Comparison of Synchronous and Asynchronous Action Observation Therapy in Children With Cerebral Palsy

Launched by ISTANBUL UNIVERSITY - CERRAHPASA · Aug 8, 2025

Keywords

ClinConnect Summary

Cerebral palsy (CP) is defined as a non-progressive neurological disorder that arises during fetal development, the neonatal period, or early childhood and results in permanent motor impairments. Lesions in the central nervous system of children with CP lead to a range of musculoskeletal, neuromuscular, and sensory system problems, causing postural abnormalities, balance and coordination deficits, and limitations in mobility. These impairments significantly reduce independence in activities of daily living.

Various therapeutic approaches are utilized in the rehabilitation process to improv...

Gender

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Eligibility criteria

• Inclusion Criteria:
• • Voluntary participation of both the child and their family in the study
• • Diagnosis of cerebral palsy with spastic clinical type, including hemiparetic and diparetic distribution
• • Age between 6 and 18 years
• • Classified as Level I or II according to the Gross Motor Function Classification System (GMFCS)
• • Ability to comply with exercise interventions (based on medical report indicating normal mental level or "mild mental retardation")
• • Ability to understand and speak Turkish
• Exclusion Criteria:
• • Presence of spasticity ≥3 in lower extremity muscle groups as measured by the Modified Ashworth Scale
• • Inability to cooperate with verbal commands
• • Presence of visual or hearing impairments
• • Diagnosis of epilepsy or current use of antiepileptic medications
• • Presence of joint contractures
• • Botulinum toxin injection to the lower extremities within the past 6 months
• • Undergoing orthopedic surgery within the past 6 months
• • Presence of any additional systemic or neurological diseases
• • Missing three consecutive rehabilitation sessions