Contralateral Isokinetic Training on Strength and Reaching Skill

NCT05718388 | Completed

• 1 other identifier: contralateral isokinetic
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The study aimed to ascertain how cross-education affected the activity of the paretic muscles in the upper limb and how that affected function in children with spastic hemiplegia and cerebral palsy. Additionally, it sought to determine how unilateral isokinetic resistance training affected children with spastic hemiplegia of the contralateral limb in terms of strength development.

Conditions

Hemiplegic Cerebral Palsy

Outcome Measures

Primary Outcomes (1)

• Concentric isokinetic shoulder abductors peak torque in Newton- meters and average power.

  Isokinetic dynamometer was used to measure the concentric isokinetic shoulder abductors peak torque in Newton- meters and average power at an angular velocity of 180 degrees per second in concentric mode with gravity adjustment

  Change from Baseline Isokinetic dynamometer parameters at 2 months

Secondary Outcomes (1)

• Modified functional scale for reaching

  Change from Baseline Modified functional scale for reaching at 2 months

Study Arms (2)

Control group (A)

OTHER

They received a physiotherapy program

Other: Physical therapy exercises

study Group (B)

EXPERIMENTAL

They received the same program given to control group (A) in addition to isokinetic resistance training of the less affected upper limb for shoulder abductors in concentric mode at the angular velocity of 180 degree/ second

Other: Isokinetic training

Interventions

Physical therapy exercises OTHER

For two consecutive months, the children in control group underwent a physiotherapy program for 60min/ three sessions each week: it was based mainly on the neurodevelopment technique, directed toward inhibiting abnormal muscle tone facilitating normal patterns of postural control and hand functions training program

Control group (A)

Isokinetic training OTHER

Children in study group received the same program given to control group (A) in addition to isokinetic resistance training of the less affected upper limb for shoulder abductors in concentric mode at the angular velocity of 180 degree/ second under full supervision on the Biodex isokinetic dynamometer three times per week for 8 weeks, making a total of 24 training sessions. Each child was trained in the seated position with the similar precaution of the testing protocol.

study Group (B)

Eligibility Criteria

• Age: 5 Years - 7 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• hemiplegic CP children from both genders with age ranged from five to seven year
• had mild to moderate spasticity according to the Modified Ashworth Scale
• able to follow verbal instructions
• able to stand unassisted and ambulate with abnormal pattern

You may not qualify if:

• children who had any visual or auditory problems, fixed deformities in upper limb that interfere with fine motor functions, with history of any surgical interference in upper limbs for less than one year, and un-cooperative children were excluded.

Sponsors & Collaborators

• Delta University for Science and Technology: lead

Study Sites (1)

Amira Hussin Mohammed

Gamasa, 35712, Egypt

Location

MeSH Terms

Interventions

Exercise Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor at faculty of physical therapy

Study Record Dates

• First Submitted: January 21, 2023
• First Posted: February 8, 2023
• Study Start: May 1, 2022
• Primary Completion: January 20, 2023
• Study Completion: January 20, 2023
• Last Updated: February 8, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)