Balance Problems in Spastic Hemiplegic Children, Walking Performance in Spastic Hemiplegic Children
Conditions
Brief summary
Is there any difference between the use of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children?
Detailed description
To compare the effect of Virtual reality and the traditional physical therapy program based on Neurodevelopmental technique with Spastic Hemiplegic Children. To compare the effect of Balance beam and the traditional physical therapy program based on Neurodevelopmental technique with Spastic Hemiplegic Children. To compare the effect of Virtual reality and Balance beam on walking performance in children with Spastic Hemiplegic Children.
Interventions
children treated by Virtual Reality for 15 min. besides the traditional physical therapy program
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ranges from 7 to 11 years old, from both genders. * Modified Ashworth scale adopted from, (Bohannon and Smith,1987) was used to select the patients with grade 1 and 1+ of Spasticity. * They were able to stand and walk. * Gross motor function measure scale GMFM (level I &II). (Russell et al. ,2013). * Children with good mentality to understand the evaluation steps.
Exclusion criteria
* Children who have orthopedic surgery or Botulinum Toxin-A injection in the last 6 months. * Children who have any spinal deformities. * Children with severe muscle contracture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Balance it will be assist by HUMAC Balance Assessment system | 6 month | Evaluation materials that used in assist balance : HUMAC Balance Assessment system consists of: 1- The force platform 2- The HUMAC CD holding the operating program This test will be use assess the sensory integration of balance and postural control in the conditions of eyes open and eyes closed from standing, lasts for 30 second and the test was repeated for three times and the mean value is calculated from the result of each trial which appears in the form of percent of stability in each trial |
| Walking ability | 6 month | Evaluation materials Six Minute Walk Test (6MWT) it is a valid and reliable instrumentation using to asses walking capacity The child of this test is to walk as far as possible for 6 minutes. You will walk back and forth in this hallway, after the test, measured walking capacity exercise (BP, HR and SpO2) were re-measured. |
Countries
Egypt