Effect of Multisensory Motor Imagery Training on Muscle Performance and Coordination in Children With Spastic Diplegia

NCT06676332 — Not applicable, Recruiting, 30 participants, Cairo University

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Registry	NCT06676332
Status	Recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: quadruple, treatment
Enrollment	30 (Estimated)
Sponsor	Cairo University (Other)
Conditions	Spastic Diplegia, Motor Imagery
Interventions	motor imagery training, traditional physical therapy (Other)
Dates	start 2024-11-16, primary completion 2025-02-01 (estimated), completion 2025-05-01 (estimated), first posted 2024-11-06, last updated 2025-02-18
Locations	1 site in Egypt

-Summary

PURPOSE:

The current study aims to:

* Determine the effect of multisensory motor imagery training on muscle performance including (peak torque, work, power) of trunk and knee flexors and extensors in children with spastic diplegia.
* Determine the effect of multisensory motor imagery training on coordination, strength and agility in children with spastic diplegia.

BACKGROUND: Multisensory motor imagery training has an effect on muscle performance and coordination in children with spastic diplegia

HYPOTHESES: There will be no effect of multisensory motor imagery training on muscle performance, coordination and strength and agility in children with spastic diplegic CP.

RESEARCH QUESTION: Is there an effect of multisensory motor imagery training on coordination, strength and agility in children with spastic diplegia?

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+Arms and interventions

Arm	Type	Interventions	Description
control	Sham comparator	Other: traditional physical therapy	traditional physical therapy program
motor imagery	Experimental	Other: motor imagery training; Other: traditional physical therapy	multisensory motor imagery training plus the traditional physical therapy program

motor imagery training (Other), also known as mental rehearsal exercises: Children in the study group will receive multisensory motor imagery training program 45 minutes. The training protocol consists of several parts that will be run through every training session according to Kumar et al. (2016): * Watching videos of selected multisensory motor skills for 10 minutes. * Mental rehearsal of these motor skills 10 minutes. * Overt practice of the multisensory motor skills for 25 minutes. On the videos, the performance of the skill by a child aged 8-12 years will be shown. All the exercises will be looped to repeat for six to seven times. While projecting the video on the laptop screen, it will be ensured that the children are in a comfortable seating position and the screen is in their visual field. Repetition of the exercises was based on their ability which could be a minimum of five repetitions per session to a maximum of ten repetitions per exercise session.
traditional physical therapy (Other): traditional physical therapy training program

+Outcome measures

Primary outcomes

muscle performance [through study completion average 3 months]: muscle performance of knee and trunk muscles will be assessed by Isokinetic dynamometer
coordination [through study completion average 3 months]: coordination ill be assessed using BOT-2

+Eligibility

Sex: All, ages: 8 Years to 12 Years

Inclusion Criteria:

* Their age will be ranged from 8-12 years.
* Mild degree of spasticity ranged from 1 to 1+ according to Modified Ashworth Scale
* Their motor function will be at level I and II according to Gross Motor Function Classification System GMFCS
* They will be able to follow instructions during evaluation and treatment.

Exclusion Criteria:

* \- Cardiovascular or respiratory disorders.
* Botulinium muscular injection in the last 6 months
* Surgical interference in lower limbs and/or spine.
* Muscloskeletal problems or fixed deformities in the spine and/or lower extremities.
* Seizures.
* Visual or hearing impairment

+Locations (1)

Facility	City	Country	Status
Mayada Elshahawy	Cairo	Egypt	Recruiting