Comparing the effects of tapping and brushing therapy on ankle dorsiflexion range of motion in hemiparetic spastic cerebral palsy

Phase 3

Recruiting

Conditions: Hemiparetic Spastic Cerebral Palsy.
Spastic hemiplegic cerebral palsy
G80.2

Registration Number: IRCT20230801059004N1

Lead Sponsor: The University of Faisalabad

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 34

Inclusion Criteria

Age ranges from 4-12 years
Study included both male and female genders.
The one who was able to walk, either with assistance or without assistance
Sensations were preserved in affected lower limb.
Participants should be diagnosed with hemiparetic spastic cerebral palsy.
According to Modified Ashworth Scale, the grade of their spasticity should be = 3.
Participants should be able to follow instructions completely.

Exclusion Criteria

Uncontrollable attacks of epilepsy
Take botulinum toxin from the previous 3 months as enroll in trial.
Any other neurological conditions that affect walking pattern other than cerebral palsy
Patients undergone any orthopedic surgery during last 12 months, on affected side

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Ankle Dorsiflexion Range of Motion. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: The Universal Goniometer is a gold standard tool that is reliable for measurement of range of motion among cerebral palsy children.

Secondary Outcome Measures

Name	Time	Method
Calf Muscle Spasticity. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: Modified ashworth scale has grade of 6 points such as 0, 1, 1+, 2, 3, and 4. It has been scored from 0-4, where 0 means there is no increase in tone while 4 means affected part fixed in flexion or extension. The Modified Ashworth Scale is a gold standard outcome for the measurement of spasticity.;Walking Pattern. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: Observational gait scale is used to evaluate any changes in walking pattern in hemiparetic spastic cerebral palsy children. It has 8 sections and a total greatest score of twenty-two that show a normal walking pattern. Changes are evaluated in frontal and lateral view, 7 out of 8 sections are evaluated in lateral view. The OGS has a good reliability and validity for ankle as well as knee observation in spastic cerebral palsy children.