Меню
Идёт набор NCT06598657

Talocrural Mobilization With Movement in Spastic Cerebral Palsy

Без фазы С лечением Spastic Cerebral Palsy (sCP)

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Mobilization with Movement MWM, Conventional Treatment.
Кому может быть актуально
Состояния в реестре: Spastic Cerebral Palsy (sCP). Базовые параметры: 8 лет — 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

Не всё понятно в терминах? Прочитайте наш гид для пациентов →

Официальное название

Effects of Talocrural Joint Mobilization With Movement in Spastic Cerebral Palsy Patients

Обзор

The aim of this randomized controlled trial is to find the effect of Mulligan's Mobilization with Movement of Talocrural joint in Cerebral Palsy Patients having spasticity on improving Ankle Range of Motion, improving balance and its effect on Gait speed.

Подробное описание

Cerebral palsy is a neurodevelopmental disorder involving abnormalities in muscle tone and motor function due to damaged cerebral tissue in development. It is a nonprogressive upper motor neuron lesion characterized by abnormal tone, posture, balance and movement and clinically classified based on the predominant motor syndrome. In spastic CP, there is significant weakness that contributes to abnormal posture and movement. This is also accompanied by decreased muscle endurance and loss of selective motor control (SMC). Spastic diplegia is a very common form of CP, with a wide range of ambulatory outcomes, and is most frequently accompanied by ankle spasticity. Abnormalities, such as excessive plantar flexion of the ankle, leads to individuals with CP have in both static and dynamic balance.

Joint mobilization has not only the mechanical effect of disrupting the contracture by direct movement of the joint area, but also stimulates mechanoreceptor activation when stretching occurs in the capsule and ankle ligaments.

The Mulligan Mobilization with movement (MWM) is a physical therapy technique that combines joint mobilization techniques with active movement. It aims to improve joint range of motion, reduce stiffness, and enhance functional mobility, is expected to produce an instantaneous improvement in the patient's abilities by simultaneous applying of pain-free accessory glides.

This study will contribute in describing long lasting effects of Mobilization With Movement, with multiple assessments, on ankle range of motion, balance, and gait speed, and to check whether the amount of regaining is similar between patients undergoing MWM with conventional therapy and those with conventional therapy alone

Вмешательства

  • Другое Mobilization with Movement MWM
    Mobilization with Movement MWM of Talocrural joint in non-weight bearing position to improve Dorsiflexion Range of Motion (3 sets of 6 repetitions were applied, with a 1-minute break between sets/3 times a week) and conventional therapy which includes stretching, strengthening, balance training exercise.
  • Другое Conventional Treatment
    * Stretches of Hamstrings, Gastrocnemius, Soleus and hip adductors with duration of 20 sec hold/ 5 reps and Frequency: 3 times/week. Stretches will be performed passively * Strengthening exercises of Quadriceps and abdominal muscles three times a week. * Static balance exercises including single leg balance, tandem stance, weight shifting with Duration: 10 sec hold/ 5 reps Frequency: 3 times/week

Первичные конечные точки

  • Time Up and Go [Срок оценки: 4 weeks]
  • 10 m WALK TEST [Срок оценки: 4 weeks]
  • Goniometer [Срок оценки: 4 weeks]
  • Modified Ashworth Scale (MAS) [Срок оценки: 4 weeks]

Критерии участия

Критерии включения

  • Both genders
  • Age group 8-18 years
  • Diagnosis of spastic Cerebral Palsy
  • CP to follow verbal directions
  • Modified Ashworth Scale score of '1' or '1+'
  • Function classification system (GMFCS) level I or II ability to walk
  • 10 m or more independently

Критерии исключения

  • visual, hearing disorders
  • verbal and cognitive disorders (unable to comprehend commands)
  • recent lower extremity surgery
  • botulinum toxin injection

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Пакистан · 1 центр
  • PAF School for Persons With special Needs PNS, Islamabad — Islamabad

Идентификаторы

NCT: NCT06598657 · REC/01877 Maimoona Mubarik

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗