* 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.
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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
Neurologic music therapy (NMT) Listening to music and moving rhythmically.
program for gait improvement ( Standing, balance and gait training)
Faculty of Physical Therapy Cairo University
Dokki, Giza Governorate, Egypt
concentration as a cognitive function
ability of child to pay attention during physical therapy sessions and be interactive with the therapist, measured by Moss Attention Rating Scale, score of 22 (minimum score) to less than 110 (maximum score), Higher scores indicate better attention.
Time frame: pre intervention and 3 months post intervention
Gait
improvement measured by Gross motor function measure 88 (gait section), 0 (minimum score) to 100 (maximum score) percentage %
Time frame: pre intervention and 3 months post intervention
Kinovea, (Spatial and Temporal Parameters)
Kinovea, (Spatial and Temporal Parameters); Step length in centimeters (higher score better)
Time frame: pre and 3 months post intervention
Kinovea, (Spatial and Temporal Parameters) ; stride length in centimeters (higher score better)
Kinovea, (Spatial and Temporal Parameters); stride length in centimeters (higher score better)
Time frame: pre and 3 months post intervention
Gait (cadence)
Using Kinovea, cadence measured in steps\\minute (lower score better).
Time frame: pre and 3 months post intervention
Shrouk Mahmoud Mohamed researcher at Cairo university faculty of physical therapy, master
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