The Effect of Therapeutic Climbing on Muscle Strength, Tone and Balance in Hemiplegic Children

Not Applicable

Completed

• Conditions: Hemiplegia and Hemiparesis
• Interventions: Other: Therapeutic Climbing

• Registration Number: NCT05983887
• Lead Sponsor: Pavlos Kitixis

Brief Summary

The goal of this randomised controlled trial is to learn about the effect of therapeutic climbing in hemiplegic children. The main questions it aims to answer are:

Does climbing affect muscle strength and tone? What is its connection between normative data drawn from healthy children? How can it affect balance?

Participants (children) will be asked to complete an series of movements used in sports climbing, such as inside-flag, back-flag and horizontal traverse, while hanging on an in-door climbing wall.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-04-10
• Study First Submitted: 2023-07-30
• Study First Submitted QC: 2023-08-06
• Study First Posted: 2023-08-09
• Primary Completion: 2023-08-31
• Study Completion: 2023-09-20
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-07
• Last Update Posted: 2024-05-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 12

Inclusion Criteria

• Children from 4 to 16 years old
• Children with Hemiplegia
• Evaluated as Level 1 on GMFCS

Exclusion Criteria

• Botulinum toxin injection in last 6 months
• Surgery in the last 1 year (myofascial lengthening etc.)
• Children with poor cognitive skills (not following instructions etc.)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Climbing Group	Therapeutic Climbing	The participants in this group continue their conventional intervention protocol plus an in-door climbing intervention protocol.

Primary Outcome Measures

Name	Time	Method
Muscle Strength	8 weeks (pre-post evaluation)	Measured using Kinvent K-PUSH Dynamometer and Jamar Hydraulic Hand Dynamometer ; Unit of Measure: Peak Force in Kilograms (higher scores - better outcome)
Balance	8 weeks (pre-post evaluation)	Measured using the Timed Up \& Go Test ; Unit of Measure: seconds of completion (higher scores - worse outcome)
Muscle Tone	8 weeks (pre-post evaluation)	Evaluated using the Modified Ashworth Scale ; Unit of Measure: Scoring Options (0-4) // (higher scores - worse outcome)

Secondary Outcome Measures

Name	Time	Method
Normative Strength Data Comparison	8 weeks (pre-post evaluation)	Comparison of normative values of the Jamar Hydraulic Hand Dynamometer of Healthy and Hemiplegic Children ; Unit of Measure: Difference of Peak Force in Kilograms

Trial Locations

Locations (1)

Department of Physiotherapy; 🇬🇷 Lamía, Phthiotis, Greece