Comparison of the Effectiveness of Different Physiotherapy and Rehabilitation Programs After Onabotulinum Toxin-A Injection and Serial Casting in Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 19
- 试验地点
- 1
- 主要终点
- Muscle strenght
研究概览
简要总结
The effects of different physiotherapy programs on children with cerebral palsy who have been received botulinum toxin injection and serial casting application will be determined.
详细描述
CP children who underwent botulinum toxin injection to medial gastrocnemius muscle and serial casting application in last two months will be included in the study. The effects of traditional physiotherapy and downhill backward treadmill training plus to traditional physiotherapy on muscle morphology, activity, walking, quality of life and selectivity will be determined.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 5 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being diagnosed with cerebral palsy (CP) (hemiplegic-diplegic)
- •To have undergone botulinum toxin and serial casting interventions in the last 2 months
- •to be between 5-10 years old
- •Being at the level of I-II-III (ambulatory or assisted ambulatory) according to Gross Motor Function Classification System
- •To have the mental competence to understand and apply assessments and exercises
排除标准
- •Having undergone surgery involving the lower extremity in the last 6 months
- •Refusing to participate in the study
- •Having other accompanying neurometabolic or orthopedic disorders
研究组 & 干预措施
control group
Children in this group will take routine physiotherapy (stretching, strengthening) program during 6 weeks. 3 days/week.
干预措施: routine physiotherapy (Procedure)
intervention group
Children in this group will take routine physiotherapy (stretching, strengthening) program + backward downhill walking (10 minutes in a day) during 6 weeks. 3 days/week.
干预措施: backward downhill walking (Procedure)
intervention group
Children in this group will take routine physiotherapy (stretching, strengthening) program + backward downhill walking (10 minutes in a day) during 6 weeks. 3 days/week.
干预措施: routine physiotherapy (Procedure)
结局指标
主要结局
Muscle strenght
时间窗: After six weeks intervention
Will be measured by manual muscle tester
Muscle morphology
时间窗: After six weeks intervention
Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements
Vascularization
时间窗: After six weeks intervention
Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements
Range of motion
时间窗: After six weeks intervention
Will be measured with goniometer
Modified Tardieu Scale
时间窗: After six weeks intervention
Lower extremity spasticity will be mesured with this scale. Higher scores mean more intensive spasticity
Edinburgh visual gait analysis
时间窗: After six weeks intervention
Gait will be recorded as video and this video will be scored
Muscle morphology
时间窗: Before the intervention
Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements
Vascularization
时间窗: Before the the intervention
Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements
Muscle strenght
时间窗: Before the intervention
Will be measured by manual muscle tester
Range of motion
时间窗: Before the intervention.
Will be measured with goniometer
Edinburgh visual gait analysis
时间窗: Before the intervention
Gait will be recorded as video and this video will be scored
Modified Tardieu Scale
时间窗: Before the intervention
Lower extremity spasticity will be mesured with this scale. Higher scores mean more intensive spasticity
次要结局
- Lower extremity selective control measurement(After six weeks intervention)
- Child Health Questionnare (Parent form)(After six weeks intervention)
- Children Functional Independence Measurement Scale(After six weeks intervention)
- Demographic data(After six weeks intervention)
- Demographic data(Before the intervention)
- Child Health Questionnare (Parent form)(Before the intervention)
- Children Functional Independence Measurement Scale(Before the intervention)
- Lower extremity selective control measurement(Before the intervention)
研究者
pelin atalan
Physiotherapist, MSc
Gazi University