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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.
This study will be conducted after approval from the Ethical Committee of the Faculty of Physical Therapy, Cairo University, and will follow the ethical principles of the Declaration of Helsinki. Written informed consent will be obtained from the parents of all participating children.
The intervention involves the use of a structured sensory walkway composed of eight wooden foot boxes filled with different textured materials, including polyester fiberfill, cut plastic straws, foam beads, and kinetic sand. This setup is designed to provide continuous multimodal tactile stimulation during gait training to enhance sensory-motor integration, postural control, and gait performance. Children in the intervention group will perform reciprocal gait training while interacting with the sensory surfaces, accompanied by verbal feedback to facilitate sensory awareness and motor engagement.
Both groups will receive a traditional physical therapy program including stretching exercises, quadruped and kneeling activities, balance training, stepper exercises, and gait training on various surfaces and equipment.
Data will be analyzed using descriptive statistics (mean and standard deviation), and statistical analysis will be performed using IBM SPSS software.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group - Conventional Physical Therapy | Active Comparator | Participants 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. |
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| Study Group - Conventional Physical Therapy plus Sensory Walkway Training | Experimental | Participants in the study group will receive conventional physical therapy including stretching, strengthening, balance exercises, and gait training. In addition, they will undergo gait training on a sensory walkway consisting of wooden foot boxes filled with different textured materials to provide tactile stimulation. Corresponding hand sensory boxes are placed along parallel bars to provide simultaneous upper limb sensory input. Children will walk through the walkway while immersing their feet and hands in the textured materials and are encouraged to identify and describe 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional Physical Therapy Program | Behavioral | Participants 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Step Width | Step width (cm) will be assessed using Kinovea software based on video recordings. | 3 months |
| Cadence | Cadence (steps/min) will be calculated using gait cycle analysis from Kinovea software |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shaymaa Rushdy Mahmoud, lecturer | Contact | 0201145050053 | shaymaa.rushdy@pt.cu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient Clinic, Faculty of Physical Therapy, Cairo University | Recruiting | Dokki | Giza Governorate | Egypt |
Individual participant data will not be shared to protect participants' privacy and confidentiality. The data collected in this study will be used for research purposes only and will not be publicly available.
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Participants will be assigned into two parallel groups: a control group receiving a conventional physical therapy program and a study group receiving the same program in addition to sensory walkway training.
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| Sensory Walkway Training | Behavioral | Participants 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. |
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| 3 months |
| Step Time | Step time (seconds) will be analyzed using Kinovea software based on video-based gait cycle timing. | 3 months |