Acute Effects of a Passive Stretching Session on the Mechanical Properties of Medial Gastrocnemius Muscle in Children With Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Centre Hospitalier Universitaire de Saint Etienne
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- slope of the torque curve force-ankle joint angle in the joint area -25° plantar flexion/maximum dorsal flexion
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Children with cerebral palsy present early in the childhood altered muscular properties, as soon as structural or stiffness. In the gastrocnemius muscle, altered muscular properties are characterized by short muscle belly length and increased stiffness which contribute to contracture and limiting joint range of motion. This study assess efficacy of an acute high intensity and long-time stretching session of plantarflexors muscle on their viscoelasticity properties and maximal dorsiflexion angle gain. Single stretching session is characterized by high intensity and long time (5 minutes).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Children with cerebral palsy of the spastic type
- •Children with a maximum dorsal ankle flexion amplitude limitation of less than 10°.
Exclusion Criteria
- •Children who have undergone surgery on the lower limbs.
- •Children with a botulinum toxin injection and/or a series of elongation casts for less than three months.
- •Children with ongoing analgesic treatment
Outcomes
Primary Outcomes
slope of the torque curve force-ankle joint angle in the joint area -25° plantar flexion/maximum dorsal flexion
Time Frame: baseline
Secondary Outcomes
- Maximum dorsal flexion angle of ankle, knee in maximum extension position(at 5 minutes)
- slope of the force-displacement torque curve myotendinous junction of the Sural Triceps in the articular sector -25° plantar flexion/maximum dorsal flexion(at 5 minutes)
- lengths of the musculotendinous unit of the Triceps Sural muscle, the muscular body of the gastrocnemius muscle and the Achilles tendon in cm measured at rest, knee in maximum extension position, ankle angle in neutral plantar/dorsal flexion position.(at 5 minutes)
- visual analogue scale of discomfort(at 5 minutes)