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

November 9, 2021 updated by: Nouman Khan, Shifa Tameer-e-Millat University
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.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Anticipated)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Federal
      • Islamabad, Federal, Pakistan, 44000
        • Recruiting
        • Shifa tameer e millat university
        • Principal Investigator:
          • Anum Shehzadi, MSNMPT*

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

4 years to 14 years (CHILD)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: group a
15 minute on standing frame .
Other: 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.

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 .
EXPERIMENTAL: group b
30 minute on standing frame .
Other: 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.

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 .
EXPERIMENTAL: group c
45 minute on standing frame.
Other: 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.

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 .
EXPERIMENTAL: group d
60 minute on standing frame.
Other: 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.

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 .

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
modified ashworth scale.
Time Frame: 4 weeks
mas used to assess spasticity of lower limb muscles bilaterally i.e. hip flexors, hip extensors hip abductors hip adductors , ankle dorsiflexors and ankle planter flexiors.
4 weeks
6 minute walk test.
Time Frame: 4 weeks
6 minute walk test to assess gait. walk for 6 minute . children can take rest but time will not be stopped. measure distance in meters.
4 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Shifa Tameer-e-Millat University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ANTICIPATED)

November 2, 2021

Primary Completion (ANTICIPATED)

December 2, 2021

Study Completion (ANTICIPATED)

December 10, 2021

Study Registration Dates

First Submitted

November 2, 2021

First Submitted That Met QC Criteria

November 2, 2021

First Posted (ACTUAL)

November 9, 2021

Study Record Updates

Last Update Posted (ACTUAL)

November 10, 2021

Last Update Submitted That Met QC Criteria

November 9, 2021

Last Verified

November 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Anum Shahzadi 159-21

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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