Myofascial Release and Sustained Stretching in Spastic CP Children

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Passive sustained stretching; Other: Myofascial Release

• Registration Number: NCT05251025
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this research was to find and compare the effects of Myofascial Release Technique and Passive Sustained Stretching on Hamstrings Flexibility in Children with Spastic Cerebral Palsy.

Detailed Description

Randomized Clinical Trials done at DHQ Sahiwal. 26 spastic CP children of age 6-12 years were taken by random sampling technique from DHQ Sahiwal. 13 were allocated to each group. Study duration was of 6 months. Sampling technique applied was non probability convenience sampling technique Group A received Passive Sustained Stretching along with conventional treatment. Whereas Group B received MFR along with conventional treatment. Both these groups received treatment for 6 weeks. The baseline and post treatment score of MAS, Goniometer (AKET to measure popliteal angle) and GMFCS -88 were evaluated. Data analysis was done by using the SPSS version 21.

Study Timeline

• Study Start: 2021-07-15
• Primary Completion: 2021-09-15
• Study Completion: 2021-12-15
• Status Verified: 2022-02
• Study First Submitted: 2022-02-20
• Study First Submitted QC: 2022-02-20
• Last Update Submitted: 2022-02-20
• Study First Posted: 2022-02-22
• Last Update Posted: 2022-02-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• Age range from 6 to 12 years were included.
• Both genders were included.
• Ambulatory subjects with or without ambulatory aids.
• Diagnosed children with Spastic CP.
• CP patients with grade 3 on modified Ashworth scale for hamstrings were included

Read More

Exclusion Criteria

• Children with visual or auditory defects.
• Children with cognitive dysfunction.
• Subjects who had severe limitations in passive range of motion at lower extremities specially hamstrings due to surgery or any other complication.
• Children with other types of Cerebral Palsy such as Ataxic CP, Dyskinetic CP etc.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Passive sustained stretching	Passive sustained stretching	Passive sustained stretching along with conventional treatments
Myofascial Release	Myofascial Release	Myofascial Release Technique along with conventional treatments

Primary Outcome Measures

Name	Time	Method
Modified Ashworth Scale (MAS)	6th week	Modified Ashworth scale is one of the most internationally accepted clinical tool that is to measure the increased tone in the muscles. Ashworth Scale in 1964 was published by Bryan Ashworth. This clinical tool has been used as a method for grading spasticity, especially in patients with Cerebral Palsy, Multiple sclerosis etc. The reliability of Modified Ashworth Scale is(ICC+=0.686).
Gross Motor Function Classification System	6th week	The Gross Motor Function Classification System (GMFCS-88) is a five-level system that is basically is considered as a standardized method to explain gross motor function in CP Children. This GMFCS is used in CP Children with age ranging from 1 to 12 years. The basic focus in this tool is the sitting and walking of the CP Children. This classification system can simply be merged into medical practice. This will help to make assessments of the affected children. It also shows major or clear differences in the gross motor functions of Cp children that are impactful in the daily activities. the intra-rater and inter-rater reliability of GMFCS is 0.98 and 0.97 respectively
Active Knee Extension Test	6th week	For Active Knee Extension Test that helped to measure popliteal angle the patient was asked to lie supine on the examination table with hip and the knee flexed to 90 degrees and the test was done on both legs alternatively. The examiner then supported the testing thigh so that it remained vertical and asked the patient to extend the knee actively while the contralateral leg remained extended. This active knee extension was done voluntarily. After this, the examiner held that knee extension for 5 seconds to support and keep the stretch to find the point of maximum resistance to ensure the exact readings. To measure the readings, the examiner placed a 360 degrees goniometer on the landmarks being marked for taking the readings. The landmarks used as reference for goniometer were greater trochanter of the femur and lateral malleolus of the tibia.

Trial Locations

Locations (1)

District Head Quarter Hospital; 🇵🇰 Sahiwal, Punjab, Pakistan