Evaluation of the Applicability and Reliability of the Three Meter Backwalk Test in Children With Cerebral Palsy (CP)

NCT ID: NCT04653363

Last Updated: 2021-11-23

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 80 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-12-15
• Study Completion Date: 2021-11-19

Brief Summary

Cerebral palsy (CP) is a non-progressive disturbance in the development of movement and posture that occurs in the prenatal or postnatal period, causing activity limitations. Most children and adolescents with CP experience limitations in their walking skills. Restrictions in the walking ability of children with CP are an important issue for both parents and healthcare professionals involved in their treatment.

The evaluation of walking is of great importance in terms of determining the effectiveness of the physiotherapy program, shaping the program, planning orthopedic and surgical applications, and determining the effectiveness, especially in children with CP who have walking potential. In the literature, easy-to-use, valid and reliable observational gait analysis that can evaluate gait pathologies and clinical gait in children with CP are emphasized. These measurements are of great importance in clinical practice.The ability of backward walking gives the child a different task than normal, allowing the observation of body perception, trunk stability provided by anterior-posterior co-contractions, balance, correction and protective reactions.

Detailed Description

The main purpose of CP rehabilitation is to ensure that the child gains maximum functional independence by obtaining the optimal development potential. Therefore, walking restrictions are one of the important problems in children with CP.

The most common type in the CP classification is the spastic type. The types with the best functional independence level in this group are; hemiparetic and diparetic CP. They do not have a good motor coordination due to stability problems caused by deviations in the center during walking. This situation affects balance and walking performance. As children get older, impairments in their walking ability become more pronounced. In addition to all these problems, hypertonus, increased stretching reflex, muscle weakness, coactivation in antagonist muscles, posture disorders, loss of proprioception, muscle and joint deformities are other factors that cause gait disturbances in children with CP. Therefore, the walking problems of the child with CP should be examined more clearly. At this point, it assigns a different task to the child with the evaluation of backward walking, and provides observation of body perception, trunk stability provided by anterior-posterior co-contractions, balance, correction and protective reactions. This observation ensures that the problem that will guide the treatment is precisely determined.The only test that can be applied to evaluate the ability to walk back is the three meter backward walk test. This test has been found to be valid and reliable in both the elderly population and patients with total knee arthroplasty.In the literature, there is no study about the three-meter backwalk test in children with CP. In this study, it was aimed to evaluate the backward walking skills of children with CP with the three meter backward walk test and to examine the applicability and reliability of the three meter backward walk test in children with CP.

Conditions

Cerebral Palsy; Cerebral Palsy Spastic Diplegia; Hemiplegic Cerebral Palsy; Gait, Hemiplegic; Gait, Spastic

Keywords

Cerebral Palsy; backward walk; reliability; gait

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

1

study1 is the patients who will be assessed by first rater.

assessments

Intervention Type: OTHER

All assesments will be done by the first physiotherapist. But only 3m backward test will be done by the first and second physiotherapist in the first day and second day.

2

study2 is the patients who will be assessed by second rater.

assessments

Intervention Type: OTHER

All assesments will be done by the first physiotherapist. But only 3m backward test will be done by the first and second physiotherapist in the first day and second day.

3

Theh are healty peers control patients who will be assessed by first rater.

assessments

Intervention Type: OTHER

All assesments will be done by the first physiotherapist. But only 3m backward test will be done by the first and second physiotherapist in the first day and second day.

Interventions

assessments

All assesments will be done by the first physiotherapist. But only 3m backward test will be done by the first and second physiotherapist in the first day and second day.

Intervention Type: OTHER

Other Intervention Names

three meter backward test; Time Up and Go test; Timed Up and Down Stairs Test; Four Square Step Test; Functional Reach Test; Pediatric Berg Balance Scale; demografic information form; gross motor function classification system (GMFCS); modified ashworth scale; Communication Function Classification System

Eligibility Criteria

Inclusion Criteria

• Children aged 8-18 years with a diagnosis of Hemiparetic and Diparetic SP with a Gross Motor Function Classification System (GMFCS) Level ≤ 3
• Children diagnosed with CP with Communication Function Classification System (CFCS) ≤ 3
• Children with ≤ 3 according to the Modified Ashworth Scale (MASH)
• Complete range of passive range of motion in the ankle and knee joints
• Volunteering to participate in the study

Exclusion Criteria

• Not having Botulinum toxin or surgical operation in the last 6 months
• Having contracture in the ankle and knee joints

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Sanko University

OTHER

Sponsor Role: lead

Responsible Party

Hatice Adıgüzel

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

hatice adıgüzel, PhD

Role: STUDY_DIRECTOR

sanko Üniversitesi

Locations

Hatice Adıgüzel

Gaziantep, Batıkent, Turkey (Türkiye)

Hatice Adıgüzel

Gaziantep, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Celik OF, Adiguzel H, Kirmaci ZIK, Erel S, Demirguc A. Validity and reliability of the 3-meter backward walk test in children with cerebral palsy. Acta Neurol Belg. 2023 Aug;123(4):1439-1446. doi: 10.1007/s13760-023-02259-1. Epub 2023 Apr 4.

Reference Type: DERIVED

PMID: 37014515 (View on PubMed)

Other Identifiers

SankoUniv

Identifier Type: -

Identifier Source: org_study_id