Virtual Reality Versus Balance Beam on Spastic Hemiplegic Cerebral Palsy
Balance Problems in Spastic Hemiplegic Children, Walking Performance in Spastic Hemiplegic Children
About this trial
This is an interventional treatment trial for Balance Problems in Spastic Hemiplegic Children
Eligibility Criteria
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.
Sites / Locations
- Physical Therapy
- Physical TherapyRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
children treated by the traditional physical therapy program based on Neurodevelopmental technique
children treated by Virtual Reality for 15 min. besides the traditional physical therapy program
children treated by Balance Beam for 15 min besides the traditional physical therapy program
Twenty-five cerebral palsied hemiplegic children will be treated by the traditional physical therapy program ( balance board, single limb support, standing with throwing ball ) based on Neurodevelopmental technique for 6 month
twenty-five cerebral palsied hemiplegics will be included in this group; they will be receive the regular physical therapy program in addition to training by Virtual reality with use of the HMD helmet allows users to perceive a 3D stereoscopic images that enable participants to interact with different balance games as football Soccer, football heading (known as Soccer Heading), the tight rope walks and the Penguin slide game.
Twenty-five cerebral palsied hemiplegics will be included in this group; they will be receive the regular physical therapy program in addition to training by standing and walking in balance beam by differentiate levels of walking balance proficiency as varying widths of beam and walking in different direction (forward or backward).