Effect of Nordic Walking on Gait-asymmetry Patterns in Children With Hemiparesis
Study Details
Study Description
Brief Summary
Nordic walking is a physical activity consisting of walking with poles similar to ski poles. The poles are designed for the purpose of activating the upper body during walking. The poles are equipped with rubber or spike tips and the walking itself resembles.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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N/A |
Detailed Description
Compared to normal walking in Nordic walking there is a stronger involvement of the upper body. Furthermore, by using the poles, the muscles in the upper body can be activated, and the length of each step taken is supposedly increased, resulting in a faster gait .
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: control group 15 Children in this group will receive a designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. |
Other: designed physical therapy program
it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (20 minutes each) as follows:
Flexibility exercises to restore joint mobility of soft tissues.
Static and dynamic balance exercises
Functional strengthening exercises.
Functional gait training.
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| Experimental: Nordic walking group Children in this group will receive the same designed physical therapy program for 60 minutes per session, three times a week, for three consecutive months. while the Nordic walking training for 20 minutes will replace the functional gait training. |
Other: designed physical therapy program
it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (20 minutes each) as follows:
Flexibility exercises to restore joint mobility of soft tissues.
Static and dynamic balance exercises
Functional strengthening exercises.
Functional gait training.
Other: Nordic walking
it will be conducted according to the guidelines of the International Nordic Walking Federation
|
Outcome Measures
Primary Outcome Measures
- Assessment of gait [after 3 successive months]
The gait parameters will be assessed by kinovea software. Kinovea, free 2D motion analysis software, was created in 2009 via the non-profit collaboration of several researchers, athletes, coaches and programmers from all over the world. It enables the analysis of distances, angles, coordinates and spatial-temporal parameters frame by frame from a video recording. These measurements can be made from different perspectives, since the software carries out calibrations in non-perpendicular planes to the camera-object line analyzed. spatio-temporal parameters will be measured
Eligibility Criteria
Criteria
Inclusion Criteria:
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Their age will range from 6-10 years, from both sexes.
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Level I, II and III of gross motor functional classification system (GMFCS) (Jooyeon et al., 2011)
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Grade 1 and 1+ spasticity according to the Modified Ashworth Scale (MAS). (Cloptonetal et al., 2005).
Exclusion Criteria:
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Uncontrolled epilepsy.
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Mental retardation or autistic features.
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Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
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Structural or fixed soft tissue deformities of the lower and/or upper extremities.
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Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities.
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Botox injection in the lower and/or upper extremities in the past 6 months.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Cairo University
Investigators
- Study Chair: Emam H El-negamy, Phd, Cairo university, faculty of physical therapy
- Principal Investigator: Maricha A Nashed, B.Sc., Cairo university, faculty of physical therapy
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Nordic walking