Effect of Neurodynamics Nerve Flossing on Femoral Neuropathy in Haemophilic Patients

Femoral Neuropathy in Haemophilic Patients Clinical Trial

Official title:

Effect of Neurodynamics Nerve Flossing on Femoral Neuropathy in Haemophilic Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04448275
• Other study ID #: P.T./REC /012/002733
• Status: Completed
• Phase: N/A
• Start date: June 30, 2020
• Est. completion date: October 30, 2020

Study information

• Verified date: January 2021
• Source: October 6 University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To investigate the effect of Neurodynamics Nerve flossing on femoral neuropathy in patients with haemophilia

Background: heamophilia is one of the serious chronic disorders in children and adolescents which results in less physical activities and restlessness hours than their peer.

HYPOTHESES:

This study will hypnotize that:

Neurodynamics Nerve flossing will have a significant effect on femoral neuropathy in patients with haemophilia

RESEARCH QUESTION:

will the Neurodynamics Nerve flossing has an effect on femoral neuropathy in patients with haemophilia?

Description:

Haemophilic patients with Femoral Neuropathy will be randomly divided in two equal groups control group which will receive conventional selected exercise program and study group will receive the same exercise training program in addition to Neurodynamics Nerve flossing three times per week for three successive months.

The Evaluation will done pre and post interventions included:

femoral nerve motor conduction velocity, muscle test For Iliopsoas and Quadriceps muscles and Pain visual analogue scale.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: October 30, 2020
• Est. primary completion date: September 30, 2020
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 12 Years to 16 Years

Eligibility

Inclusion Criteria:

• hemophilia A or B, all the patients

• positive femoral nerve tension test

• the Manual muscle test for iliopsoas and quadriceps muscles in all patients not less than grade 2 according to the oxford scale

• the age ranging from (12:16) years

• all the participants will be able to communicate verbally ,obey commands and instructions and co-operate with testing and training protocols

Exclusion Criteria:

• any participants have auditory, visual and sever cardiac disorders

• Patients who have mild degree of hemophilia

• Patients who have joint, muscle bleeding or pain in the lower limb in the preceding 3 weeks

• patients with any other neurological disorders or musculoskeletal disorders or deformities of the lower limb.

Related Conditions & MeSH terms

• Femoral Neuropathy
• Femoral Neuropathy in Haemophilic Patients
• Peripheral Nervous System Diseases

Intervention

Other:
• Neurodynamics Nerve flossing
Neurodynamics Nerve flossing for femoral nerve that includes two techniques inform of: "slider technique" and the second is the "tensioner technique
• conventional selected exercise program
Ultrasound therapy The flexibility exercises for iliopsoas & quadriceps The iliopsoas & quadriceps muscles strength exercise

Locations

Country	Name	City	State
Egypt	October 6 University	Giza	El-Sheikh Zayed City Giza 1133 Egypt

Sponsors (1)

Lead Sponsor	Collaborator
Lama Saad El-Din Mahmoud

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Electromyography Nerve conduction study	Femoral Nerve motor conduction velocity (m/sec.) , via the Neuropack S1 MEB9004 EMG device	12 weeks
Primary	Femoral Nerve Tension Test, for femoral nerve injury	Femoral Nerve Tension Test is a neural tension test used to stress the femoral nerve; A positive test was be reproduction of the patient's symptoms as burning discomfort in the groin or anterior thigh occurred if there was femoral nerve involvement.	12 weeks
Primary	Manual muscle test, Oxford five grades of muscle power assessment	The group Manual muscle test was used for testing the strength of iliopsoas and quadriceps muscles, according to the Oxford Scale as the Muscle strength is often rated on a scale of 0/5 as follow: (0/5) no contraction of muscle, (1/5) muscle flicker contraction, but no movement (2/5) movement possible, but not against gravity (test the joint in its horizontal plane), (3/5) movement possible against gravity, but not against resistance by the therapist, (4/5) movement possible against some resistance by the examiner and (5/5) normal strength	12 weeks