Deep Friction Massage in Children With Spastic Cerebral Palsy

Not Applicable

Completed

• Conditions: Spastic Cerebral Palsy (sCP)

• Registration Number: NCT06760793
• Lead Sponsor: Muğla Sıtkı Koçman University

Brief Summary

The aim of this clinical trial is to determine whether deep friction massage and stretching reduce muscle contraction in the calf muscle. The primary questions it seeks to answer are:

* Does deep friction massage or stretching reduce muscle contraction?

* Does deep friction massage or stretching improve walking?

* Does deep friction massage or stretching increase ankle joint range of motion?

Participants:

Participants will undergo either deep friction massage or stretching exercises for 10 minutes, three days a week, over a period of six weeks.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-02-23
• Primary Completion: 2024-05-01
• Study Completion: 2024-06-01
• Study First Submitted: 2024-12-30
• Study First Submitted QC: 2024-12-30
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-06
• Study First Posted: 2025-01-07
• Last Update Posted: 2025-01-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• a diagnosis of spastic diplegic or hemiparetic CP
• aged between 3 and 18 years
• classified as level I, II, or III according to the Gross Motor Function Classification System (GMFCS)
• possessing sufficient cognitive function to cooperate.

Exclusion Criteria

• Botulinum toxin (BoNT) injections to the lower extremity muscles within the last six months
• undergoing any surgery such as muscle lengthening or joint contracture within the last six months
• non-participation in two consecutive exercise sessions
• experiencing illnesses such as infections or musculoskeletal injuries during the study period.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
The Modified Ashworth Scale	before intervention and after 6 weeks	The Modified Ashworth Scale (MAS) is the most widely used clinical scale for measuring increases in muscle tone. The original Ashworth Scale was a 5-point numerical scale that graded spasticity from 0 to 4, with 0 indicating no resistance and 4 indicating a limb that is rigid in flexion or extension.

Secondary Outcome Measures

Name	Time	Method
The Modified Tardieu Scale	Before intervention and after 6 weeks	The Modified Tardieu Scale (MTS) is a clinical tool used to assess spasticity by evaluating the muscle's response to passive stretch at varying velocities. This scale was a 5-point numerical scale that graded spasticity from 0 to 5, with 0 indicating no resistance and 5 indicating a limb that is rigid in flexion or extension.
Range of motion (ROM)	Before intervention and after 6 weeks	Range of motion (ROM) of ankle assessments were conducted using a standard goniometer. In these measurements, the initial position of the ankle was set to a 90° angle between the fibula and the 5th metatarsal. Participants were positioned in a supine position with a thin pillow placed under their knees. The pivot point of the goniometer was aligned with the lateral malleolus, while the fixed arm was positioned parallel to the midline of the fibula. The moving arm of the goniometer followed the midline of the 5th metatarsal. The participant was then instructed to perform active dorsiflexion and plantar flexion movements, with the results recorded. This procedure was repeated for passive dorsiflexion and plantar flexion movements
The Modified Timed Up and Go Test (TUG)	Before intervention and after 6 weeks	The Modified Timed Up and Go Test (TUG) is a simple and objective clinical test that assesses walking speed, postural control, functional level, balance, and locomotor performance. In this test, the participant is asked to rise from a chair without armrests, walk at their own pace to touch a target placed 3 meters away, return to the starting point, and sit down again. The time taken to complete this task is recorded in seconds. The participant's starting position is sitting in a chair with the hip and knee joints flexed at 90°

Trial Locations

Locations (1)

Mugla Sitki Kocman University; 🇹🇷 Muğla, Menteşe, Turkey