About this trial
This randomized controlled trial aims to investigate the effect of dual-task oriented training on functional performance in children with spastic diplegic cerebral palsy. Participants will be randomly assigned to two groups. The experimental group will receive a designed physical therapy program combined with dual-task oriented training, while the control group will receive the designed physical therapy program only. The study will evaluate changes in gait and balance before and after the intervention. Gait performance will be assessed using spatiotemporal gait parameters, and functional balance will be assessed using the Pediatric Balance Scale.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children diagnosed with spastic diplegic cerebral palsy.
GMFCS levels I-III.
Aged 4-18 years.
Able to follow simple commands.
Disqualifiers
Visual or hearing impairments.
Cardiovascular disease.
Fixed musculoskeletal deformities.
Orthopedic surgery within the previous 6 months.
Trial design
Parallel
Treatments tested in this trial
Dual-Task oriented
BehavioralParticipants will perform dual-task oriented training consisting of motor and cognitive dual-task activities during gait and balance exercises. The training includes walking while performing concurrent motor tasks, such as holding or bouncing a ball, and cognitive tasks while walking. Task difficulty will be progressively increased according to the participant's ability.
Traditional Physical Therapy Program
BehavioralParticipants will receive a traditional physical therapy program including stretching exercises, standing and balance training, and walking exercises
Treatment groups
Trial outcomes
Primary outcomes
Change in Gait Velocity
Gait velocity will be assessed using Kinovea video analysis software and reported in meters per second (m/s).
Secondary outcomes
Change in Functional Balance
Functional balance will be assessed using the Pediatric Balance Scale (PBS). The scale consists of 14 items, with each item scored from 0 to 4. The total score ranges from 0 to 56, with higher scores indicating better functional balance.
Sponsors and contacts
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Raneem Ahmad Mohammad Ashshi
Lead sponsor
Kafrelsheikh University
Sponsor institution
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