Comparison of Synchronous and Asynchronous Action Observation Therapy in Children With Cerebral Palsy
Key facts
- Who runs it
- Istanbul University - Cerrahpasa
- Where
- Türkiye1 site in 1 countryChoose a country to see its sites
- Trial code
- Status
- Completed
- People taking part
- 22 people enrolled
- Started
- 4 Aug 2025
- Ended
- 20 Oct 2025
- Type of study
- Interventional, 2 groups
- Treatments tested
- Synchronous Action Observation Therapy
- Asynchronous Action Observation Therapy
- Record updated
- 22 July 2026
Who can take part
- Age
- 6 years to 18 years
- Sex
- Women and men
- Healthy volunteers
- Cannot take part
The registry criteria, word for word
Show all 15 criteriaShow less
Who can take part
- 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
Who cannot take part
- Undergoing orthopedic surgery within the past 6 months
- Diagnosis of epilepsy or current use of antiepileptic medications
- Presence of any additional systemic or neurological diseases
- 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
- Presence of joint contractures
- Botulinum toxin injection to the lower extremities within the past 6 months
- Missing three consecutive rehabilitation sessions
This trial has no sites in United States.
It has sites in one country. Choose a country to see its sites.
About the trial
What the trial wants to find out
The aim of this study is to compare the effects of synchronous and asynchronous action observation therapy (AOT) on balance, gait, and functional capacity in children with cerebral palsy (CP). CP is a neurodevelopmental disorder characterized by impairments in motor skills, particularly motor control and postural balance. By examining the contributions of synchronous (real-time) and asynchronous (delayed) AOT methods to motor performance, this study seeks to identify the most effective therapeutic approach for this population.
The 2 groups in the trial
- Neurodevelopmental treatment (NDT) + Synchronous Action Observation Therapy (AOT) GroupTreatment being tested
Participants in this group will receive a 20-minute Neurodevelopmental Training (NDT) session followed by synchronous Action Observation Therapy (AOT). The AOT component consists of four video modules: 1. Sitting position + Sit-to-Stand exercises 2. Weight-shifting exercises 3. Balance exercises 4. Walking exercises Participants will observe the videos in real-time and perform the movements simultaneously. The intervention will last for 8 weeks, with sessions conducted twice weekly for 45 minutes each.
Treatment: Synchronous Action Observation Therapy
- Neurodevelopmental treatment (NDT) + Asynchronous Action Observation Therapy (AOT) GroupTreatment being tested
Participants in this group will receive the same 20-minute NDT session followed by asynchronous Action Observation Therapy (AOT). In this group, participants will first watch each of the four video modules, then perform the exercises afterward (i.e., not in real time). The intervention will last for 8 weeks, with sessions conducted twice weekly for 45 minutes each.
Treatment: Asynchronous Action Observation Therapy
Data and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- The Comparison of the Effects of Synchronous and Asynchronous Action Observation Therapy on Balance, Walking and Functional Capacity in Children With Cerebral Palsy
- Record updated
- 22 July 2026