Attention, Gait
Conditions
Keywords
sensory motor rehabilitation, music, auditory cue, gait, attention, CP, children
Brief summary
* To investigate the effect of music therapy as an additional intervention with physical therapy on concentration in children with spastic CP. * To investigate the effect of music therapy as an additional intervention with physical therapy on gait parameters for the children with spastic CP.
Detailed description
Physical therapy only could be not attractive for child if it done by the traditional way; focus on motor part and no need to involve the sensory part through the rehabilitation. Sense of hearing could be a unique one to stimulate for a better child attention during physical therapy session, even child with blindness could benefit from this idea. Using music for attracting attention of the child as a therapeutic way so the child can walk properly regarding time and pace. Singing as a live form of music could be more sensitive and interactive for child-therapist bond which is important to include the child as an active participant as child is being rehabilitated not just treatment. Rehabilitation means to involve the child as a whole at this complicated process, not to move a passive limb. Rehabilitation of CP: * A "temporal axis": Habilitation/rehabilitation should begin early and continuously - a minimum within the first years of child's life - and intensively - individually designed to meet child's needs. * A "spatial axis": where individual space, family, school, and social affair places must be all considered. * An "individual axis": Rehabilitation must observe the child as an active participant, not as a passive person of whom needs care. * A "relational axis": the standard of taking into consideration the relationship of the child and people who take care of him/her in different contexts of their life (Trabacca et al., 2016).
Interventions
BEHAVIORALMusic therapy
Neurologic music therapy (NMT) Listening to music and moving rhythmically.
OTHERphysical therapy traditional
program for gait improvement ( Standing, balance and gait training)
Sponsors
Cairo University
physical therapy of cairo university
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
2 groups one control, other study control will receive physical therapy sessions for 3 months 3 times per week 45 minutes for session, physical therapy contain program of rehabilitation for gait ( standing, balance and gait training) study group same as control in addition to auditory cue in form of music therapy program during physical therapy sessions designed for every individual child according to his preferred music, stopped when child cry or lose attention, replayed when child stop crying and pay attention for the session. Distractions for both groups controlled as possible.
Eligibility
Sex/Gender
ALL
Age
5 Years to 7 Years
Healthy volunteers
No
Inclusion criteria
* • The children age ranged from 5 to 7 years old (early childhood). * Spasticity degree ranges from 1 to 1+ as measured by the Modified Ashworth Scale * Children with lack of concentration according to MARS (Moss Attention Rating Scale) * Children can stand alone and walk.
Exclusion criteria
* • Children with deafness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| concentration as a cognitive function | pre intervention and 3 months post intervention | ability of child to pay attention during physical therapy sessions and be interactive with the therapist, measured by Moss Attention Rating Scale, score of 22 (minimum score) to less than 110 (maximum score), Higher scores indicate better attention. |
| Gait | pre intervention and 3 months post intervention | improvement measured by Gross motor function measure 88 (gait section), 0 (minimum score) to 100 (maximum score) percentage % |
| Kinovea, (Spatial and Temporal Parameters) | pre and 3 months post intervention | Kinovea, (Spatial and Temporal Parameters); Step length in centimeters (higher score better) |
| Kinovea, (Spatial and Temporal Parameters) ; stride length in centimeters (higher score better) | pre and 3 months post intervention | Kinovea, (Spatial and Temporal Parameters); stride length in centimeters (higher score better) |
| Gait (cadence) | pre and 3 months post intervention | Using Kinovea, cadence measured in steps\\minute (lower score better). |
Countries
Egypt
Contacts
CONTACTShrouk Mahmoud Mohamed researcher at Cairo university faculty of physical therapy, master
CONTACTMaya Galal Abd-Alwahab, Doctorate
STUDY_CHAIRKamal El-sayed Shoukry, Doctorate
Professor of Physical Therapy for Pediatrics Faculty of Physical Therapy Cairo University
Outcome results
None listed