Efficacy of a Long Term, High Intensity and Long Time Stretch Training Program on Viscoelasticity Plantarflexors Muscle in Children With Cerebral Palsy (CP).
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy, Spastic
- Sponsor
- Centre Hospitalier Universitaire de Saint Etienne
- Enrollment
- 1
- Locations
- 1
- Primary Endpoint
- slope of the torque-angle curve
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
Children with cerebral palsy present early in the childhood altered muscular properties, as soon as structural or stiffness. In the gastrocnemius muscle, altered muscular properties are characterized by short muscle belly length and increased stiffness which contribute to contracture and limiting joint range of motion.
Detailed Description
This study assess efficacy of a long term stretching program of plantarflexors muscle on their viscoelasticity properties and maximal dorsiflexion angle gain. Stretching program is characterized by 3 phases: baseline, intervention and follow-up.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Children aged 8 to 16 years
- •Children diagnosed spastic cerebral palsy
- •Children with decrease maximal dorsiflexion angle under +5° in the last four weeks
- •Children who don't understand instructions
Exclusion Criteria
- •Children who had damage orthopedics or surgical operation contraindicating realization of the experimental protocol
- •Hospitalization incompatible with the progress of the protocol.
- •Children who had botulinum injection, extensions casts or the implementation of new equipment (night or day orthosis) for less than three months or the progress of the protocol.
- •Children having analgesic treatment in progress
Outcomes
Primary Outcomes
slope of the torque-angle curve
Time Frame: up to 12 weeks
Analysis of the slope of the torque-angle curve in Nm/°. It is measured by isokinetic dynamometer with ultrasound.
Secondary Outcomes
- MyoTendinous Junction (MTJ) displacement of muscle triceps sural(up to 12 weeks)
- Slope of the torque- MyoTendinous Junction (MTJ) displacement(up to 12 weeks)
- muscle triceps sural, muscle body of the medial gastrocnemius muscle and Achilles tendon(up to 12 weeks)
- Maximal dorsiflexion angle(up to 12 weeks)
- discomfort level(up to 12 weeks)