Role Of Physical Therapy In Relieving Constipation In Children With Spastic Cerebral Palsy

NCT ID: NCT03379038

Last Updated: 2019-02-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 35 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-12-27
• Study Completion Date: 2019-01-30

Brief Summary

This study was conducted to determine the effectiveness of Physical Therapy management in relieving constipation among Spastic Cerebral Palsy children. There were two groups, Group A received routine Physical Therapy and Group B received maintenance Physical Therapy (aim to maintain current level of spasticity, functionality to avoid deterioration of conadition as approved by ASRC)

Detailed Description

Physical therapy makes an integral part of the non-pharmacological, conservative management of cerebral palsy. Routine physical therapy aims to reduce spasticity, improve joint range of motion (ROM), and improve strength and mobility.

Passive ROM and stretching of lower limb and trunk increases parasympathetic activity and thus improves intestinal motility in prolonged bed ridden patients.Abdominal muscle training improves intestinal motility by two ways: mechanically by improving fecal propulsion towards rectum and neurologically by inducing parasympathetic activity to improve intestinal motility.20 Thermotherapy of back and abdomen in chronic constipation patient improves intestinal blood flow and parasympathetic activity.

Conditions

Cerebral Palsy, Spastic

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Progressive Physical Therapy (PPT)

Duration: Each child was given 40-minute session. Frequency: Two sets were performed, 5-10 active assisted sit-ups in each set at least once a day. Furthermore, the subjects were advised to use CP chair and standing frame/wall corner for sitting/standing position respectively for at least 15-30 minutes once a day. These exercises were followed by reflex inhibiting postures in sitting and lying positions.

Total 42 sessions were performed in 6 weeks (7 days/week). Intensity: The aim of the PPT was to improve the patient's level of spasticity, strength and activity level.

Group Type: EXPERIMENTAL

Progressive Physical Therapy

Intervention Type: OTHER

Stretching of the tight muscle, positioning, abdominal co activation; rolling etc to decrease muscle tone and functional independence.

Maintenance Physical Therapy (MPT)

Duration: Each child was given 40-minute session. Frequency: Two sets were performed, 5-10 active assisted sit-ups in each set at least once a day. Furthermore, the subjects were advised to use CP chair and standing frame/wall corner for sitting/standing position respectively for at least 15-30 minutes once a day. These exercises were followed by reflex inhibiting postures in sitting and lying positions. Total 42 sessions were performed in 6 weeks (7 days/week).

Intensity:The aim of the MPT was to maintain the patient's current level of spasticity, strength and activity level.

Group Type: PLACEBO_COMPARATOR

Maintenance Physical Therapy

Intervention Type: OTHER

Same Physical therapy protocol but aim was to maintain current level of spasticity and functioning

Interventions

Progressive Physical Therapy

Stretching of the tight muscle, positioning, abdominal co activation; rolling etc to decrease muscle tone and functional independence.

Intervention Type: OTHER

Maintenance Physical Therapy

Same Physical therapy protocol but aim was to maintain current level of spasticity and functioning

Intervention Type: OTHER

Eligibility Criteria

Exclusion Criteria

• CP children with other systemic co-morbidities, physical deformity in GIT and intellectual disability were excluded from the study.

• Minimum Eligible Age: 2 Years
• Maximum Eligible Age: 11 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Isra University

OTHER

Sponsor Role: lead

Responsible Party

Waqar Ahmed Awan

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Isra Institute or Rehabilitation Sciences, Isra University Islamabad

Islamabad, , Pakistan

Countries

Pakistan

Other Identifiers

IIRS-IUISB/PHD/007

Identifier Type: -

Identifier Source: org_study_id