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Enrolling by Invitation

NCT Number: NCT07664878

AR-Based Motor Rehabilitation for Children With CP

The aim of the project is to create a digital system for cognitive-oriented rehabilitation of the central neuromuscular diseases (CND) with the use of augmented reality (AR) technology in children. Solving the project supports the professional-oriented digital literacy of professionals in rehabilitation institutions in the Czech Republic (CR). With the applied research, the software will be developed for the training of fine and gross motor skills, postural control and walking in the AR environment for children with cerebral palsy and verified in the practice of professionals in rehabilitation. The project aims to modernization and increase of the effectiveness of the work of professionals in rehabilitation institutions in the CR. The project is based on an interdisciplinary approach.

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Key information

Conditions

Cerebral Palsy (CP) Augmented Reality Exercise Program Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Cerebral Palsy Nervous System Diseases

Age range

6 year–15 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Palestra

Prague, Czechia

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Medical diagnosis of spastic hemiparesis or diparesis types cerebral palsy
  • The level of motor skills was at levels I and II according to the Gross Motor Function Classification System (GMFCS)
  • spasticity of grade 2 or less diagnosed with the Modified Ashworth Scale (MAS)
  • Ability to walk at least 10 meters without aids and without the support of a therapist

Exclusion criteria

  • no neurological disease other than CP
  • no visual impairment with exception of short-sightedness
  • Children is not able to follow instructions during testing and training
  • Injection treatment of anti-spastic medication in the last 3 months
  • Lower limb surgery within the past 12 months

Treatment and study plan

AR-based therapy

Behavioral

The child wore Meta Quest 3 (Meta Platforms, Menlo Park, California, USA) VR/AR goggles during the exercises. Our custom exercise applications were running on the device. They provide brief verbal instructions at the start of each exercise. During the exercise, they also give short cognitive prompts to support focused attention.

Conventional Physical Therapy

Behavioral

Traditional spa treatment comprising hydrotherapy and physical therapy.

Primary outcomes

  1. Speed of 10-meter walk test (m/s)

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    Speed (m/s): average speed of the walk 10 metres (10MWT)

  2. Cadence (steps/min)

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    Number of half-steps in one minute. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering)

  3. Support phase (% cycle)

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    The average value of the durations of the right and left support phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).

  4. Swing Phase (% Cycle)

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    The average value of the durations of the right and left swing phases as percentages of the duration of the gait cycle. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).

  5. Symmetry index of pelvic tilt

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the sagittal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).

  6. Symmetry index of pelvic obliquity

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the frontal component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).

  7. Symmetry index of pelvic rotation

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    The movements of the pelvis in the three principal planes are evaluated using symmetry indexes between the right and left gait cycle. Non-pathological subjects show an index greater than 90. The pelvic tilt, is the transverse component of 3D pelvic movement. Data will be analyzed with the G-Studio software (BTS G-Walk, BTS Bioengineering).

  8. The Pediatric balance scale (PBS)

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    The Pediatric Balance Scale is a modified version of the Berg Balance Scale. The scale consists of 14 balance-related test items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points. Higher total scores suggest that the child has good balance ability.

Secondary outcomes

  1. One-Leg Balance (valuated by the time the child is able to maintain the position)

    Time frame: Change from pre-intervention (first day) to post-intervention (last day of 4-week motor training program)

    In this task, the child is asked to stand on one leg on a balance board or other unstable surface. Each leg is tested separately. The child must maintain balance for a maximum of 30 seconds. The task is assessed in accordance with the MABC-2 manual.

Sponsors and collaborators

Lead sponsor

College of Physical Education and Sport PALESTRA

Other

Collaborators

  • Charles University, Czech Republic

Registry information

Official study title

Digitalization of Rehabilitation Care for Children With Motor Disorders Using Augmented Reality Technologies

Acronym: PSYCHO-AR-REH

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jun 24, 2026
Registry last updated
Jun 30, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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