Cerebral Palsy
Conditions
Brief summary
The aim of this study was to investigate the effect of a comprehensive rehabilitation program using robotic walking and functional electrical stimulation technologies on balance and gait in children with cerebral palsy. This study was planned as a prospective observational study. A total of 30 patients in two groups were planned to be included in the study. Patients in both groups were planned to receive a 6-week conventional rehabilitation program that was prepared to meet the requirements of their clinical conditions, including neurophysiological exercises, balance-coordination and posture exercises. The case group was planned to consist of patients who received a comprehensive rehabilitation program using high-tech devices including functional electrical stimulation (FES) and robotic rehabilitation applications in addition to the conventional rehabilitation program.
Interventions
None listed
Sponsors
Ankara City Hospital Bilkent
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
2 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Being between the ages of 2-18 * Being diagnosed with cerebral palsy * Walking independently with or without an assistive walking device * Having a GMFCS score between 1-3 * Lack of seizure history * Showing consent to participate in the study (signing the informed consent by the legal guardian of the patient)
Exclusion criteria
* Presence of contracture in lower extremities * Being administered botulinum toxin within the last one month before treatment or during the 6-week treatment period * Being unable to cooperate with clinical assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Plantar surface pressure distribution | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | Plantar surface pressure distribution measured by pedobarograph |
| Track width | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | The mediolateral distance between right and left heels during gait |
| Range of motion of joints during the gait cycle | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | Range of motion of the knee, hip and ankle joint during the gait cycle |
| Range of motion of the pelvis in the frontal plane during the gait cycle | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | Range of motion of the pelvis in the frontal plane during the gait cycle |
| Cadence | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | The number of steps taken per minute |
| Step length | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | The distance between the initial contact of one foot and the initial contact of the contralateral foot |
| Stride length | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | The distance between the consecutive initial contacts of the same foot |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Balance | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | Balance will be assessed with the Pediatric Berg Balance Scale |
| Gait speed | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | Gait speed will be assessed with the 10-meter walk test |
| Spasticity | The first assessment was planned before the rehabilitation program, and the second assessment was planned at the end of the 6-week rehabilitation program | Spasticity will be assessed with the Modified Ashworth Scale |
Countries
Turkey (Türkiye)
Contacts
Primary ContactBerat M Alkan, Professor
Outcome results
None listed