Dual Task Training With Vestibular Stimulation in Children With Diplegic Cerebral Palsy

NCT ID: NCT07157488

Last Updated: 2025-09-05

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-09-30
• Study Completion Date: 2025-12-31

Brief Summary

Dual task training enhances gross motor function, reduce fatigue and minimize cognitive motor interference in children with diplegic cerebral palsy by promoting neuroplasticity and improving dual task processing. Vestibular stimulation improve balance triggering the vestibulospinal reflex, which play a key role in maintaining posture and reducing the risk of fall. Integrating dual task training with vestibular stimulation can provide a more holistic rehabilitation strategy by enhancing balance and posture stability through improved vestibular system activation, supporting motor and cognitive coordination by challenging the brain to handle tasks concurrently, and boosting functional mobility by mimicking everyday situations that require divided attention. This RCT evaluates its effectiveness in optimizing motor-cognitive integration, functional mobility and endurance compared to conventional motor training approaches.

Conditions

Diplegic Cerebral Palsy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Conventional Physical Therapy With Dual Task Training

Participants receive conventional physical therapy combined with dual task training.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Conventional PT (20 min): Wide leg squatting, hip flexion/extension, hip abduction/adduction, knee extension/flexion with ankle weights (Uysal et al., 2024).

Dual Task Training (20 min): Balance activities (semi-tandem stance, tiptoe, heel stance, one-leg stance, line walking) combined with cognitive tasks (verbal fluency, simple math, memory recall, daily routine recall).

Session Duration: 50 minutes, 3 times/week for 12 weeks.

Group Type: ACTIVE_COMPARATOR

Conventional Physical Therapy With Dual Task Training

Intervention Type: BEHAVIORAL

Participants undergo a 50-minute session, 3 times/week for 12 weeks.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Conventional PT (20 min): Wide leg squatting, hip flexion/extension, hip abduction/adduction, knee extension/flexion with ankle weights (Uysal et al., 2024).

Dual Task Training (20 min): Balance activities (semi-tandem stance, tiptoe, heel stance, one-leg stance, line walking) with cognitive activities (verbal fluency, simple math, memory recall, daily routine recall).

Dual Task Training With Vestibular Stimulation

Intervention Type: BEHAVIORAL

Participants undergo a 50-minute session, 3 times/week for 12 weeks.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Dual Task Training (20 min): Same as Intervention 1 (balance + cognitive tasks).

Vestibular Stimulation (20 min): Sliding activity on physio roll (10 repetitions) and vertical bouncing on physio roll for 10 minutes (Parashar et al., 2017).

Dual Task Training With Vestibular Stimulation

Participants receive dual task training combined with vestibular stimulation exercises.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Dual Task Training (20 min): Same protocol as Arm 1 (balance + cognitive tasks).

Vestibular Stimulation (20 min): Sliding activity on physio roll (10 repetitions) and vertical bouncing while seated on physio roll for 10 minutes (Parashar et al., 2017).

Session Duration: 50 minutes, 3 times/week for 12 weeks.

Group Type: EXPERIMENTAL

Conventional Physical Therapy With Dual Task Training

Intervention Type: BEHAVIORAL

Participants undergo a 50-minute session, 3 times/week for 12 weeks.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Conventional PT (20 min): Wide leg squatting, hip flexion/extension, hip abduction/adduction, knee extension/flexion with ankle weights (Uysal et al., 2024).

Dual Task Training (20 min): Balance activities (semi-tandem stance, tiptoe, heel stance, one-leg stance, line walking) with cognitive activities (verbal fluency, simple math, memory recall, daily routine recall).

Dual Task Training With Vestibular Stimulation

Intervention Type: BEHAVIORAL

Participants undergo a 50-minute session, 3 times/week for 12 weeks.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Dual Task Training (20 min): Same as Intervention 1 (balance + cognitive tasks).

Vestibular Stimulation (20 min): Sliding activity on physio roll (10 repetitions) and vertical bouncing on physio roll for 10 minutes (Parashar et al., 2017).

Interventions

Conventional Physical Therapy With Dual Task Training

Participants undergo a 50-minute session, 3 times/week for 12 weeks.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Conventional PT (20 min): Wide leg squatting, hip flexion/extension, hip abduction/adduction, knee extension/flexion with ankle weights (Uysal et al., 2024).

Dual Task Training (20 min): Balance activities (semi-tandem stance, tiptoe, heel stance, one-leg stance, line walking) with cognitive activities (verbal fluency, simple math, memory recall, daily routine recall).

Intervention Type: BEHAVIORAL

Dual Task Training With Vestibular Stimulation

Participants undergo a 50-minute session, 3 times/week for 12 weeks.

Warm-up (10 min): Trunk and lower extremity ROM exercises (Lee et al., 2021).

Dual Task Training (20 min): Same as Intervention 1 (balance + cognitive tasks).

Vestibular Stimulation (20 min): Sliding activity on physio roll (10 repetitions) and vertical bouncing on physio roll for 10 minutes (Parashar et al., 2017).

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Diagnosis of diplegic cerebral palsy (confirmed by physician/therapist).

Age between 6-12 years.

Gross Motor Function Classification System (GMFCS) levels II-III.

Ability to walk with or without assistive devices.

Stable medical condition for the past 6 months.

Parental/guardian consent to participate.

Exclusion Criteria

• History of recent orthopedic surgery (within the past 6 months).

Botulinum toxin injections within the past 6 months.

Severe uncontrolled epilepsy or other uncontrolled medical conditions.

Severe cognitive impairment preventing ability to follow instructions.

Significant visual, auditory, or vestibular disorders unrelated to cerebral palsy.

Participation in another interventional clinical study within the last 3 months.

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Aqsa Majeed

Dr. Aqsa Majeed

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

Anam Mujahid

Identifier Type: -

Identifier Source: org_study_id