Cerebral Palsy, Spastic Clinical Trial
Official title:
Influence of the Spinal Manipulation on Muscle Spasticity and Manual Dexterity in Children With Cerebral Palsy, Randomized Control Trial.
The aim of the study is to evaluate a short term influence of the Spinal Manipulation (SM) on
the wrist muscles spasticity and manual dexterity in children with spastic Cerebral Palsy.
Effect of SM and imitation of the SM has to be compared in the double-blinded randomized
clinical trial.
Muscle spasticity is an important clinical syndrome of Cerebral Palsy (CP) resulting from
upper motor neuron lesion, and its reduction is a significant therapeutic target for
optimizing motor performance.
Investigator's recent study describes decrease in spasticity after SM in a group of children
with CP. But that case series has no control group and the sample size was small so it does
not prove the influence of the SM on the muscle spasticity.
The purpose of the present study is to evaluate influence of the SM on muscle spasticity and
on manual dexterity of the child with CP in a double-blind randomized clinical trial with two
arms: SM (experimental group) and imitation of SM (control group).
Children admitted to the International Clinic of Rehabilitation are selected according to
inclusion-exclusion criteria and invited to participate. After getting the permission the
baseline assessment is performed.
Patients are allocated to the experimental or control group using stratified randomization.
Medical doctor certified in Manual Therapy performs the intervention (SM in the experimental
group and imitation in the control group) and in 15 minutes the second assessment is
performed. Investigators, children and parents are blinded to group allocation.
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