About this trial
This study aims to evaluate the effect of sensory walkway training on gait performance in children with spastic diplegic cerebral palsy. Participants will be assigned to a control group receiving conventional physical therapy or an intervention group receiving conventional therapy combined with sensory walkway training. The intervention will be conducted over a defined treatment period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Clinical diagnosis of spastic diplegic cerebral palsy
Aged between 5 and 7 years
Classified at level II on the Gross Motor Function Classification System
Spasticity grade 1 or 1+ according to the Modified Ashworth Scale
Disqualifiers
Visual or auditory impairment
History of lower limb surgery within the past 2 years
Use of medications affecting muscle tone and/or cognitive function
Contractures or fixed deformities in upper or lower limbs
Trial design
Parallel
Treatments tested in this trial
Conventional Physical Therapy Program
BehavioralParticipants in the control group will receive a conventional physical therapy program including stretching exercises for lower limb muscles, strengthening exercises, balance training, and gait training. The program includes quadruped exercises, kneeling and half-kneeling positions, standing balance exercises using balance boards and beams, stepping exercises, and walking training using parallel bars and assistive devices. Each session lasts 60 minutes and will be conducted three times per week for three consecutive months.
Sensory Walkway Training
BehavioralParticipants in the study group will receive conventional physical therapy in addition to gait training on a sensory walkway. The sensory walkway consists of a sequence of wooden foot boxes filled with different textured materials to provide tactile stimulation of the feet during walking. Corresponding hand sensory boxes are placed along parallel bars to provide simultaneous upper limb sensory input. This setup enables reciprocal sensory stimulation of upper and lower limbs during gait training. Children will walk through the walkway in a controlled manner while immersing their feet and hands in the textured materials and are encouraged to identify and describe the textures to enhance sensory awareness. The intervention aims to improve sensory-motor integration, postural control, balance, and gait parameters in children with spastic diplegic cerebral palsy. Each session lasts 60 minutes and is performed three times per week for three months.
Treatment groups
Trial outcomes
Primary outcomes
Gait Speed
Gait speed (m/s) will be assessed using the 10-Meter Walk Test (10MWT). Participants will walk a 10-meter distance at a self-selected comfortable walking speed. Time recorded during the test will be used only to calculate gait speed.
Secondary outcomes
Step Width
Step width (cm) will be assessed using Kinovea software based on video recordings.
Cadence
Cadence (steps/min) will be calculated using gait cycle analysis from Kinovea software
Step Time
Step time (seconds) will be analyzed using Kinovea software based on video-based gait cycle timing.
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