The influence of rhythmic auditory stimulation on gait symmetry in hemiparetic children /
تأثير التنبيه الصوتى المنتظم على تماثل المشى فى الاطفال المصابين بالخزل الشقى
Mashael Abdelsalam Mohamed ; Supervised Amira Mohamed Eltohamy , Nanees Essam Mohamed
- Cairo : Mashael Abdelsalam Mohamed , 2019
- 162 P. : charts , facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics
Background: The spastic hemiparetic gait pattern is characterized by temporal and spatial asymmetries, which are resistant features to correction. More information about the effect of new therapeutic modalities on the hemiparetic gait pattern should be investigated and obtained. Aim: The purpose of this study was to investigate the effect of rhythmic auditory cued gait training in addition to selected physical therapy on spatiotemporal asymmetries of gait in hemiparetic children. Subjects and Procedure: A randomized controlled study was conducted on forty-two spastic hemiparetic children (18 boys & 24 girls) in the age range of six to ten years. They were randomly allocated in two groups (27 study& 15 control). The investigator performed two dimensional gait analysis for every child before and after the treatment program to assess the gait symmetry. The study group received rhythmic auditory cued gait training in addition to selected physical therapy program training, whereas the control group received the selected physical therapy program training, three times/week for 4 months.Results: comparison between the study and control groups post-treatment revealed both no statistically significant difference of step and stride length (P > 0.05), and a statistically significant difference of stance and swing time (P > 0.05) in favor of the study group. Conclusion: Gait training using rhythmic auditory feedback in addition to selected physical therapy program is superior to selected physical therapy training for improving the gait symmetry of children with spastic hemiparesis