Cerebral Palsy, Cerebral Palsy, Spastic
Conditions
Keywords
cerebral palsy, botulinum toxin, serial casting, physiotherapy, muscle morphology
Brief summary
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.
Detailed description
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.
Interventions
PROCEDUREbackward downhill walking
Children in the intervention group will take backward downhill walking program plus to routine physiotherapy.
PROCEDUREroutine physiotherapy
Children in one of the groups will take routine physiotherapy programme
Sponsors
Gulhane Training and Research Hospital
Ankara Eğitim ve Araştırma Hastanesi
Gazi University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Intervention model description
2 groups of children with Cerebral palsy are going to be involved at the same time. One of the groups will be enrolled in the routine physiotherapy intervention. The other group will be enrolled to the routine physiotherapy intervention + backward downhill walking.
Eligibility
Sex/Gender
ALL
Age
5 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
1. Being diagnosed with cerebral palsy (CP) (hemiplegic-diplegic) 2. To have undergone botulinum toxin and serial casting interventions in the last 2 months 3. to be between 5-10 years old 4. Being at the level of I-II-III (ambulatory or assisted ambulatory) according to Gross Motor Function Classification System 5. To have the mental competence to understand and apply assessments and exercises
Exclusion criteria
1. Having undergone surgery involving the lower extremity in the last 6 months 2. Refusing to participate in the study 3. Having other accompanying neurometabolic or orthopedic disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Tardieu Scale | Before the intervention | Lower extremity spasticity will be mesured with this scale. Higher scores mean more intensive spasticity |
| Vascularization | Before the the intervention | Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements |
| Muscle strenght | Before the intervention | Will be measured by manual muscle tester |
| Range of motion | Before the intervention. | Will be measured with goniometer |
| Edinburgh visual gait analysis | Before the intervention | Gait will be recorded as video and this video will be scored |
| Muscle morphology | Before the intervention | Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child Health Questionnare (Parent form) | Before the intervention | Quality of life will be measured by this questionnare |
| Children Functional Independence Measurement Scale | Before the intervention | Functional Independency will be measured by this scale. Higher scores mean better independence. |
| Lower extremity selective control measurement | Before the intervention | Selective movement will be measured with this scale. Higher scores mean better selective control. |
| Demographic data | Before the intervention | Face-to-face interview with family. Will be recorded in data registration form |
Countries
Turkey (Türkiye)
Outcome results
None listed