Predictors of Range of Motion and Balance Abnormalities in Children Diagnosed with Cerebral Palsy

NCT06601569 | Recruiting DMC

• 1 other identifier: P.T.REC/012/005209
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

1. 1.To better understand the factors that contribute to ROM abnormalities in children diagnosed with CP.
2. 2.To describe the distribution of primary (muscle tone and postural stability)and secondary impairments (ROM and functional muscle strength) across the gross motor spectrum measured by GMFCS scores.
3. 3.To evaluate the effects of primary and secondary impairments on gross functional outcome in children with spastic CP.
4. 4.To find any possible correlation between clinical variables.

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (1)

• predictors of range of motion and balance abnormalities

  the aim of the study is to investigate the predicted cause if the range of motion abnormalities measured by (spinal alignment and range of motion assessment scale ) and balance abnormalities ( measured by early clinical assessment of balance scale )in children with cerebral palsy like muscle strength (measured by functional muscle strength scale) and muscle tone changes (measured by modified athwart scale)

  from 1 august 2024 to 1 october 2024

Study Arms (4)

diplegic cerebral palsy

Diagnostic Test: balance and range of motion

quadripledic cerebral palsy

Diagnostic Test: balance and range of motion

hemiplegic cerebral palsy

Diagnostic Test: balance and range of motion

dyskinetic cerebral palsy

Diagnostic Test: balance and range of motion

Interventions

balance and range of motion DIAGNOSTIC_TEST

* Spinal alignment and range of motion measure scale (SAROMM): is a measure of spinal alignment and range of motion using standard physical therapy techniques scored on a 5-point ordinal score of 0 (normal alignment and range with active correction) to4 ("severe" fixed deformity) (Bartlett ey al., 2005) * Modified Ashworth scale (MAS): is a measure of muscle motion and scoring the perceived resistance to movement on a scale of 1 (no increase in tone) to 5 (rigid in flexion or extension) (Clopton et al., 2005). * Early clinical assessment of balance (ECAB) scale: Is a 13-item test that estimates postural stability for children with CP across all levels of functional ability (Jeffries etal., 2016). * Functional strength assessment scale: Therapists completed a functional strength assessment (FSA) to obtain an estimate of strength for major muscle groups including the neck and trunk flexors and extensors, and hip extensors, knee extensors, and shoulder flexors bilaterally.

Also known as: Spinal alignment and range of motion measure scale, Modified Ashworth scale (MAS), Early clinical assessment of balance (ECAB) scale, Functional strength assessment scale

diplegic cerebral palsy; dyskinetic cerebral palsy; hemiplegic cerebral palsy; quadripledic cerebral palsy

Eligibility Criteria

• Age: 18 Months - 5 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

children with cerebral plasy their age ranged fro 18 month t 5 yeas old

You may qualify if:

• only children with clinical diagnosis of cerebral palsy , who were receiving physiotherapy services at the paediatric out-patient clinic of Faculty of Physical Therapy, Cairo University for a minimum of six months regularly.

You may not qualify if:

• Children were excluded if they had one or more of the following: behavioral issues, a history of persistent heart or chest disease, significant visual or auditory impairment, botulinum toxin injection at last six months prior to the study.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy Cairo University

Cairo, Cairo Governorate, Egypt

RECRUITING

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Range of Motion, Articular

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

ahmed fekry salman

CONTACT

+201067873174; a.salman@ammanu.edu.jo

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor physical therapy department

Study Record Dates

• First Submitted: July 27, 2024
• First Posted: September 19, 2024
• Study Start: August 1, 2024
• Primary Completion: January 1, 2025
• Study Completion: February 1, 2025
• Last Updated: October 1, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will share

Locations

EG (1)