplegic cerebral palsy experience longer gait cycles, slower walking speeds, and longer support phases compared to healthy children, with substantial joint angle differences noted during ground contact and stride buffering. Although most can achieve independent walking, they often exhibit poor motor coordination, resulting in short strides and high stride frequencies for speed maintenance. Modified constraint-induced movement therapy has been employed to enhance lower-extremity function, but its effectiveness on key ambulation aspects like gait speed and balance remains unclear. The reliance on the unaffected limb further impacts locomotive behavior, leading to stiff knee gait and reduced functional mobility. This study aims to explore the therapy's effects on locomotion in hemiplegic children.

Вмешательства

Другое Modified constraint-induced movement therapy
Three tasks will be designed to be performed for 10 min each while using the knee scooter as a method of constraint-induced movement therapy The 3 tasks will be as follows: 1. Walking with knee scooter forward on 8 meter walkway 2. Walking with knee scooter backward on 8 meter walkway 3. Standing with the knee scooter on balance board
Другое Conventional physical therapy
1. Repetitive motor training following shaping task * Step on stool. * Squat to stand. * Pressing the pedal stepper. * Walking on treadmill. * Bicycle. * Air walker. 2. Behavioral strategies: * Walking with picking toys from ground * Passing obstacles * Walking with a ball, moving it by the lower extremity

Первичные конечные точки

assessment of spatial gait parameters [Срок оценки: At baseline and after Four weeks]

Вторичные конечные точки (2)

assessment of Temporal gait parameters [Срок оценки: At baseline and after four weeks]
assessment of the functional mobility [Срок оценки: At baseline and after four weeks]

Критерии участия

Критерии включения

The age of the selected children will range from 6 to 8 years old.
Degree of spasticity will range from 1+ to 2 according to the modified Ashworth scale.
The level of motor function of the children will be levels I-II according to the Gross Motor Function Classification System.
Participants will present a score between 41 to 56 points on the pediatric balance scale.
They will be able to follow instructions and understand commands.