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Dynamic stretching programme for children with cerebral palsy

Not Applicable
Conditions
Cerebral palsy
Nervous System Diseases
Registration Number
ISRCTN15808719
Lead Sponsor
niversity of Oxford
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
334
Inclusion Criteria

1. Children 4-11 years (i.e. from their 4th birthday to the day before their 12th birthday)
2. Diagnosis of spastic CP (bilateral or unilateral) GMFCS levels I–III
3. Willing for their community physiotherapy service and GP to be informed of their participation in the trial

Exclusion Criteria

1. Patient has had orthopaedic surgery of the lower limbs or selective dorsal rhizotomy in the past 12 months or planned (i.e. date confirmed) in the next 6 months
2. Patient has had lower limb botulinum toxin injections or serial casting in the past 4 months or planned (i.e. date confirmed) in the next 6 months
3. Patient is regularly performing a structured dynamic exercise programme focused on dynamic stretching as part of their usual physiotherapy routine
4. Patient is unable to comply with the assessment procedures and exercise programme with or without support by their parent/guardian

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Functional mobility measured using the patient/parent-reported Gait Outcomes Assessment List (GOAL) questionnaire at 6 months
Secondary Outcome Measures
NameTimeMethod
1. Passive joint range of motion measured using the CPIP protocol of lower limb joint range of motion at 6 months<br>2. Motor function measured using the Timed Up and Go (TUG) test at 6 months<br>3. Functional mobility measured using the patient/parent-reported Gait Outcomes Assessment List (GOAL) questionnaire at 12 months <br>4. Independence measured using GOAL subdomain A at 6 and 12 months<br>5. Balance measured using GOAL subdomains A, B, D at 6 and 12 months<br>6. Pain and discomfort measured using GOAL subdomain C at 6 and 12 months<br>7. Health-related quality of life measured using EQ-5D-Y at 6 and 12 months <br>8. Educational outcomes measured using educational attendance records (days) at 6 and 12 months<br>9. Patient/parent exercise adherence self-reported at 6 and 12 months<br>10. Additional physiotherapy treatment self-reported at 6 and 12 months
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