Virtual Reality versusTask-oriented for Gait in CP

South Valley University45 enrolled

Overview

The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy

This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP. A high-intensity task-oriented training programme designed to improve hemiplegic gait and physical fitness was feasible in the present study and the effectiveness exceeds a low intensity physiotherapy-programme in terms of gait speed and walking capacity in hemiplegic cp. In a future study, seems appropriate to additionally use measures to evaluate physical fitness and energy expenditure while walking.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Cerebral Palsy

Interventions

selected physical therapy programOTHER

strengthening muscles of upper and lower limbs, balancing exercise, gait training in open environment, stretching for elbow flexors and forearm pronators,lower limb hip flexors and knee extensor and ankle dorsiflexors

Eligibility

Sex: ALLMin age: 7 YearsMax age: 9 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Their age will ranging from 7 to 9 years. 2. Children participated in this study will from both sexes. 3. Their degree of spasticity will ranged from mild to moderate according to Modified Ashworth Scale. 4. All children will able to walk supported or unsupported by the therapist. 5. Children will able to follow the instructions during testing and training. 6. All children had no fixed contractures or deformities at the lower limb. Exclusion Criteria: 1. Children with visual or auditory problems. 2. Children with history of epilepsy. 3. Children with structural joints deformities of the lower limbs. 4. Children with history of surgical interference in lower limbs less than one year. 5. Children with convulsions and fixed contractures. 6. Uncooperative children.

Locations (1)

South Valley University, Faculty of Physical Therapy

Qina, Egypt

Outcomes

Primary Outcomes

cadence (number)

number of steps in each min.

Time frame: cadence assessed at day 0.

cadence (number)

number of steps in each min.

Time frame: cadence assessed at day 90.

step length of affected side (cm)

distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)

Time frame: step length assessed at day 0.

step length of affected side (cm)

distance between the point of initial contact of one foot and the point of initial contact of the opposite foot (cm)

Time frame: step length assessed at day 90.

stride length of affected side(cm)

the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)

Time frame: stride length assessed at day 0.

stride length of affected side(cm)

the distance from the toe of right foot (starting position) to the toe of right foot (ending position), or the heel of right foot (starting position) to the heel of right foot (ending position). (cm)

Time frame: stride length assessed at day 90.

Data from ClinicalTrials.gov

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