Femoral Neuropathy in Haemophilic Patients
Conditions
Keywords
Neurodynamics,, Nerve flossing;, femoral neuropathy, , haemophilia,
Brief summary
To investigate the effect of Neurodynamics Nerve flossing on femoral neuropathy in patients with haemophilia Background: heamophilia is one of the serious chronic disorders in children and adolescents which results in less physical activities and restlessness hours than their peer. HYPOTHESES: This study will hypnotize that: Neurodynamics Nerve flossing will have a significant effect on femoral neuropathy in patients with haemophilia RESEARCH QUESTION: will the Neurodynamics Nerve flossing has an effect on femoral neuropathy in patients with haemophilia?
Detailed description
Haemophilic patients with Femoral Neuropathy will be randomly divided in two equal groups control group which will receive conventional selected exercise program and study group will receive the same exercise training program in addition to Neurodynamics Nerve flossing three times per week for three successive months. The Evaluation will done pre and post interventions included: femoral nerve motor conduction velocity, muscle test For Iliopsoas and Quadriceps muscles and Pain visual analogue scale.
Interventions
OTHERNeurodynamics Nerve flossing
Neurodynamics Nerve flossing for femoral nerve that includes two techniques inform of: slider technique and the second is the tensioner technique
Ultrasound therapy The flexibility exercises for iliopsoas & quadriceps The iliopsoas & quadriceps muscles strength exercise
Sponsors
Lama Saad El-Din Mahmoud
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
control group which received conventional selected exercise program in form of Ultrasound therapy The flexibility exercises for iliopsoas & quadriceps The iliopsoas & quadriceps muscles strength exercise and study group received the same exercise training program in addition to Neurodynamics Nerve flossing three times per week for three successive months
Eligibility
Sex/Gender
MALE
Age
12 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* hemophilia A or B, all the patients * positive femoral nerve tension test * the Manual muscle test for iliopsoas and quadriceps muscles in all patients not less than grade 2 according to the oxford scale * the age ranging from (12:16) years * all the participants will be able to communicate verbally ,obey commands and instructions and co-operate with testing and training protocols
Exclusion criteria
* any participants have auditory, visual and sever cardiac disorders * Patients who have mild degree of hemophilia * Patients who have joint, muscle bleeding or pain in the lower limb in the preceding 3 weeks * patients with any other neurological disorders or musculoskeletal disorders or deformities of the lower limb.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Electromyography Nerve conduction study | 12 weeks | Femoral Nerve motor conduction velocity (m/sec.) , via the Neuropack S1 MEB9004 EMG device |
| Femoral Nerve Tension Test, for femoral nerve injury | 12 weeks | Femoral Nerve Tension Test is a neural tension test used to stress the femoral nerve A positive test was be reproduction of the patient's symptoms as burning discomfort in the groin or anterior thigh occurred if there was femoral nerve involvement. |
| Manual muscle test, Oxford five grades of muscle power assessment | 12 weeks | The group Manual muscle test was used for testing the strength of iliopsoas and quadriceps muscles, according to the Oxford Scale as the Muscle strength is often rated on a scale of 0/5 as follow: (0/5) no contraction of muscle, (1/5) muscle flicker contraction, but no movement (2/5) movement possible, but not against gravity (test the joint in its horizontal plane), (3/5) movement possible against gravity, but not against resistance by the therapist, (4/5) movement possible against some resistance by the examiner and (5/5) normal strength |
Countries
Egypt
Outcome results
None listed