Effects of Myofascial Release in Cerebral Palsy Children

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: myofascial release and quick icing; Other: myofascial release

• Registration Number: NCT06198140
• Lead Sponsor: Riphah International University

Brief Summary

Cerebral palsy (CP) is a common disorder which leads to physical disability in children throughout life and begins in early childhood. In cerebral palsy spasticity is considered as a primary factor leads to much impairment which is inversely related to functional development that means greater the spasticity lowers the level of function. There are many ways to treat spasticity which involve stretching, strengthening, postural education, neuromuscular electrical stimulation, cryotherapy and myofascial release technique.

Detailed Description

This study will be a randomized controlled trial. Study will be approved by ethical committee. After that informed consent will be taken and patients will be included in the study on the basis of inclusion criteria. Non probability convenience sampling technique will be used and study will be conducted on 28 patients with spastic hemiplegic cerebral palsy, 6 to 12 years of age. Patient will be randomly categorize into two groups by using flip coin. Experimental group will receive myofascial release on ankle planterflexors and quick icing treatment protocol on ankle dorsiflexors. Control group will receive only myofascial release treatment protocol on ankle planterflexors. Pre and Post intervention assessment will be made for both groups. Tone of planterflexors will be assessed by Modified Ashworth Scale, ankle passive range of motion will be assessed by goniometer and static balance will be assessed by Romberg test(open eyes).

Study Timeline

• Study Start: 2023-12-01
• Study First Submitted: 2023-12-26
• Study First Submitted QC: 2023-12-26
• Study First Posted: 2024-01-10
• Primary Completion: 2024-02-05
• Study Completion: 2024-02-05
• Status Verified: 2024-06
• Last Update Submitted: 2024-06-11
• Last Update Posted: 2024-06-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

Inclusion Criteria

• Subjects with hemiplegic cerebral palsy
• Both genders
• Age between 6 to 12 years
• GMFCS Level I and II
• Modified Ashworth scale (grade1 - grade 3

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Exclusion Criteria

• Hypersensitive to cold
• Underwent any corrective surgery
• Specific perceptual and cognitive impairments
• Subjects who has received Botulinium toxin injection in the past 6 months

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Myofascial Release and Quick icing	myofascial release and quick icing	Experimental group will receive myofascial release \& quick icing.
Myofascial Release	myofascial release	In control group the individuals will receive only myofascial release on ankle planterflexors.

Primary Outcome Measures

Name	Time	Method
Goniometer	4 weeks	Goniometer is implemented as quantifiable monitoring device(9). For both upper and lower limb. It is the most extended tool for measuring ROM in the clinical practice. Goniometry is quantifiable monitoring device. Intertester and intratester believability towards goniometric measures at ankle joint are 0.86 and 0.90 in terms of ICC
Modified Ashworth Scale	4 weeks	Modified Ashworth Scale is a subjective 5-point scale. The modified Ashworth scale is the most universally accepted clinical tool used to measure the increase of muscle tone. The modified Ashworth scale is a muscle tone assessment scale used to assess the resistance experienced during passive range of motion, which does not require any instrumentation and is quick to perform. The MAS is the gold standard for the measurement of new assessment tools and has shown to have good intrarater reliability (0.84) and good interrater reliability(0.83).Modified Ashworth Scale is used as a qualitative scale in this study
Romberg test (open eyes)	4 weeks	The Romberg test is a simple bedside test that should be performed on all patients presenting with imbalance. In the Romberg test with eyes open, the patient is asked to remove shoes and stand with both feet together. Next, the examiner instructs the patient to hold their arms next to the body or crossed in front of the body. The test involves asking the patient to keep their eyes open while the examiner assesses the patient's body movement relative to balance. Romberg sign is positive if the patient is often unsteady with the eyes open

Trial Locations

Locations (1)

Riphah international university; 🇵🇰 Lahore, Pakistan