Effect of Nordic Walking on Gait-asymmetry Patterns in Children With Hemiparesis

NCT ID: NCT05644652

Last Updated: 2025-12-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-01
• Study Completion Date: 2024-06-30

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.

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 .

Conditions

Cerebral Palsy

Keywords

Cerebral palsy; gait; spatio-temporal gait parameters; unilateral cerebral palcy; Nordic walking

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

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.

Group Type: EXPERIMENTAL

designed physical therapy program

Intervention Type: OTHER

it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (15minutes each) as follows:

• Flexibility exercises to restore joint mobility of soft tissues.
• Static and dynamic balance exercises
• Functional strengthening exercises.
• Functional gait training.

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.

Group Type: EXPERIMENTAL

designed physical therapy program

Intervention Type: OTHER

it will be applied for for 60 min weekly for 3 successive months in the form of three sets of exercises (15minutes each) as follows:

• Flexibility exercises to restore joint mobility of soft tissues.
• Static and dynamic balance exercises
• Functional strengthening exercises.
• Functional gait training.

Nordic walking

Intervention Type: OTHER

it will be conducted according to the guidelines of the International Nordic Walking Federation

Interventions

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 (15minutes each) as follows:

• Flexibility exercises to restore joint mobility of soft tissues.
• Static and dynamic balance exercises
• Functional strengthening exercises.
• Functional gait training.

Intervention Type: OTHER

Nordic walking

it will be conducted according to the guidelines of the International Nordic Walking Federation

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Their age will range from 6-10 years, from both sexes.
• Level I, II and III of gross motor functional classification system (GMFCS) (Jooyeon et al., 2011)
• Grade 1 and 1+ spasticity according to the Modified Ashworth Scale (MAS). (Cloptonetal et al., 2005).

Exclusion Criteria

• Uncontrolled epilepsy.
• Mental retardation or autistic features.
• Significant visual or auditory problems according to medical reports (audio-vestibular and ophthalmic examination),
• Structural or fixed soft tissue deformities of the lower and/or upper extremities.
• Neurological or orthopedic surgery in the past 12 months in the lower and/or upper extremities.
• Botox injection in the lower and/or upper extremities in the past 6 months.

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 10 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Amira Mahmoud Abd-elmonem

Assist Prof. Physiacl therapy for pediatric department, faculty of physical therapy , Cairo university

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Emam H El-negamy, Phd

Role: STUDY_CHAIR

Cairo university, faculty of physical therapy

Maricha A Nashed, B.Sc.

Role: PRINCIPAL_INVESTIGATOR

Cairo university, faculty of physical therapy

Locations

Cairo University

Giza, , Egypt

Countries

Egypt

References

Nashed MA, Elnegmy EH, El-Tohamy AM, Abd-Elmonem AM. Efficacy of Nordic Walking Versus Conventional Gait Training on Gait Asymmetry Patterns in Children With Hemiparesis. Physiother Res Int. 2026 Jan;31(1):e70139. doi: 10.1002/pri.70139.

Reference Type: DERIVED

PMID: 41346090 (View on PubMed)

Other Identifiers

Nordic walking

Identifier Type: -

Identifier Source: org_study_id