Myofascial Release and Sustained Stretching in Spastic CP Children

NCT ID: NCT05251025

Last Updated: 2022-02-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-07-15
• Study Completion Date: 2021-12-15

Brief Summary

The aim of this research was to find and compare the effects of Myofascial Release Technique and Passive Sustained Stretching on Hamstrings Flexibility in Children with Spastic Cerebral Palsy.

Detailed Description

Randomized Clinical Trials done at DHQ Sahiwal. 26 spastic CP children of age 6-12 years were taken by random sampling technique from DHQ Sahiwal. 13 were allocated to each group. Study duration was of 6 months. Sampling technique applied was non probability convenience sampling technique Group A received Passive Sustained Stretching along with conventional treatment. Whereas Group B received MFR along with conventional treatment. Both these groups received treatment for 6 weeks. The baseline and post treatment score of MAS, Goniometer (AKET to measure popliteal angle) and GMFCS -88 were evaluated. Data analysis was done by using the SPSS version 21.

Conditions

Cerebral Palsy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Passive sustained stretching

Passive sustained stretching along with conventional treatments

Group Type: EXPERIMENTAL

Passive sustained stretching

Intervention Type: OTHER

The Group A received Passive Stretching Technique. Along with the Passive Stretching Technique, this group also received certain conventional treatments which included resistive exercises, gait training exercises, bridging and exercises in other functional positions were also undertaken by the included individuals.

All the exercises mentioned above were performed for 30 minutes and there was not any specific division of time for all these mentioned activities. The patients used to perform these conventional treatments and exercises on their motor control basis. The exercises were performed for 30 minutes and been done for 5 days in a week for consecutive 6 weeks.

Myofascial Release

Myofascial Release Technique along with conventional treatments

Group Type: EXPERIMENTAL

Myofascial Release

Intervention Type: OTHER

The Group B received Myofascial Release Technique and along with conventional treatments. The Myofascial Release Technique for hamstrings was given to the patient in prone position. The technique was applied either by the crossed hands or thumbs. This total treatment was given for 30 minutes consecutively. After the technique the Myofascial structures were stretched and then were hold for straight 120 seconds so that the tissues get softened. The technique was given to patients with 6 repetitions and with a hold for 120 seconds. The treatment was continued for 5 days a week for straight 6 weeks.

Interventions

Passive sustained stretching

The Group A received Passive Stretching Technique. Along with the Passive Stretching Technique, this group also received certain conventional treatments which included resistive exercises, gait training exercises, bridging and exercises in other functional positions were also undertaken by the included individuals.

All the exercises mentioned above were performed for 30 minutes and there was not any specific division of time for all these mentioned activities. The patients used to perform these conventional treatments and exercises on their motor control basis. The exercises were performed for 30 minutes and been done for 5 days in a week for consecutive 6 weeks.

Intervention Type: OTHER

Myofascial Release

The Group B received Myofascial Release Technique and along with conventional treatments. The Myofascial Release Technique for hamstrings was given to the patient in prone position. The technique was applied either by the crossed hands or thumbs. This total treatment was given for 30 minutes consecutively. After the technique the Myofascial structures were stretched and then were hold for straight 120 seconds so that the tissues get softened. The technique was given to patients with 6 repetitions and with a hold for 120 seconds. The treatment was continued for 5 days a week for straight 6 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age range from 6 to 12 years were included.
• Both genders were included.
• Ambulatory subjects with or without ambulatory aids.
• Diagnosed children with Spastic CP.
• CP patients with grade 3 on modified Ashworth scale for hamstrings were included

Exclusion Criteria

• Children with visual or auditory defects.
• Children with cognitive dysfunction.
• Subjects who had severe limitations in passive range of motion at lower extremities specially hamstrings due to surgery or any other complication.
• Children with other types of Cerebral Palsy such as Ataxic CP, Dyskinetic CP etc.

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sara Aabroo, PPDPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

District Head Quarter Hospital

Sahiwal, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/Lhr/21/0220 Iqra Khalid

Identifier Type: -

Identifier Source: org_study_id