Efficacy of a Long Term, High Intensity and Long Time Stretch Training Program on Viscoelasticity Plantarflexors Muscle in Children With Cerebral Palsy (CP).
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 1
- 试验地点
- 1
- 主要终点
- slope of the torque-angle curve
研究概览
简要总结
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.
详细描述
This study assess efficacy of a long term stretching program of plantarflexors muscle on their viscoelasticity properties and maximal dorsiflexion angle gain. Stretching program is characterized by 3 phases: baseline, intervention and follow-up.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children aged 8 to 16 years
- •Children diagnosed spastic cerebral palsy
- •Children with decrease maximal dorsiflexion angle under +5° in the last four weeks
- •Children who don't understand instructions
排除标准
- •Children who had damage orthopedics or surgical operation contraindicating realization of the experimental protocol
- •Hospitalization incompatible with the progress of the protocol.
- •Children who had botulinum injection, extensions casts or the implementation of new equipment (night or day orthosis) for less than three months or the progress of the protocol.
- •Children having analgesic treatment in progress
研究组 & 干预措施
Children with spastic cerebral palsy
Children with spastic cerebral palsy will be included. They will have 3 phases:
- Baseline: 4, 5 or 6 evaluations
- Intervention: 9 evaluations before and after every stretching session
- Follow-up: 4, 5 or 6 evaluations
The evaluation part will be composed of isokinetic dynamometer with ultrasound and Visual Analog Scale (VAS). The number of evaluations at baseline and follow-up will be randomized before the study by Single Case Experimental Design (SCED) methodology.
干预措施: isokinetic dynamometer with ultrasound (Diagnostic Test)
Children with spastic cerebral palsy
Children with spastic cerebral palsy will be included. They will have 3 phases:
- Baseline: 4, 5 or 6 evaluations
- Intervention: 9 evaluations before and after every stretching session
- Follow-up: 4, 5 or 6 evaluations
The evaluation part will be composed of isokinetic dynamometer with ultrasound and Visual Analog Scale (VAS). The number of evaluations at baseline and follow-up will be randomized before the study by Single Case Experimental Design (SCED) methodology.
干预措施: Visual Analog Scale (VAS) (Other)
Children with spastic cerebral palsy
Children with spastic cerebral palsy will be included. They will have 3 phases:
- Baseline: 4, 5 or 6 evaluations
- Intervention: 9 evaluations before and after every stretching session
- Follow-up: 4, 5 or 6 evaluations
The evaluation part will be composed of isokinetic dynamometer with ultrasound and Visual Analog Scale (VAS). The number of evaluations at baseline and follow-up will be randomized before the study by Single Case Experimental Design (SCED) methodology.
干预措施: Stretching (Diagnostic Test)
结局指标
主要结局
slope of the torque-angle curve
时间窗: up to 12 weeks
Analysis of the slope of the torque-angle curve in Nm/°. It is measured by isokinetic dynamometer with ultrasound.
次要结局
- MyoTendinous Junction (MTJ) displacement of muscle triceps sural(up to 12 weeks)
- Slope of the torque- MyoTendinous Junction (MTJ) displacement(up to 12 weeks)
- muscle triceps sural, muscle body of the medial gastrocnemius muscle and Achilles tendon(up to 12 weeks)
- Maximal dorsiflexion angle(up to 12 weeks)
- discomfort level(up to 12 weeks)