About this trial
PURPOSE:
The current study aims to:
* Determine the effect of multisensory motor imagery training on muscle performance including (peak torque, work, power) of trunk and knee flexors and extensors in children with spastic diplegia. * Determine the effect of multisensory motor imagery training on coordination, strength and agility in children with spastic diplegia.
BACKGROUND: Multisensory motor imagery training has an effect on muscle performance and coordination in children with spastic diplegia
HYPOTHESES: There will be no effect of multisensory motor imagery training on muscle performance, coordination and strength and agility in children with spastic diplegic CP.
RESEARCH QUESTION: Is there an effect of multisensory motor imagery training on coordination, strength and agility in children with spastic diplegia?
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Their age will be ranged from 8-12 years.
Mild degree of spasticity ranged from 1 to 1+ according to Modified Ashworth Scale
Their motor function will be at level I and II according to Gross Motor Function Classification System GMFCS
They will be able to follow instructions during evaluation and treatment.
Disqualifiers
- Cardiovascular or respiratory disorders.
Botulinium muscular injection in the last 6 months
Surgical interference in lower limbs and/or spine.
Muscloskeletal problems or fixed deformities in the spine and/or lower extremities.
Trial design
Parallel
Treatments tested in this trial
motor imagery training
Other interventionChildren in the study group will receive multisensory motor imagery training program 45 minutes. The training protocol consists of several parts that will be run through every training session according to Kumar et al. (2016): * Watching videos of selected multisensory motor skills for 10 minutes. * Mental rehearsal of these motor skills 10 minutes. * Overt practice of the multisensory motor skills for 25 minutes. On the videos, the performance of the skill by a child aged 8-12 years will be shown. All the exercises will be looped to repeat for six to seven times. While projecting the video on the laptop screen, it will be ensured that the children are in a comfortable seating position and the screen is in their visual field. Repetition of the exercises was based on their ability which could be a minimum of five repetitions per session to a maximum of ten repetitions per exercise session.
traditional physical therapy
Other interventiontraditional physical therapy training program
Treatment groups
Trial outcomes
Primary outcomes
muscle performance
muscle performance of knee and trunk muscles will be assessed by Isokinetic dynamometer
coordination
coordination ill be assessed using BOT-2
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