The Effects of Continuous Passive Motion on Hypertonia of Soleus in Individuals With Cerebral Palsy

Not Applicable

Completed

• Conditions: Cerebral Palsy (CP)
• Interventions: Procedure: Ankle continuous passive motion machine.

• Registration Number: NCT02003755
• Lead Sponsor: Chang Gung University

Brief Summary

Cerebral palsy (CP) is a group of disorders of the development of movement and posture but often changing motor impairment syndromes. The spastic subtypes are the most common manifestations of cerebral palsy who perform movement difficultly due to hypertonia. Decease of spinal cord pathway, hyperactivity of alpha and gamma motoneuron and reduction of presynaptic inhibition may cause tendon reflex increase and hypertonia in individuals with CP. There are many ways to improve the hypertonia. In the past studies, the fast repeated range of motion could reduce muscle's activation effectively. The polyarticular movement training might increase joint range of motion and reduce the muscle activation. But the polyarticular movement training is difficulty for some individuals with CP. The single joint movement training may achieve the same effect as the polyarticular movement training. The purpose of this study was to investigate the effects of continuation passive range of motion (CPM) training whether could get the improvement of soleus hypertonia in individuals with CP.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-04
• Primary Completion: 2013-04
• Study Completion: 2013-04
• Status Verified: 2013-12
• Study First Submitted: 2013-12-03
• Study First Submitted QC: 2013-12-03
• Last Update Submitted: 2013-12-03
• Study First Posted: 2013-12-06
• Last Update Posted: 2013-12-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 8

Inclusion Criteria

• Clinical diagnosis of Spastic CP
• Modified Ashworth scale of Soleus > 1
• Ankle range of motion > 10 degrees

Exclusion Criteria

• Fracture on lower Lower extremities
• BOTOX on ankle < 5 mouths

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Spastic CP	Ankle continuous passive motion machine.	continuous passive motion training

Primary Outcome Measures

Name	Time	Method
Muscle tone tests	Baseline, 1, and 4 months.	Measure of changes in Hypertonia measured by Modified Ashworth Scale (MAS).
Ankle range of motion	Baseline, 1, and 4 months.	Measure of changes in Ankle range of motion.
Hoffman reflex (H-reflex)	Baseline, 1, and 4 months.	Measure of changes in Hoffman reflex (H-reflex).

Secondary Outcome Measures

Name	Time	Method
Leg girth	Baseline,1 ,and 4 mouths.

Trial Locations

Locations (1)

Chang Gung University; 🇨🇳 Taoyuan, Taiwan