Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy

Not Applicable

Active, not recruiting

• Conditions: Cerebral Palsy; Selective Dorsal Rhizotomy

• Registration Number: NCT06646718
• Lead Sponsor: Kafrelsheikh University

Brief Summary

Purpose of the study:

To evaluate the effect of closed kinetic chain on hip stability after selective dorsal rhizotomy on spastic cerebral palsy.

Detailed Description

* This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.

* Sixty-six children of both genders.

* The study will include children (age 5-14years) post selective dorsal rhizotomy.

* Children meeting the inclusion criteria will be randomly assigned to one of two groups:

* Experimental Group: children in this group will receive closed kinetic chain.

* Control Group: Patients in this group will receive Traditional physical therapy.

* Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.

Study Timeline

• Study Start: 2024-01-30
• Status Verified: 2024-10
• Primary Completion: 2024-10-12
• Study First Submitted: 2024-10-14
• Study First Submitted QC: 2024-10-15
• Last Update Submitted: 2024-10-15
• Study First Posted: 2024-10-17
• Last Update Posted: 2024-10-17
• Study Completion: 2024-10-20

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• 1-Patients will be aged from 5 to 14 years

  2- will be included both genders post selective dorsal rhizotomy.

  3- The GMFCS level I-II spastic diplegia, able to stand up from a chair independently and maintain standing for more than 5 seconds without falling.

  4- Had not received any strength training program in the past 3 months before the study.

  5- Able to attend physical therapy (PT) treatment at least three a week before and during this study.

Exclusion Criteria

• 1-have perceptual, cognitive, visual and auditory disorder.

  2- botulinum toxin injection to the lower extremities within 6 Months.

  3- Medical conditions that prevented children from participating in the exercises.

  4- Previous lower extremity surgery, such as prior hamstring muscle Lengthening. 5- Existence of any orthopedic condition or any static hip, knee or ankle deformities.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Isokinetic dynamometry:	12 weeks	Isokinetic dynamometry testing is a device used within sports and exercise science as well as clinical testing environments that is used to evaluate joint torque. Isokinetic dynamometers are able to test the strength (torque) and power of different muscle groups.; is a safe and reliable method accepted as the "gold standard" in the evaluation of muscle strength.; It will be used before and after intervention to measure muscle strength
X-ray:	12 weeks	used to assess the alignment of the hip joint, detect any abnormalities, and determine the degree of bone deformities or hip dislocation.; Will be used before and after intervention to determine hip angles
The Pediatric Balance Scale:	12 weeks	The Pediatric Balance Scale (PBS), which is a modification of Berg Balance Scale (BBS) designed for children and adolescents aged 5 to 15 years, to assess functional balance abilities. The scale is composed of 14 items that are scored on a criterion-based 0 to 4 scale. The range of scores in the PBS is 0 to 56. each activity is rated on a five-point scale (0-4) so that the maximum score is 56. Patients who score 41 or higher are considered to be a low fall risk, those who score between 21 and 40 are considered to be moderate fall risks, and those who score below 20 are considered to be high fall risks. It will be completed in 15-20 minutes

Trial Locations

Locations (1)

Faculty of physical therapy, Kafr elsheikh University; 🇪🇬 Kafr Ash Shaykh, Kafr Elsheikh, Egypt