Effect of a Light Stimulated Footsteps Pathway on Gait in Spastic Children

Condition(s) studied

Investigational drug(s) / intervention(s)

therapeutic exercise: Balance training from different positions. Weight shifting exercises by facilitation of single limb support while standing. Ascending and descending stairs. Gait training between parallel bars applied three times per week for three month

gait training on light stimulated footsteps pathway: same routine program as the control group as well as 30 minutes of gait training on light stimulated footsteps pathway: 1. Walk on the light stimulated footsteps (Forward steps) 2. Walk on the light stimulated footsteps (backward steps) 3. Tandem gait over light yellow line applied three times per week for three month

Study summary

PURPOSE: The purpose of this study will be investigation of the effect oflight stimulated footsteps pathway on kinematics of gait in spastic diplegic children BACKGROUND: The goal of most therapy procedures for children with spastic cerebral palsy is to increase their walking abilities. Locomotor training usinglight stimulated footsteps pathwayhas been recommended for the rehabilitation of children with cerebral palsy in an effort to improve walking independence and gait speed.

HYPOTHESES: Walking on light stimulated footsteps pathway may not affect kinematics of gait in spastic diplegic children RESEARCH QUESTION: Does walking on light stimulated footsteps pathway have any effect onkinematics of gait in spastic diplegic children?

Eligibility

Primary outcome measure(s)

• step length — At baseline and re assessed following 3 months
  kinovea software used to evaluate step length The unit of measurement for Step Length is centimeter (cm)
• step width — At baseline and re assessed following 3 months
  kinovea software used to evaluate step width The unit of measurement for Step width is centimeter (cm)
• spasticity — At baseline and re assessed following 3 months
  The Modified Ashworth Scale (MAS) used for evaluation MAS assigns a grade of spasticity from a 0-4 ordinal scale. The grade is assigned by moving a joint/muscle through a high velocity quick stretch.
• gross motor function — At baseline and re assessed following 3 months
  The Gross Motor Function Measure (GMFM) is a standardized tool used to assess changes in gross motor function in children, particularly those with cerebral palsy. The GMFM uses a four-point ordinal scale for scoring each item, where: 0: Does not initiate 1. Initiates (but does not complete) 2. Partially completes 3. Completes the task fully Scores can be summed to calculate raw and percent scores for each dimension and a total GMFM score.

Trial sites (1)

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