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Набор скоро начнётся NCT07148856

Myofascial Release Plus Physiotherapy for Children With Cerebral Palsy Post Achilles Tendon Surgery in Gaza (MFR-CP25)

Без фазы С лечением Cerebral Palsy Achilles Tendon Contracture Achilles Tendon Surgery

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: Conventional Physiotherapy, Myofascial Release Technique.
Кому может быть актуально
Состояния в реестре: Cerebral Palsy Achilles Tendon Contracture Achilles Tendon Surgery. Базовые параметры: 2 лет — 5 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
Palestinian Territories
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Effect of a Combination of Myofascial Release Technique to Conventional Physiotherapy Program on Functional Outcomes in Pediatric Cerebral Palsy Post Achilles Tendon Surgery in the Gaza Strip

Обзор

"This study aims to evaluate the effectiveness of adding Myofascial Release (MFR) technique to a conventional physiotherapy program for children with cerebral palsy after Achilles tendon surgery. The primary goal is to determine whether MFR can improve functional outcomes such as gross motor function and ankle range of motion, compared to physiotherapy alone. The study will be conducted in Gaza, Palestine, with children diagnosed with cerebral palsy who recently underwent Achilles tendon surgery. Participants will be randomly assigned to either conventional physiotherapy or conventional physiotherapy combined with MFR, and outcomes will be assessed before and after an 8-week intervention program."

Подробное описание

"Children with cerebral palsy (CP) often develop musculoskeletal complications, including Achilles tendon contractures, which may require surgical intervention. Despite surgery, many children continue to experience limitations in functional mobility and reduced range of motion. Conventional physiotherapy programs are commonly provided postoperatively to enhance recovery; however, additional manual therapy techniques such as Myofascial Release (MFR) may further improve outcomes.

This randomized controlled trial investigates the effectiveness of adding MFR to conventional physiotherapy for children with CP after Achilles tendon surgery in Gaza. Participants will be randomly allocated to either a control group (conventional physiotherapy only) or an intervention group (conventional physiotherapy plus MFR). Functional outcomes, including gross motor function (GMFM-88) and ankle range of motion, will be measured pre- and post-intervention. It is hypothesized that children receiving MFR in addition to conventional physiotherapy will demonstrate greater improvements in functional mobility and ankle range of motion compared to those receiving physiotherapy alone."

Вмешательства

  • Другое Conventional Physiotherapy
    A standard physiotherapy program provided after Achilles tendon surgery, including stretching, strengthening, mobility, and functional training exercises
  • Другое Myofascial Release Technique
    A manual therapy technique applied to the lower limb and ankle region, aiming to release fascial restrictions, improve soft tissue flexibility, and enhance ankle range of motion.

Первичные конечные точки

  • Gross Motor Function Measure (GMFM-88) [Срок оценки: Baseline and after 8 weeks of intervention]
Вторичные конечные точки (2)
  • Pediatric Balance Scale (PBS) [Срок оценки: Baseline and after 8 weeks of intervention]
  • Ankle Range of Motion (ROM) [Срок оценки: Baseline and after 8 weeks of intervention]

Критерии участия

Критерии включения

  • Children aged 2-5 years
  • Spastic cerebral palsy diagnosis (GMFCS levels I-IV).
  • Underwent Achilles tendon surgery within the past 3 months
  • Medically stable and cleared to begin physiotherapy.
  • Parental/guardian consent to participate in the study.

Критерии исключения

  • Other neuromuscular disorders
  • Severe cognitive impairments that hinder participation
  • Previous MFR therapy within the last 6 months
  • Participation in another rehabilitation study in the past 3 months.

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
Открытое
Основная цель
Лечение

Центры проведения

Palestinian Territories · 1 центр
  • The Jerusalem Princess Basma Centre - Al-Ahli Al-Arabi Hospital, Gaza — Gaza

Публикации

  • Russell DJ, Rosenbaum PL, Avery LM, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88) User's Manual. Cambridge University Press; 2002.
  • Barnes MF. The basic science of myofascial release: morphologic change in connective tissue. J Bodyw Mov Ther. 1997;1(4):231-238.
  • Novak I, Morgan C, Fahey M, Finch-Edmondson M, Galea C, Hines A, Langdon K, Namara MM, Paton MC, Popat H, Shore B, Khamis A, Stanton E, Finemore OP, Tricks A, Te Velde A, Dark L, Morton N, Badawi N. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020 Feb 21;20(2):3. doi: 10.1007/s1191 PMID 32086598

Идентификаторы

NCT: NCT07148856 · MScPT_CP_MFR2025

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗