- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05896111
Whole Body Vibration for Hemiparetic Cerebral Palsy
Effect of Whole Body Vibration on Upper Limb Range of Motion and Strength in Children With Hemiparetic Cerebral Palsy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Studies show efficacy of whole body vibration in reducing spasticity, improving strength, balance, ankle dorsiflexion angle and gait parameters in post stroke and spinal cord injury patients improving posture and balance in patients with Parkinson's disease and multiple sclerosis. Although research suggests a positive influence of vibration on motor performance in individuals with neurological disorders, there are very limited numbers of studies in children with cerebral palsy.
Few Studies Have Shown improvement in children with cerebral palsy: spasticity decrease as measured by isokinetic dynamometer. Strength of muscles increase as measured by hand held dynamometer. Motor function increase as measured by Gross Motor Function Measure and Gross Motor Function Classification Scale. Increase of the activation and the co- activation of biceps and triceps. Vibrations increase bone mass and muscle strength in upper limbs.
Vibration therapy decreases spasticity and improve motor performance in children with cerebral palsy. Reduce flexors spasticity and improve functions in the rehabilitation of upper limb spasticity. Focal muscle vibration on triceps brachii muscle can reduce the spasticity for both elbow and wrist joint muscles.
So in this study, the investigators are trying to implement an additional rehabilitation method for upper limbs in hemiparetic children to improve their upper limb range of motion and strength which will reflect an improvement in their upper limb functions and activities of daily living.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Mahmoud Adel, B.Sc.
- Phone Number: 01554552868
- Email: 10722020440502@pg.cu.edu.eg
Study Contact Backup
- Name: Haytham Ibrahim, M.Sc.
- Phone Number: 01013657738
- Email: 10722019485962@pg.cu.edu.eg
Study Locations
-
-
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Giza, Egypt
- Recruiting
- Ministry of Health
-
Contact:
- Haytham Ahmed, M.Sc.
- Phone Number: 0453146570
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion criteria:
Children will be included if they have the following:
- Children diagnosed as hemiparetic cerebral palsy.
- Children of both sexes in the age group ranging from 3 to 6 years.
- Spasticity will be grade 1 and 1+ according to modified Ashworth scale.
- They will be selected with Level I and II according to Gross Motor Function Classification (GMFCS).
- Children could understand and follow commands given by the therapist.
Exclusion criteria:
Children will be excluded if they have any of the following:
- History of convulsions and epilepsy.
- Children with impaired cognitive function.
- Any surgical procedure for correction of deformity or soft tissue release in the past one year.
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 |
---|---|
Experimental: designed physiotherapy program
These exercises included: Passive stretching exercises for elbow and wrist flexors. Weight-bearing exercises for the upper limbs. Stimulation of the protective reactions of the upper limbs in all directions. Strengthening exercises for antagonists of the spastic muscles, including elbow and wrist extensors, using different toys and motivation to encourage the children to perform the desired exercises (El-shamy, 2018). The treatment session for 1hour 5 days / week for 4 weeks. |
Exercises to treat hemiparetic cerebral palsy
|
Experimental: Whole body vibration.
Each child will be seated on an armless chair in front of the platform and instructed to flex both shoulders at 90°, slightly bend both elbows, and then bend the trunk forward to allow both hands to be placed on the platform.
Each subject will be allowed to hold the palms slightly off the platform to minimize discomfort and prevent strong stimulation of the organs, eyes, and head.
|
Exercises to treat hemiparetic cerebral palsy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in shoulder joint abduction range of motion.
Time Frame: Change from Baseline shoulder joint abduction range of motion at one month.
|
Measurement of range of motion of shoulder joint abduction using the digital Goniometer.
|
Change from Baseline shoulder joint abduction range of motion at one month.
|
Change in shoulder joint flexion range of motion.
Time Frame: Change from Baseline shoulder joint flexion range of motion at one month.
|
Measurement of range of motion of shoulder joint flexion using the digital Goniometer.
|
Change from Baseline shoulder joint flexion range of motion at one month.
|
Change in elbow joint flexion range of motion.
Time Frame: Change from Baseline elbow joint flexion range of motion at one month.
|
Measurement of range of motion of elbow joint flexion using the digital Goniometer.
|
Change from Baseline elbow joint flexion range of motion at one month.
|
Change in elbow joint extension range of motion.
Time Frame: Change from Baseline elbow joint extension range of motion at one month.
|
Measurement of range of motion of elbow joint extension using the digital Goniometer.
|
Change from Baseline elbow joint extension range of motion at one month.
|
Change in wrist joint extension range of motion.
Time Frame: Change from Baseline wrist joint extension range of motion at one month.
|
Measurement of range of motion of wrist joint extension using the digital Goniometer.
|
Change from Baseline wrist joint extension range of motion at one month.
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Change in wrist joint flexion range of motion.
Time Frame: Change from Baseline wrist joint flexion range of motion at one month.
|
Measurement of range of motion of wrist joint flexion using the digital Goniometer.
|
Change from Baseline wrist joint flexion range of motion at one month.
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Change in strength of shoulder abductors muscles.
Time Frame: Change from Baseline strength of shoulder abductors muscles at one month.
|
Measurement of strength of shoulder abductors muscles using the Lafayette handheld dynamometer
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Change from Baseline strength of shoulder abductors muscles at one month.
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Change in strength of shoulder flexors muscles.
Time Frame: Change from Baseline strength of shoulder flexors muscles at one month.
|
Measurement of strength of shoulder flexors muscles using the Lafayette handheld dynamometer
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Change from Baseline strength of shoulder flexors muscles at one month.
|
Change in strength of elbow flexors muscles.
Time Frame: Change from Baseline strength of elbow flexors muscles at one month.
|
Measurement of strength of elbow flexors muscles using the Lafayette handheld dynamometer
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Change from Baseline strength of elbow flexors muscles at one month.
|
Change in strength of elbow extensors muscles.
Time Frame: Change from Baseline strength of elbow extensors muscles at one month.
|
Measurement of strength of elbow extensors muscles using the Lafayette handheld dynamometer
|
Change from Baseline strength of elbow extensors muscles at one month.
|
Change in strength of wrist extensors muscles.
Time Frame: Change from Baseline strength of wrist extensors muscles at one month.
|
Measurement of strength of wrist extensors muscles using the Lafayette handheld dynamometer
|
Change from Baseline strength of wrist extensors muscles at one month.
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Change in strength of wrist flexors muscles.
Time Frame: Change from Baseline strength of wrist flexors muscles at one month.
|
Measurement of strength of wrist flexors muscles using the Lafayette handheld dynamometer
|
Change from Baseline strength of wrist flexors muscles at one month.
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Haytham Morsi, M.Sc., Cairo University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- P.T.1993
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
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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