Health TrialsbyHealthPanel

Talocrural Mobilization With Movement in Spastic Cerebral Palsy

ConditionSpastic Cerebral Palsy (sCP)
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age8-18
SponsorRiphah International University

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Both genders

Age group 8-18 years

Diagnosis of spastic Cerebral Palsy

CP to follow verbal directions

Disqualifiers

visual, hearing disorders

verbal and cognitive disorders (unable to comprehend commands)

recent lower extremity surgery

botulinum toxin injection

Trial design

Design model

Parallel

Treatments tested in this trial

  • Mobilization with Movement MWM

    Other intervention

    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.

  • Conventional Treatment

    Other intervention

    * 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

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Mobilization with Movement MWM of Talocrural joint + Conventional PTActive comparator 1 intervention
Group B: Conventional PTOther 1 intervention

Trial outcomes

Primary outcomes

1

Time Up and Go

In the TUG test, a child begins in a seated position on a chair or other designated surface. They are instructed to stand up, walk a specific distance (usually three meters or ten feet), turn around, and return to the seated position. The time taken to complete the task is recorded. Evaluation is made by comparing pre and post-intervention. To assess mobility of patient.

Time frame
4 weeks
2

10 m WALK TEST

The 10 Meter Walk Test is a performance measure used to assess walking speed in meters per second over a short distance. It can be employed to determine functional mobility and gait. Stopwatch is used and the total time taken to ambulate 6 meters is recorded. Timing starts when the toes pass the 2-meter mark. Timing stops when the toes pass the 8-meter mark. The 6m is then divided by the total time taken (in seconds) to completed. The total time is recorded in m/s

Time frame
4 weeks
3

Goniometer

It is an instrument that measures the available range of motion at a joint.

Time frame
4 weeks
4

Modified Ashworth Scale (MAS)

Modified Ashworth Scale (MAS) is used to assess spasticity. Different grades from 0 to 4 are used to access increased tone and spasticity. With 0 referring to "No increase in tone" and 4 refers to "Affected part rigid in flexion/extension" The measurements are recorded at baseline, during treatment and after treatment protocol.

Time frame
4 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

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Riphah International University

Lead sponsor

Source ClinicalTrials.gov
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