Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy

NCT ID: NCT06646718

Last Updated: 2024-10-17

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 66 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-01-30
• Study Completion Date: 2024-10-20

Brief Summary

Purpose of the study:

To evaluate the effect of closed kinetic chain on hip stability after selective dorsal rhizotomy on spastic cerebral palsy.

Detailed Description

• This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.
• Sixty-six children of both genders.
• The study will include children (age 5-14years) post selective dorsal rhizotomy.
• Children meeting the inclusion criteria will be randomly assigned to one of two groups:

• Experimental Group: children in this group will receive closed kinetic chain.
• Control Group: Patients in this group will receive Traditional physical therapy.
• Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.

Conditions

Cerebral Palsy; Selective Dorsal Rhizotomy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

❖ Experimental Group: group A

Group A (study group): will include 33 children after selective dorsal rhizotomy surgery from both gender will be selected from the Outpatient Clinic. Able to attend physical therapy (PT) treatment at least three a week before and during this study. who will receive closed kinetic chain.

Group Type: EXPERIMENTAL

Close kinetic chain exercise group

Intervention Type: PROCEDURE

●Close kinetic chain exercise group: group A will receive forward step-ups, lateral step-ups, squats, sit-to-stand, and stoop-and-recover exercises. session will be initiated with a 10 min warm-up period, including stretching of the major muscles and muscle groups, then 40 min different exercises and terminated with a 10 min cool-down period in the form of aerobic exercises.

❖ Control Group:Group B

●Group B (control group): will include 33 children who will receive Traditional physiotherapy. will include 33 children after selective dorsal rhizotomy surgery from both gender

Group Type: OTHER

Traditional physical therapy.

Intervention Type: PROCEDURE

●Traditional physiotherapy: group B will receive stretching for the lower extremity muscles, namely hip flexors and adductors, hamstrings, and calf muscles; and strengthening exercises for core muscles, hip extensors, flexors and abductors, internal and external rotators of the hip, flexors and extensors of the knee, ankle dorsi flexors, kneeling exercises, and standing and gait training

Interventions

Close kinetic chain exercise group

●Close kinetic chain exercise group: group A will receive forward step-ups, lateral step-ups, squats, sit-to-stand, and stoop-and-recover exercises. session will be initiated with a 10 min warm-up period, including stretching of the major muscles and muscle groups, then 40 min different exercises and terminated with a 10 min cool-down period in the form of aerobic exercises.

Intervention Type: PROCEDURE

Traditional physical therapy.

●Traditional physiotherapy: group B will receive stretching for the lower extremity muscles, namely hip flexors and adductors, hamstrings, and calf muscles; and strengthening exercises for core muscles, hip extensors, flexors and abductors, internal and external rotators of the hip, flexors and extensors of the knee, ankle dorsi flexors, kneeling exercises, and standing and gait training

Intervention Type: PROCEDURE

Other Intervention Names

Experimental group intervention; Control group intervention

Eligibility Criteria

Inclusion Criteria

• 1-Patients will be aged from 5 to 14 years

2- will be included both genders post selective dorsal rhizotomy.

3- The GMFCS level I-II spastic diplegia, able to stand up from a chair independently and maintain standing for more than 5 seconds without falling.

4- Had not received any strength training program in the past 3 months before the study.

5- Able to attend physical therapy (PT) treatment at least three a week before and during this study.

Exclusion Criteria

• 1-have perceptual, cognitive, visual and auditory disorder.

2- botulinum toxin injection to the lower extremities within 6 Months.

3- Medical conditions that prevented children from participating in the exercises.

4- Previous lower extremity surgery, such as prior hamstring muscle Lengthening. 5- Existence of any orthopedic condition or any static hip, knee or ankle deformities.

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 14 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kafrelsheikh University

OTHER

Sponsor Role: lead

Responsible Party

Shaza Salah Eldin Ahmed Mostafa Elabd

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Abdelaziz Ali Sherief, Professor

Role: STUDY_DIRECTOR

Kafr elsheikh University

Locations

Faculty of physical therapy, Kafr elsheikh University

Kafr ash Shaykh, Kafr Elsheikh, Egypt

Countries

Egypt

Other Identifiers

KFSIRB200-171

Identifier Type: -

Identifier Source: org_study_id