Effect of Post Isometric Relaxation Technique & Eccentric Muscle Contraction on Hamstring Spasticity in CP

NCT03708757 | Completed DMC

• 1 other identifier: RiphahIU Shafaq Bano
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 2

Brief Summary

Cerebral Palsy is a disorder of movement and posture due to deficit or lesion of immature brain. Out of all types of cerebral palsy 77.4% is spastic cerebral palsy. Spasticity is resistance to externally imposed movement increases with increasing speed of stretch and varies with the direction of joint movement. In this research the aim of our study is to measure the effects of post isometric relaxation and eccentric muscle energy technique of spasticity of hamstring muscle in cerebral palsy children in randomized controlled study. Study duration is of six months. Sampling will be lottery method. Inclusion criteria will include individuals having age between five to fifteen with diplegic cerebal palsy, well oriented and spastic hamstrings with Ashworth score +2 or +3.Exclusion criteria includes children with flaccid and mixed cerebral palsy, quadriplegic and hemiplegic cerebral palsy and mentally retarded. Data will be collected on structured questionnaire. those individuals who fulfill inclusion criteria will be divided into two groups .both groups will be treated with hot packs for ten minutes and static stretching. Group 1 will be given post isometric relaxation technique and group 2 will be given eccentric muscle energy technique. Post interventional analysis will be done at sixth week. Data will be analysed with SPSS 21.

Conditions

Spastic Cerebral Palsy

Keywords

Cerebral palsy; Post Isometric Relaxation; Hamstring Spasticity

Outcome Measures

Primary Outcomes (1)

• Goniometry

  change from baseline.This tool is used to measure range of motion of hip joint and knee joint

  6th week

Secondary Outcomes (1)

• Gross motor Functional Scale

  6th week

Study Arms (2)

Post isometric relaxation - Group I

EXPERIMENTAL

Group I will receive post isometric relaxation techniques in order to reduce hamstring spasticity. This technique induces relaxation and decreases spasticity in muscles Post isometric relaxation (3 sets of 10 repetitions ,1 session in a day, 30 minutes, 4 days a week for 6 weeks.) Stretching Exercises (10 reps 3sets) hold for 2 sec

Other: Post isometric relaxation - Group I

Eccentric Muscle contraction - Group II

ACTIVE COMPARATOR

Eccentric Muscle contraction lengthens the spastic muscles and enhance joint flexibility. Hot Pack for (10 MINTS) Eccentric stretching (3 sets of 10 repetitions ,1 session in a day, 30 minutes, 4 days a week for 6 weeks.) Stretching Exercise(10 reps 3sets) hold for 2 sec In both experimental groups PIR and Eccentric stretching is applied on hamstring to

Other: Eccentric Muscle contraction - Group II

Interventions

Post isometric relaxation - Group I OTHER

Post isometric relaxation (PIR) techniques are used by orthopedic manual physical therapists to enhance the flexibility of muscles and to increase the joint range of motion

Post isometric relaxation - Group I

Eccentric Muscle contraction - Group II OTHER

and Eccentric muscle energy techniques(EME) techniques are used by orthopedic manual physical therapists to enhance the flexibility of muscles and to increase the joint range of motion

Eccentric Muscle contraction - Group II

Eligibility Criteria

• Age: 5 Years - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children with spastic cerebral palsy
• Diplegic cerebral palsy
• well oriented
• Spastic hamstrings with Ashworth score +2 or +3

You may not qualify if:

• Children with flaccid and mixed cerebral palsy
• Quadriplegic and hemiplegic cerebral palsy
• Mentally retarded

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Imran Amjad

Islamabad, Punjab Province, 46000, Pakistan

Location

Riphah International University

Islamabad, 44000, Pakistan

Location

Related Publications (5)

• Czaprowski D, Leszczewska J, Kolwicz A, Pawlowska P, Kedra A, Janusz P, Kotwicki T. The comparison of the effects of three physiotherapy techniques on hamstring flexibility in children: a prospective, randomized, single-blind study. PLoS One. 2013 Aug 12;8(8):e72026. doi: 10.1371/journal.pone.0072026. eCollection 2013.

  PMID: 23951281 BACKGROUND

• Smith M, Fryer G. A comparison of two muscle energy techniques for increasing flexibility of the hamstring muscle group. J Bodyw Mov Ther. 2008 Oct;12(4):312-7. doi: 10.1016/j.jbmt.2008.06.011. Epub 2008 Aug 6.

  PMID: 19083689 BACKGROUND

• Lee GP, Ng GY. Effects of stretching and heat treatment on hamstring extensibility in children with severe mental retardation and hypertonia. Clin Rehabil. 2008 Sep;22(9):771-9. doi: 10.1177/0269215508090067.

  PMID: 18728130 BACKGROUND

• Adel Rashad ahmed , A comparative study of muscle energy technique and dynamic stretching on hamstring flexibility. Bulletin of faculty of physical therapy.2011;16(1)

  BACKGROUND

• Reid S, Hamer P, Alderson J, Lloyd D. Neuromuscular adaptations to eccentric strength training in children and adolescents with cerebral palsy. Dev Med Child Neurol. 2010 Apr;52(4):358-63. doi: 10.1111/j.1469-8749.2009.03409.x. Epub 2009 Sep 8.

  PMID: 19737297 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• imran Amjad

  Associate Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This will be a single blinded study.Participants will be randomly allocated to PIRT Group (I) or EMET Group (II)
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Experimental Study

Study Record Dates

• First Submitted: October 9, 2018
• First Posted: October 17, 2018
• Study Start: November 15, 2018
• Primary Completion: March 30, 2019
• Study Completion: April 15, 2019
• Last Updated: August 8, 2019

Record last verified: 2019-08

Locations

PA (2)