Comparing the effects of tapping and brushing therapy on ankle dorsiflexion range of motion in hemiparetic spastic cerebral palsy

Status

Recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT20230801059004N1

Enrollment

Registered

2023-09-14

Start date

2023-09-18

Completion date

Unknown

Last updated

2023-10-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hemiparetic Spastic Cerebral Palsy. Spastic hemiplegic cerebral palsy

Interventions

Intervention 1: Intervention group:. Intervention 2: Intervention group:.

Eligibility

Sex/Gender

All

Age

4 Years to 12 Years

Inclusion criteria

Inclusion criteria: Age ranges from 4-12 years Study included both male and female genders. The one who was able to walk, either with assistance or without assistance Sensations were preserved in affected lower limb. Participants should be diagnosed with hemiparetic spastic cerebral palsy. According to Modified Ashworth Scale, the grade of their spasticity should be = 3. Participants should be able to follow instructions completely.

Exclusion criteria

Exclusion criteria: Uncontrollable attacks of epilepsy Take botulinum toxin from the previous 3 months as enroll in trial. Any other neurological conditions that affect walking pattern other than cerebral palsy Patients undergone any orthopedic surgery during last 12 months, on affected side

Design outcomes

Primary

Measure	Time frame
Ankle Dorsiflexion Range of Motion. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: The Universal Goniometer is a gold standard tool that is reliable for measurement of range of motion among cerebral palsy children.	—

Secondary

Measure	Time frame
Calf Muscle Spasticity. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: Modified ashworth scale has grade of 6 points such as 0, 1, 1+, 2, 3, and 4. It has been scored from 0-4, where 0 means there is no increase in tone while 4 means affected part fixed in flexion or extension. The Modified Ashworth Scale is a gold standard outcome for the measurement of spasticity.;Walking Pattern. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: Observational gait scale is used to evaluate any changes in walking pattern in hemiparetic spastic cerebral palsy children. It has 8 sections and a total greatest score of twenty-two that show a normal walking pattern. Changes are evaluated in frontal and lateral view, 7 out of 8 sections are evaluated in lateral view. The OGS has a good reliability and validity for ankle as well as knee observation in spastic cerebral palsy children.	—

Measure

Time frame

Calf Muscle Spasticity. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: Modified ashworth scale has grade of 6 points such as 0, 1, 1+, 2, 3, and 4. It has been scored from 0-4, where 0 means there is no increase in tone while 4 means affected part fixed in flexion or extension. The Modified Ashworth Scale is a gold standard outcome for the measurement of spasticity.;Walking Pattern. Timepoint: At baseline then at 3rd week and at 6th week of intervention. Method of measurement: Observational gait scale is used to evaluate any changes in walking pattern in hemiparetic spastic cerebral palsy children. It has 8 sections and a total greatest score of twenty-two that show a normal walking pattern. Changes are evaluated in frontal and lateral view, 7 out of 8 sections are evaluated in lateral view. The OGS has a good reliability and validity for ankle as well as knee observation in spastic cerebral palsy children.

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Countries

Pakistan

Contacts

Public ContactJyesha Mustafa

The University of Faisalabad

2021-ms-pt-042@tuf.edu.pk+92 41 8750971

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026