The Effect of Therapeutic Climbing on Muscle Strength, Tone and Balance in Hemiplegic Children

Hemiplegia and Hemiparesis Clinical Trial

Official title:

The Effect of Therapeutic Climbing on Muscle Strength, Tone and Balance in Hemiplegic Children: a Preliminary Single-blind Randomised Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05983887
• Other study ID #: 489/10-4-2023
• Status: Completed
• Phase: N/A
• Start date: April 10, 2023
• Est. completion date: September 20, 2023

Study information

• Verified date: May 2024
• Source: University of Thessaly
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this randomised controlled trial is to learn about the effect of therapeutic climbing in hemiplegic children. The main questions it aims to answer are:

Does climbing affect muscle strength and tone? What is its connection between normative data drawn from healthy children? How can it affect balance?

Participants (children) will be asked to complete an series of movements used in sports climbing, such as inside-flag, back-flag and horizontal traverse, while hanging on an in-door climbing wall.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 12
• Est. completion date: September 20, 2023
• Est. primary completion date: August 31, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 4 Years to 16 Years

Eligibility

Inclusion Criteria:

• Children from 4 to 16 years old

• Children with Hemiplegia

• Evaluated as Level 1 on GMFCS

Exclusion Criteria:

• Botulinum toxin injection in last 6 months

• Surgery in the last 1 year (myofascial lengthening etc.)

• Children with poor cognitive skills (not following instructions etc.)

Related Conditions & MeSH terms

• Hemiplegia
• Hemiplegia and Hemiparesis
• Paresis

Intervention

Other:
• Therapeutic Climbing
The protocol consists of using an in-door climbing wall as an complementary therapeutic intervention model.

Locations

Country	Name	City	State
Greece	Department of Physiotherapy	Lamía	Phthiotis

Sponsors (1)

Lead Sponsor	Collaborator
Pavlos Kitixis

Country where clinical trial is conducted

Greece, 

References & Publications (1)

Buechter RB, Fechtelpeter D. Climbing for preventing and treating health problems: a systematic review of randomized controlled trials. Ger Med Sci. 2011;9:Doc19. doi: 10.3205/000142. Epub 2011 Aug 9. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Muscle Strength	Measured using Kinvent K-PUSH Dynamometer and Jamar Hydraulic Hand Dynamometer ; Unit of Measure: Peak Force in Kilograms (higher scores - better outcome)	8 weeks (pre-post evaluation)
Primary	Balance	Measured using the Timed Up & Go Test ; Unit of Measure: seconds of completion (higher scores - worse outcome)	8 weeks (pre-post evaluation)
Primary	Muscle Tone	Evaluated using the Modified Ashworth Scale ; Unit of Measure: Scoring Options (0-4) // (higher scores - worse outcome)	8 weeks (pre-post evaluation)
Secondary	Normative Strength Data Comparison	Comparison of normative values of the Jamar Hydraulic Hand Dynamometer of Healthy and Hemiplegic Children ; Unit of Measure: Difference of Peak Force in Kilograms	8 weeks (pre-post evaluation)

External Links

•   The effect of therapeutic climbing on gross motor function in hemiplegic cerebral palsy. A pilot single-case experimental design study (SCED)