The Effects of Functional Strengthening in Spastic Cerebral Palsy

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-12

Study Completion Date

2019-05-30

Brief Summary

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Functional strengthening exercises have been proven to be effective in patients with spastic cerebral palsy. However, which exercise is the most effective is unknown. The aim of this study is to examine the effectiveness of three different progressive functional exercise programs in children with unilateral and bilateral spastic cerebral palsy.

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Detailed Description

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Children with Cerebral Palsy have weakness in thier muscles due to cortical lesions leading to deficiencies in motor control, balance and functional abilities. All children with Cerebral Palsy have shown to present with foot and ankle disorders; the ankle dorsi and plantar flexor muscles are both problematic; the plantarflexors are usually spastic and the dorsiflexors are usually not active enough and usually these muscle problems lead to problems in the childrens' gait abilities. When rehabilitation programs are examined, the results of exercises addressing these problems do not have precise answers. Functional strengthening exercises have been proven to be effective in patients with spastic cerebral palsy. However, which exercise is the most effective is unknown. Which muscle goup has the most effect on gait, balance and functional activities is still unclear. Therefore, the investigator's aim in planning this study is to examine the effectiveness of three progressive functional exercise programs in children with unilateral and bilateral spastic cerebral palsy.

Conditions

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Spastic Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Dorsiflexor Muscle Strengthening Group

The children in this group will receive functional exercises aiming to strengthen their dorsiflexor muscles alongside standard functional progressive strengthening exercises.

Group Type ACTIVE_COMPARATOR

Physiotherapy and Rehabilitation

Intervention Type OTHER

The children in each group will receive 6 weeks of functional strengthening exercises targeting each muscle group according to the arm they are included in.

Plantarflexor Muscle Strengthening Group

The children in this group will receive functional exercises aiming to strengthen their plantarflexor muscles alongside standard functional progressive strengthening exercises.

Group Type ACTIVE_COMPARATOR

Physiotherapy and Rehabilitation

Intervention Type OTHER

The children in each group will receive 6 weeks of functional strengthening exercises targeting each muscle group according to the arm they are included in.

Dorsiflexor and Plantarflexor Muscle strengthening Group

The children in this group will receive functional exercises aiming to strengthen both their dorsiflexor and plantarflexor muscles alongside standard functional progressive strengthening exercises.

Group Type ACTIVE_COMPARATOR

Physiotherapy and Rehabilitation

Intervention Type OTHER

The children in each group will receive 6 weeks of functional strengthening exercises targeting each muscle group according to the arm they are included in.

Interventions

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Physiotherapy and Rehabilitation

The children in each group will receive 6 weeks of functional strengthening exercises targeting each muscle group according to the arm they are included in.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Accepting to participate in the study,
* Being between 5-15 years old,
* Having a diagnosis of Spastic Cerebral Palsy,
* Being level I-II according to GMFCS,

Exclusion Criteria

* Having limited cooperation which prevents participation in the study,
* Refusing to participate in the study,
* Having an orthopedic disorder or systemic illness which prevents movement in the lower extremities,
* Having a Botulinum toxin application in the last 3 months

Minimum Eligible Age

5 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No