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Effects of Different Time Period of Standing Frame on Spasticity and Gait in Children With Spastic Cerebral Palsy.

NCT ID: NCT05113433

Last Updated: 2021-11-10

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-02

Study Completion Date

2021-12-10

Brief Summary

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Cerebral palsy is a neurological disorder with abnormalities in muscle tone, movement disorders and motor incapability. It attributes to harm to the growing brain. Cerebral approach including brain and its palsy referred to weakness and problems while using the muscles. It is characterized by way of the incapability to normally control motor features, and it has. the capacity to have an impact on the general improvement of a child with the aid of affecting the child's capability to explore, talk, learn, and grow to be independent. Spastic CP is the most common type among children and debts for almost 77% among all instances. It is the major problem in CP child making movement difficult or even impossible.

Detailed Description

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Cerebral palsy itself is not considered as a. progressive disease rather it is a medical. expression that may trade with time as the brain grows. It is attributed as the physical disability that is commonly present in children whose diagnosis can be made. before 6 months. Cerebral palsy is mostly considered as the commonplace physical incapacity among children .and it impacts almost 2 -2.5/1000 children born in United State of America. Population based information displays that the percentage of intense cases of CP is very high among low and middle earned international countries. Children with CP born in low offerings .Children with cerebral palsy mostly have spastic syndrome in common. Prolong sustain stretch is an effective treatment traditionally used to reduce spasticity. We can use the effect of frame and gravity or automatically, the usage of device or splints to carry out sustain stretch manually. A standing frame is a mechanical (vintage) or mechatronic (new) equipment, that has as principal aim to accurate the incapacity of certain individual for assuming the body's vertical position.

The type of cerebral palsy relies upon on the kind of movement disorders in children affecting the body parts. The classification of CP which is topographically involves:

Quadriplegic Hemiplegic Diplegic Monoplegic And triplegic cerebral palsy Clinical history may help an early diagnosis which involves the use of neuroimaging, standardized tests with neurological and motor aspects which indicates congruent ordinary findings indicating cerebral palsy. The importance of spark off referral need to be recognized by the clinicians to be specifically diagnostic before the start of intervention so that treatment can be optimized for the prevention of secondary complications. Types of CP contributes in the early diagnosis with presence of epilepsy, a larger degree of motor incapacity, and cerebral abnormalities in ultrasonography. There is no association between gestational and diagnostic age. Neuroimaging is presently endorsed as a general assessment. MRI showing excessive abnormality in white matter had a strong association with CP as compared to general movements present .MRI with respect to its diagnostic value is not as better as consecutive ultrasonography, the reason behind this fact is that MRI is much demanding, but MRI in daily routine is not going to turn out as a standard exercise.

Conditions

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Spastic Cerebral Palsy Spastic Gait

Keywords

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Cerebral Palsy Modified Ashworth scale 6 minute walk test

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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group a

15 minute on standing frame .

Group Type EXPERIMENTAL

conventional physical therapy

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session.

standing frame.

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session. sanding on standing frame for different time period according to group with upper limb activities lie box and blocks , cones and theraputty .

group b

30 minute on standing frame .

Group Type EXPERIMENTAL

conventional physical therapy

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session.

standing frame.

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session. sanding on standing frame for different time period according to group with upper limb activities lie box and blocks , cones and theraputty .

group c

45 minute on standing frame.

Group Type EXPERIMENTAL

conventional physical therapy

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session.

standing frame.

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session. sanding on standing frame for different time period according to group with upper limb activities lie box and blocks , cones and theraputty .

group d

60 minute on standing frame.

Group Type EXPERIMENTAL

conventional physical therapy

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session.

standing frame.

Intervention Type OTHER

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session. sanding on standing frame for different time period according to group with upper limb activities lie box and blocks , cones and theraputty .

Interventions

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conventional physical therapy

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session.

Intervention Type OTHER

standing frame.

muscle strengthening i.e. isometrics of lower limb muscles. 5 sets/rep and 2 sets/ session.

stretching of lower limb muscles . 5sets/rep and 2 sets/session. sanding on standing frame for different time period according to group with upper limb activities lie box and blocks , cones and theraputty .

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Spastic CP with age limit between 4-14 years.
* Both genders.
* At least 40° knee flexion.
* Sitting achieved on ground.
* mass at least with grade 3.

Exclusion Criteria

* Children with knee flexor contractures \> 60°.
* Hip flexor contractures \> 60°.
* Planter flexor contractures \> 30°.
* Severe mental retardation.
Minimum Eligible Age

4 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shifa Tameer-e-Millat University

OTHER

Sponsor Role lead

Responsible Party

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Nouman Khan

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shafaq Altaf, Phd*

Role: PRINCIPAL_INVESTIGATOR

Shifa tameer e millat university Islamabad

Locations

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Shifa tameer e millat university

Islamabad, Federal, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Shafaq Altaf, Phd*

Role: CONTACT

Phone: 03435020507

Email: [email protected]

Nouman Khan, MS-OMPT

Role: CONTACT

Phone: 03339378324

Email: [email protected]

Facility Contacts

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Shafaq Altaf, Phd*

Role: primary

Nouman Khan, Ms- OMPT

Role: backup

References

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Audu O, Daly C. Standing activity intervention and motor function in a young child with cerebral palsy: A case report. Physiother Theory Pract. 2017 Feb;33(2):162-172. doi: 10.1080/09593985.2016.1265621. Epub 2017 Jan 10.

Reference Type BACKGROUND
PMID: 28071965 (View on PubMed)

Bar-On L, Molenaers G, Aertbelien E, Van Campenhout A, Feys H, Nuttin B, Desloovere K. Spasticity and its contribution to hypertonia in cerebral palsy. Biomed Res Int. 2015;2015:317047. doi: 10.1155/2015/317047. Epub 2015 Jan 11.

Reference Type BACKGROUND
PMID: 25649546 (View on PubMed)

Bearden DR, Monokwane B, Khurana E, Baier J, Baranov E, Westmoreland K, Mazhani L, Steenhoff AP. Pediatric Cerebral Palsy in Botswana: Etiology, Outcomes, and Comorbidities. Pediatr Neurol. 2016 Jun;59:23-9. doi: 10.1016/j.pediatrneurol.2016.03.002. Epub 2016 Mar 17.

Reference Type BACKGROUND
PMID: 27114082 (View on PubMed)

Blackmore AM, Boettcher-Hunt E, Jordan M, Chan MD. A systematic review of the effects of casting on equinus in children with cerebral palsy: an evidence report of the AACPDM. Dev Med Child Neurol. 2007 Oct;49(10):781-90. doi: 10.1111/j.1469-8749.2007.00781.x.

Reference Type BACKGROUND
PMID: 17880650 (View on PubMed)

Capati V, Covert SY, Paleg G. Stander Use for an Adolescent with Cerebral Palsy at GMFCS Level with Hip and Knee Contractures. Assist Technol. 2020 Nov 1;32(6):335-341. doi: 10.1080/10400435.2019.1579268. Epub 2019 Apr 4.

Reference Type BACKGROUND
PMID: 30945990 (View on PubMed)

Caulton JM, Ward KA, Alsop CW, Dunn G, Adams JE, Mughal MZ. A randomised controlled trial of standing programme on bone mineral density in non-ambulant children with cerebral palsy. Arch Dis Child. 2004 Feb;89(2):131-5. doi: 10.1136/adc.2002.009316.

Reference Type BACKGROUND
PMID: 14736627 (View on PubMed)

Dalembert G, Brosco JP. Do politics affect prevalence? An overview and the case of cerebral palsy. J Dev Behav Pediatr. 2013 Jun;34(5):369-74. doi: 10.1097/DBP.0b013e31829455d8.

Reference Type BACKGROUND
PMID: 23751888 (View on PubMed)

Duke R, Eyong K, Burton K, MacLeod D, Dutton GN, Gilbert C, Bowman R. The effect of visual support strategies on the quality of life of children with cerebral palsy and cerebral visual impairment/perceptual visual dysfunction in Nigeria: study protocol for a randomized controlled trial. Trials. 2019 Jul 10;20(1):417. doi: 10.1186/s13063-019-3527-9.

Reference Type BACKGROUND
PMID: 31291989 (View on PubMed)

Elnaggar RK, Elbanna MF, Mahmoud WS, Alqahtani BA. Plyometric exercises: subsequent changes of weight-bearing symmetry, muscle strength and walking performance in children with unilateral cerebral palsy. J Musculoskelet Neuronal Interact. 2019 Dec 1;19(4):507-515.

Reference Type BACKGROUND
PMID: 31789302 (View on PubMed)

Franki I, Bar-On L, Molenaers G, Van Campenhout A, Craenen K, Desloovere K, Feys H, Pauwels P, De Cat J, Ortibus E. Tone Reduction and Physical Therapy: Strengthening Partners in Treatment of Children with Spastic Cerebral Palsy. Neuropediatrics. 2020 Apr;51(2):89-104. doi: 10.1055/s-0039-3400987. Epub 2019 Nov 27.

Reference Type BACKGROUND
PMID: 31777043 (View on PubMed)

Goodwin J, Lecouturier J, Basu A, Colver A, Crombie S, Smith J, Howel D, McColl E, Parr JR, Kolehmainen N, Roberts A, Miller K, Cadwgan J. Standing frames for children with cerebral palsy: a mixed-methods feasibility study. Health Technol Assess. 2018 Sep;22(50):1-232. doi: 10.3310/hta22500.

Reference Type BACKGROUND
PMID: 30234480 (View on PubMed)

Other Identifiers

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Anum Shahzadi 159-21

Identifier Type: -

Identifier Source: org_study_id