Myofascial Release Plus Physiotherapy for Children With Cerebral Palsy Post Achilles Tendon Surgery in Gaza (MFR-CP25)

NCT ID: NCT07148856

Last Updated: 2025-08-29

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-20

Study Completion Date

2025-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

"This study aims to evaluate the effectiveness of adding Myofascial Release (MFR) technique to a conventional physiotherapy program for children with cerebral palsy after Achilles tendon surgery. The primary goal is to determine whether MFR can improve functional outcomes such as gross motor function and ankle range of motion, compared to physiotherapy alone. The study will be conducted in Gaza, Palestine, with children diagnosed with cerebral palsy who recently underwent Achilles tendon surgery. Participants will be randomly assigned to either conventional physiotherapy or conventional physiotherapy combined with MFR, and outcomes will be assessed before and after an 8-week intervention program."

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

"Children with cerebral palsy (CP) often develop musculoskeletal complications, including Achilles tendon contractures, which may require surgical intervention. Despite surgery, many children continue to experience limitations in functional mobility and reduced range of motion. Conventional physiotherapy programs are commonly provided postoperatively to enhance recovery; however, additional manual therapy techniques such as Myofascial Release (MFR) may further improve outcomes.

This randomized controlled trial investigates the effectiveness of adding MFR to conventional physiotherapy for children with CP after Achilles tendon surgery in Gaza. Participants will be randomly allocated to either a control group (conventional physiotherapy only) or an intervention group (conventional physiotherapy plus MFR). Functional outcomes, including gross motor function (GMFM-88) and ankle range of motion, will be measured pre- and post-intervention. It is hypothesized that children receiving MFR in addition to conventional physiotherapy will demonstrate greater improvements in functional mobility and ankle range of motion compared to those receiving physiotherapy alone."

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Cerebral Palsy Achilles Tendon Contracture Achilles Tendon Surgery

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Myofascial Release Physiotherapy Physical Therapy Pediatric Rehabilitation Gross Motor Function Range of Motion Gaza Strip

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

"Participants will be randomly assigned to one of two parallel groups: conventional physiotherapy only or conventional physiotherapy plus myofascial release."
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

"This is an open-label study; no masking of participants, care providers, investigators, or outcome assessors is implemented."

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Conventional Physiotherapy (CPT)

"Participants will receive a standard conventional physiotherapy program following Achilles tendon surgery. The program includes stretching, strengthening, mobility, and functional training exercises designed to enhance recovery and improve lower limb function."

Group Type ACTIVE_COMPARATOR

Conventional Physiotherapy

Intervention Type OTHER

A standard physiotherapy program provided after Achilles tendon surgery, including stretching, strengthening, mobility, and functional training exercises

Conventional Physiotherapy + Myofascial Release (CPT + MFR)

"Participants will receive the same conventional physiotherapy program as the control group combined with myofascial release technique. The manual therapy will be applied to the lower limb and ankle region to improve fascial mobility, enhance soft tissue flexibility, and increase ankle range of motion."

Group Type EXPERIMENTAL

Conventional Physiotherapy

Intervention Type OTHER

A standard physiotherapy program provided after Achilles tendon surgery, including stretching, strengthening, mobility, and functional training exercises

Myofascial Release Technique

Intervention Type OTHER

A manual therapy technique applied to the lower limb and ankle region, aiming to release fascial restrictions, improve soft tissue flexibility, and enhance ankle range of motion.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Conventional Physiotherapy

A standard physiotherapy program provided after Achilles tendon surgery, including stretching, strengthening, mobility, and functional training exercises

Intervention Type OTHER

Myofascial Release Technique

A manual therapy technique applied to the lower limb and ankle region, aiming to release fascial restrictions, improve soft tissue flexibility, and enhance ankle range of motion.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Children aged 2-5 years
* Spastic cerebral palsy diagnosis (GMFCS levels I-IV).
* Underwent Achilles tendon surgery within the past 3 months
* Medically stable and cleared to begin physiotherapy.
* Parental/guardian consent to participate in the study.

Exclusion Criteria

* Other neuromuscular disorders
* Severe cognitive impairments that hinder participation
* Previous MFR therapy within the last 6 months
* Participation in another rehabilitation study in the past 3 months.
Minimum Eligible Age

2 Years

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Ismail K. Al-Qudra

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Ismail K. Al-Qudra

MSc Candidate in Orthopedic Physical Therapy

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Ismail K Al Qedra, MSc (Physiotherapy)

Role: PRINCIPAL_INVESTIGATOR

Al-Azhar University - Gaza

Musab M Al Dabbas, PhD

Role: STUDY_DIRECTOR

Al-Azhar University - Gaza

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

The Jerusalem Princess Basma Centre - Al-Ahli Al-Arabi Hospital, Gaza

Gaza, Gaza Strip, Palestinian Territories

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Palestinian Territories

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Ismail K Al Qedra, MSc (Physiotherapy)

Role: CONTACT

Phone: +970595362670

Email: [email protected]

Musab M Al Dabbas, phd

Role: CONTACT

Phone: +970597451222

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Ismail K Al Qedra, MSc (Physiotherapy)

Role: primary

Musab M Al Dabbas, PhD

Role: backup

References

Explore related publications, articles, or registry entries linked to this study.

Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88) User's Manual. Cambridge University Press; 2002.

Reference Type BACKGROUND

Barnes MF. The basic science of myofascial release: morphologic change in connective tissue. J Bodyw Mov Ther. 1997;1(4):231-238.

Reference Type BACKGROUND

Novak I, Morgan C, Fahey M, Finch-Edmondson M, Galea C, Hines A, Langdon K, Namara MM, Paton MC, Popat H, Shore B, Khamis A, Stanton E, Finemore OP, Tricks A, Te Velde A, Dark L, Morton N, Badawi N. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020 Feb 21;20(2):3. doi: 10.1007/s11910-020-1022-z.

Reference Type BACKGROUND
PMID: 32086598 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

Access external resources that provide additional context or updates about the study.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

MScPT_CP_MFR2025

Identifier Type: -

Identifier Source: org_study_id