The Middle East "Stepping Forward" Project (MESF) (MESF)
Cerebral Palsy, Poststroke/CVA Paresis
About this trial
This is an interventional treatment trial for Cerebral Palsy focused on measuring CERBRAL PALSY, Poststroke/CVA Paresis, REHABILITATION, WALKING, PERUTURBATION
Eligibility Criteria
Inclusion Criteria:
Inclusion criteria for CP group:
- Diagnosis of cerebral palsy
- Predominantly spastic type of CP with distribution of diplegia / tetraplegia
- Age: 14 - 20 yr
- GMFCS (gross motor function classification system) at levels II & III
- A cognitive level sufficient to comprehend and cooperate in treatment and testing
- No orthopedic surgery or other tone reduction intervention in last 6 months
- Not a candidate for orthopedic surgical or other tone reduction intervention.
Exclusion criteria for CP group:
- Candidates for orthopedic surgical or any other tone reduction procedures, e.g., botulin injections, baclofen pump interventions
- Cannot cooperate in treatment or understand instructions
- Uncontrolled convulsions if epileptic
- Adolescents with progressive degenerative conditions of CNS or/and muscle-skeletal system.
Inclusion Criteria:
Inclusion criteria for HP group:
- Stroke survivors in chronic stage (1 year or more following stroke
- Age: 40 - 65 yr
- Mild to moderate gait with ability to ambulate > 10m with or without assistive device
- Cognitive level sufficient to comprehend and cooperate in tests and training
- Mini-mental state examination (MMSE) score > 24 6: Receive medical clearance from their family physician.
Exclusion Criteria:
Exclusion criteria for HP group:
- Dementia (Mini-Mental Score < 24)
- Severe aphasia
- Heart failure
- Other medical conditions that preclude participation in low-intensity treadmill walking
Sites / Locations
- Assaf Harofeh Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Re-Step
Dummy shoes
treadmill
Mechatronic shoe with a sole made to change slopes in the swing phase of walking. This unpredictable change will introduce a situation of necessary adaptation to keep balance
The shoes are in the same shape and weight of the Re-Step without the perturbations.
A treadmill with safety adaptation and all the usual characteristics of speed and slopes of fitness treadmills.