Cerebral Palsy (CP)
Conditions
Keywords
Cerebral palsy, Fascicle length, Hemiplegia, Range of motion, Whole body vibration
Brief summary
This study investigates the effects of WBV on fascicle length, knee joint angle and function in children with spastic hemiplegic cerebral palsy
Detailed description
to study the effect of WBV on fascicle length, knee joint angle and function in children with spastic hemiplegic cerebral palsy
Interventions
DEVICEwhole body vibration
On a vibration platform, the children went into a complete squat. The device was calibrated at a frequency of 30 Hz, an amplitude of 2 mm, and a duration of 5 minutes. After the vibration was turned on, the children were told to stay in the squatting position and to report any discomfort that could occur. The vibration automatically shut off after five minutes. The children then rested for a minute. Next, under the identical conditions as for the squatting position, they were instructed to stand on the vibration platform for five minutes with the therapist's assistance. Consequently, WBV was applied for a total of 10 minutes during each session.
OTHERdesigned physiotherapy program
structured therapeutic exercise program that included neurodevelopmental approaches, balance exercises, milestone facilitation, stretching exercises, and postural reaction facilitation. The program was conducted for one hour each day, three days a week.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
* Ages varied from four to six years of both sex * hemiplegic CP children, were suffering from knee joint flexion deformity due to hamstring muscles tightness * Level I and II motor function, according to the Growth Motor Function Classification System (GMFC) expanded and revised * Degree of spasticity ranged from 1 to 2 according to modified Ashworth scale * All children received neuro-developmental techniques
Exclusion criteria
* Other causes of knee flexion deformities * Previous history of orthopedic surgery in knee joint * Visual or auditory problems * Seizures * Sensory or perceptual deficits * Any acute illness at the time of collection of data.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee range of motion | 12 weeks | Each child in both groups had their knee joint's extension angle measured before and after a 12-week therapy program began using an absolute + AxisTM Digital Goniometer |
| Fascicle length of hamstring muscle | 12 weeks | The biceps femoris muscle's muscle fascicle length was measured at a frequency of 7.5 MHz using GE LOGIQ P6 ultrasonography equipment |
| gross motor function | 12 weeks | Gross Motor Functional Measurement-88 : is a common principle-test designed to assess changes in function in various milestones for children with cerebral palsy 0 = does not initiate 1. = initiates 2. = partially completes 3. = completes |
Countries
Egypt
Outcome results
None listed