Cerebral Palsy Clinical Trial
Official title:
The Effect of Motor Imagery Training on Muscle Activity, Motor Imagery and Functional Movement Skills in Individuals Unilateral Cerebral Palsy
Motor imagery (MI) is a promising method to improve more cognitive aspects of motor
behaviour, and may, thus, be effective for facilitating motor planning in children with
Cerebral Palsy (CP). MI training facilitates the neural plasticity by enhancing the neuronal
cortical pathways in brain. In children with CP, motor planning and MI capacity were found to
be affected by studies. In the literature, there are studies about the evaluation of MI in
Unilateral CP but there is insufficient number of studies included in MI in the
rehabilitation program.
The aim of the study was to investigate the effect of motor imagery training for gait and
lower extremity muscle activity (with EMG), functional capacity, quality of life, and time
performance variables in Children with Unilateral CP.
The eligible participants will be allocated three groups, including motor imagery training
group, traditional physiotherapy control group, and healthy control group. All the
assessments will be performed before and after the training in the 8-week motor imagery
training group and 6 weeks after the end of training. The participants in the control group
will be evaluated with a 8-week interval and 6 weeks after the end of physiotherapy training.
The healthy participants will be assessed only once. The motor imagery training will be
designed for the individual basis with standard protocols. It will be applied two times a
week for 8 weeks. All sessions will be performed in the clinic.
Unilateral CP and age matched healthy individuals will be participate the study between the
ages of 7 and 18 years. Children's gross motor skills classified with GMFCS.
The control group individuals will be given a traditional physiotherapy two days per week for
a total of 8 weeks (traditional physiotherapy session will last 45 minutes). Motor imagery
training group will receive a traditional physiotherapy and motor imagery training within a
specific program, two days a week for a total of 8 weeks (30 minutes traditional
physiotherapy session+15 minutes MI training) .
Within the scope of MI training, individual training program will be determined by taking
into consideration the needs of the individuals and the expectations for gait. The basic case
of PETTLEP (Physical, Environment, Task, Timing, Learning, Emotion, Perspective) will be
followed. MI training will be given individually with the same physiotherapist.
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