Talocrural Mobilization With Movement in Spastic Cerebral Palsy

NCT06598657 | Recruiting

• 1 other identifier: REC/01877 Maimoona Mubarik
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Spastic Cerebral Palsy (sCP)

Keywords

Talocrural joint; Mobilization with Movement; Spasticity cerebral palsy

Outcome Measures

Primary Outcomes (4)

• 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.

  4 weeks

• 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

  4 weeks

• Goniometer

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

  4 weeks

• 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.

  4 weeks

Study Arms (2)

Mobilization with Movement MWM of Talocrural joint + Conventional PT

ACTIVE COMPARATOR

Other: Mobilization with Movement MWM

Conventional PT

OTHER

Other: Conventional Treatment

Interventions

Mobilization with Movement MWM OTHER

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.

Mobilization with Movement MWM of Talocrural joint + Conventional PT

Conventional Treatment OTHER

* 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

Conventional PT

Eligibility Criteria

• Age: 8 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Both genders
• Age group 8-18 years
• Diagnosis of spastic Cerebral Palsy
• CP to follow verbal directions
• Modified Ashworth Scale score of '1' or '1+'
• Function classification system (GMFCS) level I or II ability to walk
• m or more independently

You may not qualify if:

• visual, hearing disorders
• verbal and cognitive disorders (unable to comprehend commands)
• recent lower extremity surgery
• botulinum toxin injection

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

PAF School for Persons With special Needs PNS, Islamabad

Islamabad, Punjab Province, 46600, Pakistan

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• KINZA ANWAR, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

KINZA ANWAR, MS-OMPT

CONTACT

+92-3239735427; kinza.anwar@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 12, 2024
• First Posted: September 19, 2024
• Study Start: October 2, 2024
• Primary Completion: September 25, 2025
• Study Completion: October 25, 2025
• Last Updated: February 21, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)