- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04839939
Efficacy of Combination Taping Technique vs Ankle Foot Orthosis on Improving Gait Parameters in Cerebral Palsy
Short Term Efficacy of Combination Taping Technique as an Alternative to Ankle Foot Orthosis on Improving Gait Parameters in Spastic Cerebral Palsy: A Controlled Randomized Study
Gait in children with spastic CP is often characterized by abnormal gait kinematics as knee flexion and equines foot which associated with such gait deviations, an elevated walking energy cost is often observed which may contribute to activity limitations.
The ability to maintain proper joint alignment of the lower extremity, and control the position of the foot in standing and walking is a critical treatment objective for gait in children with cerebral palsy. Lower extremity orthoses, such as ankle-foot orthoses (AFOs) are widely recommended in children with spastic cerebral palsy to prevent the development or progression of this deformity and to improve the dynamic efficiency of the child's gait. The use of Kinesio taping in pediatric rehabilitation becomes increasingly popular in recent years. Recent systematic reviews reported moderate evidence that Kinesiology taping is a useful adjunct to physiotherapy intervention in higher functioning children with CP. Combination tapings is a technique first introduced by Kenzo Kase, in which Kinesio taping is coupled with the rigid athletic tape to maximize the treatment benefits. This approach remains briefly addressed in the literature with no prior studies has examined the effects of combination tapings in the CP pediatric population. Hypothesis: there is no difference between the effect of combining tapings and ankle-foot orthosis on spatiotemporal gait parameters in spastic cerebral palsied
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Jeddah, Saudi Arabia, 23521
- Fizik Center For Physiotherapy
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age range from 8 to 15 years old
- Able to stand and walk independently
- Spasticity ranged from 1 to 1+ grade according to Modified Ashworth Scale
- level I or II according to Gross Motor Function Classification System (GMFCS)
- Able to understand and follow instructions
Exclusion Criteria:
- Children with previous corrective orthopedic surgery or botulinum toxin injection in the lower extremities within the previous 6 months
- Skin disease
- Epilepsy
- Mental retardation
- Visual or auditory problems
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Control Group
Children in this group received conventional physical therapy program in form of Stretching for tight muscles, weak muscles Strengthening, Postural reactions training, Proprioceptive training, and Walking training were all part of the treatment plan, which was based on the neurodevelopmental approach.
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Stretching for tight muscles, weak muscles Strengthening, Postural reactions training, Proprioceptive training, and Walking training
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Experimental: AFO Group
Children in this group received the same conventional treatment plus they were provided with solid community-prescribed AFO with a wearing schedule of 6-12 hours per day.
Parents were given a detailed demonstration about how to use the AFO probably and watching for areas of skin overpressure.
AFO needs to be worn with a smooth, long sock underneath with the child's heel is right down in the AFO with the ankle strap and/or shoe fastened firmly.
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Solid prescribed AFO with a wearing schedule of 6-12 hours per day
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Experimental: Combination Taping Group
Children in this group received the same conventional treatment plus the combination taping technique, which was performed by one qualified physical therapist with over five years of experience.
The technique started with the application of two 5-cm wide Kinesio tape "I" straps.
The first strap was applied from the lateral condyle of the tibia to the base of the first metatarsal bone with the ankle joint in plantar flexion.
The tape was not stretched for 5 cm from the initial site and was then stretched up to 30% for the remaining parts15.
The second "I" strap While the therapist holds the ankle in dorsiflexion, he applied the distal end of the tape 10 cm below the ankle joint.
With almost 70% tension, the proximal end is applied 10 cm above the ankle joint.
While one hand was holding each end of the tape, the child was asked to move the joint into plantar flexion.
Finally, both hands moved towards the middle of the joint to apply the remaining tape.
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Combination between elastic and inelastic taping
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Step Length (cm)
Time Frame: 4 Weeks
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Change of the step length was measured using GAITRite System
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4 Weeks
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Stride Length (cm)
Time Frame: 4 Weeks
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Change of the stride length was measured using GAITRite System
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4 Weeks
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Velocity (cm/s)
Time Frame: 4 weeks
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Change of the velocity was measured using GAITRite System
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4 weeks
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Cadence (step/min)
Time Frame: 4 weeks
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Change of the cadence was measured using GAITRite System
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4 weeks
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Single leg support (% of gait cycle)
Time Frame: 4 weeks
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Change of the single leg support was measured using GAITRite System
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4 weeks
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Double leg support (% of gait cycle)
Time Frame: 4 weeks
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Change of the double leg support was measured using GAITRite System
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4 weeks
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Mohamed M. Abdel Ghafar, Ph.D, Batterjee Medical College
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Batterjee
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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