Effect of Different stretchıng Techniques on Balance and Functionality in Children With Diplegic Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Gazi University
- Enrollment
- 34
- Locations
- 1
- Primary Endpoint
- Hip extension Range of motion in degrees
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
The aim of this study is to investigate the effect of proprioceptive neuromuscular facilitation (PNF) and static stretching techniques on the balance and functional capabilities of children diagnosed with diplegic cerebral palsy (CP).
Detailed Description
The aim of this study is to investigate the effect of proprioceptive neuromuscular facilitation (PNF) and static stretching techniques on the balance and functional capabilities of children diagnosed with diplegic cerebral palsy (CP). The study consisted of a group of sixteen children, ranging in age from 8 to 16 years, who were diagnosed with bilateral hip flexor contracture and diplegic cerebral palsy. These children were classified according to the Gross Motor Function Classification System (GMFCS) levels I to III. The children were randomly divided into PNF and static stretching groups. Stretching techniques were applied 2 days a week for 4 weeks, with 6 repetitions in each session. The study assessed various parameters, including hip extension range of motion (ROM), muscle tone intensity based on the Modified Ashworth Scale, hip flexor shortness as determined by the Thomas Test, the time up and go (TUG) test, balance using the Pediatric Berg Balance Scale, and functional status evaluated through the Gilette Functional Walking Assessment Questionnaire.
Investigators
Uğur Sözlü
Director
Gazi University
Eligibility Criteria
Inclusion Criteria
- •A clinical diagnosis of CP;
- •Age ranging from 6 to 18 years;
- •No recent administration of Botulinum Toxin to the lower extremity muscles in the last 6 months;
- •An IQ score of 70 or above;
- •A Gross Motor Function Classification System (GMFCS) value of 1, 2 or 3;
- •Presence of hip flexion contracture;
- •Willingness to participate in the study
Exclusion Criteria
- •Concomitant diagnoses aside from CP,
- •Presenting with muscle tone ratings of 3 or 4 in the hip muscles according to the Modified Ashworth Scale (MAS),
- •Who had undergone tendon lengthening surgery to increase hip flexion
Outcomes
Primary Outcomes
Hip extension Range of motion in degrees
Time Frame: 3 months
Hip extension ROM was measured with a digital goniometer while the patient was lying in the prone position, and the knee was flexed.
Thomas test
Time Frame: 3 months
The degree of hip flexion contracture was determined using the Thomas test while the patient was supine. The opposite hip was passively moved in the flexion direction as much as possible by a second physiotherapist. In the meantime, the degree of hip flexion on the designated side was assessed using a digital goniometer and documented in degrees. This test was repeated 3 times, and the results were averaged.
Timed Up and Go test (TUG)
Time Frame: 3 months
Functional status was assessed by the Timed Up and Go test (TUG). The time required for the patient to get up from the chair, walk 3 meters, turn around, walk back to the chair, and sit down was calculated in seconds. The test was repeated 3 times, and the data average was recorded.
The Pediatric Berg Balance Scale (PBBS)
Time Frame: 3 months
The Pediatric Berg Balance Scale (PBBS) was used to evaluate dynamic balance skills in children with CP. The scale comprises 14 items including sitting balance,standing balance, sitting to standing/standing to sitting, transfers, stepping, reaching forward with outstretched arm, reaching the foor, turning, and placing foot on stool items. Each item ranked from 0 to 4. 0 shows inability to perform the instruction, while 4 shows the ability to perform without any difculty. Maximum total score is 56.
Gilette Functional Assessment Questionnaire (FAQ)
Time Frame: 3 months
Gillette Functional AssessmentQuestionnaire (FAQ) 22-item asks the respondent to 'Please ratehow easy it is for the patient to do the following activities'followed by brief descriptions of 22 locomotor skills the five-level (minumum:1, maximum:5) Likert response scale used for the 22 skill items was 'easy', 'a little hard', 'very hard', 'can't do at all',and 'too young for activity'.
Age in years
Time Frame: 3 months
Age of patients will be recorded
Weight in kilograms
Time Frame: 3 months
Weights of patients will be recorded
Height in meters
Time Frame: 3 months
Heights of patients will be recorded