Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- Isokinetic dynamometry:
研究概览
简要总结
Purpose of the study:
To evaluate the effect of closed kinetic chain on hip stability after selective dorsal rhizotomy on spastic cerebral palsy.
详细描述
-
This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.
-
Sixty-six children of both genders.
-
The study will include children (age 5-14years) post selective dorsal rhizotomy.
-
Children meeting the inclusion criteria will be randomly assigned to one of two groups:
-
Experimental Group: children in this group will receive closed kinetic chain.
-
Control Group: Patients in this group will receive Traditional physical therapy.
-
Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1-Patients will be aged from 5 to 14 years
- •2- will be included both genders post selective dorsal rhizotomy.
- •3- The GMFCS level I-II spastic diplegia, able to stand up from a chair independently and maintain standing for more than 5 seconds without falling.
- •4- Had not received any strength training program in the past 3 months before the study.
- •5- Able to attend physical therapy (PT) treatment at least three a week before and during this study.
排除标准
- •1-have perceptual, cognitive, visual and auditory disorder.
- •2- botulinum toxin injection to the lower extremities within 6 Months.
- •3- Medical conditions that prevented children from participating in the exercises.
- •4- Previous lower extremity surgery, such as prior hamstring muscle Lengthening. 5- Existence of any orthopedic condition or any static hip, knee or ankle deformities.
结局指标
主要结局
Isokinetic dynamometry:
时间窗: 12 weeks
Isokinetic dynamometry testing is a device used within sports and exercise science as well as clinical testing environments that is used to evaluate joint torque. Isokinetic dynamometers are able to test the strength (torque) and power of different muscle groups. is a safe and reliable method accepted as the "gold standard" in the evaluation of muscle strength. It will be used before and after intervention to measure muscle strength
X-ray:
时间窗: 12 weeks
used to assess the alignment of the hip joint, detect any abnormalities, and determine the degree of bone deformities or hip dislocation. Will be used before and after intervention to determine hip angles
The Pediatric Balance Scale:
时间窗: 12 weeks
The Pediatric Balance Scale (PBS), which is a modification of Berg Balance Scale (BBS) designed for children and adolescents aged 5 to 15 years, to assess functional balance abilities. The scale is composed of 14 items that are scored on a criterion-based 0 to 4 scale. The range of scores in the PBS is 0 to 56. each activity is rated on a five-point scale (0-4) so that the maximum score is 56. Patients who score 41 or higher are considered to be a low fall risk, those who score between 21 and 40 are considered to be moderate fall risks, and those who score below 20 are considered to be high fall risks. It will be completed in 15-20 minutes
次要结局
未报告次要终点
研究者
Shaza Salah Eldin Ahmed Mostafa Elabd
Principal Investigator
Kafrelsheikh University