Cerebral Palsy Clinical Trial
— IASTMOfficial title:
The Effect of Instrument Assisted Soft Tissue Mobilization and Stretching Exercises on Flexibility, Spasticity and Balance in Individuals With Cerebral Palsy
The aim of the study; To investigate the effects of Instrument Assisted Soft Tissue Mobilizations and Stretching Exercises on flexibility, spasticity, balance and functional mobility in patients with CP.
Status | Not yet recruiting |
Enrollment | 39 |
Est. completion date | December 1, 2022 |
Est. primary completion date | June 1, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 5 Years to 18 Years |
Eligibility | Inclusion Criteria: - Having been diagnosed with Unilateral Spastic Type Cerebral Palsy by the health committee report, - Level I or II according to GMFCS, - Being between the ages of 5-18, - No Botulinum Toxin (Botox) injection in the last 6 months, - Not using any medication that may affect muscle tone, - Passive ankle dorsiflexion + 10o and passive plantar flexion -25o, - Families and children agree to participate voluntarily in the study. Exclusion Criteria: - Having undergone any lower extremity surgery, - Tone in plantar flexors is level IV according to MAS, - Presence of advanced contracture in the ankle, - Presence of any diagnosed cardiac or orthopedic disorder that may prevent the application of the treatment, - Hearing or vision problems, - Having a history of epileptic attacks, - Not having the ability to adapt to exercises (cases with the phrase "Mental Retarde" according to the health report). |
Country | Name | City | State |
---|---|---|---|
Turkey | Istanbul University Cerrahpasa | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Istanbul University-Cerrahpasa |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Modified Ashworth Scale (MAS) | In the evaluation of the presence of spasticity in patients with CP, the ankle plantar flexors will be based. It is recorded as an assessment of the resistance encountered while passively moving the limb at full range of motion. It is scored as 0, 1, 1+, 2, 3, 4. A value of 0 is the best score without muscle tone increase, while a value of 4 is when the extremity is in a rigid position. Modified Ashworth Scale (MAS) will be used to evaluate spasticity. | one month | |
Primary | Pediatric Berg Balance Scale (PBBS) | The Pediatric Berg Balance Scale, which is the version of the Berg Balance Scale designed for children by Franjoine et al., will be used to evaluate their functional balance in activities of daily living. The scale consists of 14 sections and each section is scored between 0-4; The highest score that can be obtained from the scale is 56. | one month | |
Primary | Selective Motor Control Test (SMCT) | Ankle dorsiflexion Selective Motor Control Test will be used in the evaluation of selective movements. This test evaluates the isolated dorsiflexion movement of the ankle and is evaluated between 0-4 according to the selectivity of the ankle dorsiflexion movement in the long sitting position. | one month | |
Primary | Weight-Bearing Lunge Testi (WBLT) | In order to measure the weight-bearing dorsiflexion ROM, the Weight-Bearing Lunge Test, which is positioned with support from the wall in the closed chain position, will be applied. An increase in ankle dorsiflexion angle will be considered as a positive result. | one month |
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