Effects of PNF Technique in Children With Post Fracture Elbow Stiffness

Effects of Proprioception Neuromuscular Facilitation Technique in Children With Post Fracture Elbow Stiffness

Daily living activities are an essential part of a child's development, providing endless opportunities for play, learning, and imaginative expression. The desired result as the child get bored after a while so we use it for benefits. Proprioceptive Neuromuscular Facilitation is a stretching technique utilized to improve muscle elasticity and has been shown to have a positive effect on active and passive range of motions. In clinical settings, PNF is already utilized by therapists to restore functional range of motion (ROM) and increase strength in patients who have sustained soft tissue damage or received invasive surgeries.

Study Overview

• Status: Completed
• Conditions: Fracture
• Intervention / Treatment: Other: PNF techniques; Other: Exercise therapy

Detailed Description

This Randomized clinical trial study will be conducted in THQ hospital Arifwala/DHQ pakpattan with calculated sample size 26. Study will be approved by ethical committee. After that informed consent will be taken and patients will be randomly assigned to (Group A) control group these individuals will receive Maitland's mobilization with everyday object activities (Group B) experimental group (these individuals will receive baseline treatment and PNF technique ) frequency will be 5 session per week of 30 min and duration is of 4 weeks. Ranges will be assessed by Goniometry DASH outcome measure scale will use to assess functional activity. Data will be analyzed by SPSS latest version.

• Study Type: Interventional
• Enrollment (Actual): 26
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Lahore, Pakistan
    • Riphah International University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Children Age 3-7 years
• Either gender
• Contracture 4-8 weeks post traumatic injuries.
• Post-operative

Exclusion Criteria:

• Burn contracture
• Contracture due to neurological conditions
• Dupytren's contracture, Volkmann's contracture etc.
• Contracture more than 8 week

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: experimental group; The patient in the experiment group will PNF techniques (hold relax) the participants who were assigned for post traumatic stiffness of the elbow with baseline treatment (heating pad), stretching applied for 30 sec then relaxation time 10 sec, 5 repetition were given in a session for 5 days a week for 4 weeks.	Other: PNF techniques; The patient in the experiment group will PNF techniques (hold relax) the participants who were assigned for post traumatic stiffness of the elbow with baseline treatment (heating pad), stretching applied for 30 sec then relaxation time 10 sec, 5 repetition were given in a session for 5 days a week for 4 weeks.
Other: control group; exercise therapy range of motion, stretching and strengthening were applied with heating pad as baseline treatment. 5 repetition were given in a session for 5 days a week for 4 week.	Other: Exercise therapy; exercise therapy range of motion, stretching and strengthening were applied with heating pad as baseline treatment. 5 repetition were given in a session for 5 days a week for 4 week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
DASH	DASH is a 30-item self-report questionnaire designed to assess musculoskeletal disorders of upper limbs.	4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Sumaira Bibi, MS*, Riphah International University

Publications and helpful links

General Publications

• Sim G, Fleming J, Glasgow C. Mobilizing orthoses in the management of post-traumatic elbow contractures: A survey of Australian hand therapy practice. J Hand Ther. 2021 Jan-Mar;34(1):90-99. doi: 10.1016/j.jht.2019.12.014. Epub 2020 Mar 7.

Helpful Links

• Mobilizing orthoses in the management of post-traumatic elbow contractures

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2023
• Primary Completion (Actual): February 5, 2024
• Study Completion (Actual): February 5, 2024

Study Registration Dates

• First Submitted: December 26, 2023
• First Submitted That Met QC Criteria: December 26, 2023
• First Posted (Actual): January 10, 2024

Study Record Updates

• Last Update Posted (Actual): June 13, 2024
• Last Update Submitted That Met QC Criteria: June 11, 2024
• Last Verified: June 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Wounds and Injuries; Fractures, Bone
• Other Study ID Numbers: REC/RCR&AHS/23/0744

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