Cerebral Palsy Clinical Trial
Official title:
Applied Research in Children With Spastic Cerebral Palsy in the Extracorporeal Shock Wave Therapy
Verified date | March 2016 |
Source | First Hospital of Jilin University |
Contact | n/a |
Is FDA regulated | No |
Health authority | China: Chinese Medical Association |
Study type | Interventional |
The purpose of this study is to determine whether radial extracorporeal shock wave therapy in combination with traditional physical therapy is safe and effective for the management of spastic plantar flexor muscles in patients with cerebral palsy younger than averaged three years of age.
Status | Completed |
Enrollment | 66 |
Est. completion date | March 2016 |
Est. primary completion date | July 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 12 Months to 60 Months |
Eligibility |
Inclusion Criteria: - diagnosis of cerebral palsy - spasticity of plantar flexor muscles greater than Grade 1 and up to Grade 4 according to the modified Ashworth scale - availability to attend the hospital during the treatment and follow-up assessments Exclusion Criteria: - fixed contractures or deformities at the left ankle - myopathies - clinical signs of myopathy and neuropathy - treatment with shock waves in the past - treatment with Botulinum neurotoxin A and/or focal intramuscular treatment with phenol and alcohol in the past - previous surgery of the left foot, ankle and leg - treatment with drugs for spasticity control - infection or tumor at the site of therapy application* - serious blood dyscrasia* - blood-clotting disorders* - treatment with oral anticoagulants* (*, contraindications of radial extracorporeal shock wave therapy) |
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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First Hospital of Jilin University |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Modified Ashworth Scale (MAS) grade of the plantar flexor muscles | MAS grade collected on each side at baseline (BL), one month (M1) and three months (M3) after BL. For the patients in the rESWT group, the MAS grade collected before rESWT at BL and after rESWT at M1 and M3. MAS grades are respectively 0 (no increase in muscle tone), 1 (slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) moved in flexion or extension), 1+ (slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM), 2 (more marked increase in muscle tone through most of the range of motion, but affected part(s) easily moved), 3 (considerable increase in muscle tone, passive movement difficult) or 4 (affected part(s) rigid in flexion or extension). | Three months after baseline | No |
Secondary | Passive range of motion of the foot (pROM) | pROM measured at BL, M1 and M3 as the dorsiflexion of the ankle joint. Measurements performed using a goniometer in supine position with the knee extended. For the patients in the rESWT group, pROM measurements performed before rESWT at BL and after rESWT at M1 and M3. Besides this, on the left side, pROM measurements also performed after rESWT at BL and before rESWT at M1 and M3. | Three months after baseline | No |
Secondary | Gross Motor Function Measure (GMFM)-88 | GMFM-88 collected at BL and M3. For the patients in the rESWT group, GMFM-88 collected before rESWT at BL and after rESWT at M3. The GMFM-88 is a standardized criterion referenced measurement tool designed to measure gross motor function over time for children with disabilities between five months and six years of age. It considers five dimensions of gross motor function: lying and rolling (17 items), sitting (20 items), crawling and kneeing (14 items), standing (13 items), and walking, running and jumping (24 items). A recent literature review considered the GMFM-88 useful as an outcome measure to detect changes in gross motor function in children with CP undergoing interventions. | Three months after baseline | No |
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