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NCT Number: NCT06646718

Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy

Purpose of the study:

To evaluate the effect of closed kinetic chain on hip stability after selective dorsal rhizotomy on spastic cerebral palsy.

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Cerebral Palsy Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Nervous System Diseases Selective Dorsal Rhizotomy

Age range

5 year–14 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy, Kafr elsheikh University

Kafr ash Shaykh, Kafr Elsheikh, Egypt

About this study

  • This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.
  • Sixty-six children of both genders.
  • The study will include children (age 5-14years) post selective dorsal rhizotomy.
  • Children meeting the inclusion criteria will be randomly assigned to one of two groups:
  • Experimental Group: children in this group will receive closed kinetic chain.
  • Control Group: Patients in this group will receive Traditional physical therapy.
  • Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 1-Patients will be aged from 5 to 14 years

2- will be included both genders post selective dorsal rhizotomy.

3- The GMFCS level I-II spastic diplegia, able to stand up from a chair independently and maintain standing for more than 5 seconds without falling.

4- Had not received any strength training program in the past 3 months before the study.

5- Able to attend physical therapy (PT) treatment at least three a week before and during this study.

Exclusion criteria

  • 1-have perceptual, cognitive, visual and auditory disorder.

2- botulinum toxin injection to the lower extremities within 6 Months.

3- Medical conditions that prevented children from participating in the exercises.

4- Previous lower extremity surgery, such as prior hamstring muscle Lengthening. 5- Existence of any orthopedic condition or any static hip, knee or ankle deformities.

Treatment and study plan

Close kinetic chain exercise group

Procedure

●Close kinetic chain exercise group: group A will receive forward step-ups, lateral step-ups, squats, sit-to-stand, and stoop-and-recover exercises. session will be initiated with a 10 min warm-up period, including stretching of the major muscles and muscle groups, then 40 min different exercises and terminated with a 10 min cool-down period in the form of aerobic exercises.

Other names: Experimental group intervention

Traditional physical therapy.

Procedure

●Traditional physiotherapy: group B will receive stretching for the lower extremity muscles, namely hip flexors and adductors, hamstrings, and calf muscles; and strengthening exercises for core muscles, hip extensors, flexors and abductors, internal and external rotators of the hip, flexors and extensors of the knee, ankle dorsi flexors, kneeling exercises, and standing and gait training

Other names: Control group intervention

Primary outcomes

  1. Isokinetic dynamometry:

    Time frame: 12 weeks

    Isokinetic dynamometry testing is a device used within sports and exercise science as well as clinical testing environments that is used to evaluate joint torque. Isokinetic dynamometers are able to test the strength (torque) and power of different muscle groups.

    is a safe and reliable method accepted as the "gold standard" in the evaluation of muscle strength.

    It will be used before and after intervention to measure muscle strength

  2. X-ray:

    Time frame: 12 weeks

    used to assess the alignment of the hip joint, detect any abnormalities, and determine the degree of bone deformities or hip dislocation.

    Will be used before and after intervention to determine hip angles

  3. The Pediatric Balance Scale:

    Time frame: 12 weeks

    The Pediatric Balance Scale (PBS), which is a modification of Berg Balance Scale (BBS) designed for children and adolescents aged 5 to 15 years, to assess functional balance abilities. The scale is composed of 14 items that are scored on a criterion-based 0 to 4 scale. The range of scores in the PBS is 0 to 56. each activity is rated on a five-point scale (0-4) so that the maximum score is 56. Patients who score 41 or higher are considered to be a low fall risk, those who score between 21 and 40 are considered to be moderate fall risks, and those who score below 20 are considered to be high fall risks. It will be completed in 15-20 minutes

Sponsors and collaborators

Lead sponsor

Kafrelsheikh University

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Oct 17, 2024
Registry last updated
Oct 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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