WBV on Fascicle Lenght and Knee Joint Angle in CP

NCT06600984 | Completed

• 1 other identifier: P.T.REC/012/004996
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates the effects of WBV on fascicle length, knee joint angle and function in children with spastic hemiplegic cerebral palsy

Conditions

Cerebral Palsy (CP)

Keywords

Cerebral palsy; Fascicle length; Hemiplegia; Range of motion; Whole body vibration

Outcome Measures

Primary Outcomes (3)

• Knee range of motion

  Each child in both groups had their knee joint\'s extension angle measured before and after a 12-week therapy program began using an absolute + AxisTM Digital Goniometer

  12 weeks

• Fascicle length of hamstring muscle

  The biceps femoris muscle\'s muscle fascicle length was measured at a frequency of 7.5 MHz using GE LOGIQ P6 ultrasonography equipment

  12 weeks

• gross motor function

  Gross Motor Functional Measurement-88 : is a common principle-test designed to assess changes in function in various milestones for children with cerebral palsy 0 = does not initiate 1. = initiates 2. = partially completes 3. = completes

  12 weeks

Study Arms (2)

physical therapy group

EXPERIMENTAL

Control group: received a designed physical therapy program

Other: designed physiotherapy program

whole body vibration group

EXPERIMENTAL

experimental group: received a designed physical therapy program in addition to WBV for 12 weeks

Device: whole body vibration; Other: designed physiotherapy program

Interventions

whole body vibration DEVICE

On a vibration platform, the children went into a complete squat. The device was calibrated at a frequency of 30 Hz, an amplitude of 2 mm, and a duration of 5 minutes. After the vibration was turned on, the children were told to stay in the squatting position and to report any discomfort that could occur. The vibration automatically shut off after five minutes. The children then rested for a minute. Next, under the identical conditions as for the squatting position, they were instructed to stand on the vibration platform for five minutes with the therapist\'s assistance. Consequently, WBV was applied for a total of 10 minutes during each session.

Also known as: WBV

whole body vibration group

designed physiotherapy program OTHER

structured therapeutic exercise program that included neurodevelopmental approaches, balance exercises, milestone facilitation, stretching exercises, and postural reaction facilitation. The program was conducted for one hour each day, three days a week.

Also known as: physical therapy program

physical therapy group; whole body vibration group

Eligibility Criteria

• Age: 4 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Ages varied from four to six years of both sex
• hemiplegic CP children, were suffering from knee joint flexion deformity due to hamstring muscles tightness
• Level I and II motor function, according to the Growth Motor Function Classification System (GMFC) expanded and revised
• Degree of spasticity ranged from 1 to 2 according to modified Ashworth scale
• All children received neuro-developmental techniques

You may not qualify if:

• Other causes of knee flexion deformities
• Previous history of orthopedic surgery in knee joint
• Visual or auditory problems
• Seizures
• Sensory or perceptual deficits
• Any acute illness at the time of collection of data.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

mostafa ALI

Giza, Married, 12668, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy; Hemiplegia

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associated professor of pediatric physical therapy

Study Record Dates

• First Submitted: September 14, 2024
• First Posted: September 19, 2024
• Study Start: July 22, 2023
• Primary Completion: August 2, 2023
• Study Completion: November 10, 2023
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)