Deep Friction Massage in Children With Spastic Cerebral Palsy

NCT06760793 | Completed

• 1 other identifier: 2023/30
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this clinical trial is to determine whether deep friction massage and stretching reduce muscle contraction in the calf muscle. The primary questions it seeks to answer are:

• Does deep friction massage or stretching reduce muscle contraction?
• Does deep friction massage or stretching improve walking?
• Does deep friction massage or stretching increase ankle joint range of motion? Participants: Participants will undergo either deep friction massage or stretching exercises for 10 minutes, three days a week, over a period of six weeks.

Conditions

Spastic Cerebral Palsy (sCP)

Outcome Measures

Primary Outcomes (1)

• The Modified Ashworth Scale

  The Modified Ashworth Scale (MAS) is the most widely used clinical scale for measuring increases in muscle tone. The original Ashworth Scale was a 5-point numerical scale that graded spasticity from 0 to 4, with 0 indicating no resistance and 4 indicating a limb that is rigid in flexion or extension.

  before intervention and after 6 weeks

Secondary Outcomes (3)

• The Modified Tardieu Scale

  Before intervention and after 6 weeks

• Range of motion (ROM)

  Before intervention and after 6 weeks

• The Modified Timed Up and Go Test (TUG)

  Before intervention and after 6 weeks

Study Arms (2)

Group 1

EXPERIMENTAL

Other: manual static stretching exercises on plantar flexors

Group 2

EXPERIMENTAL

Other: deep friction massage on plantar flexors

Interventions

manual static stretching exercises on plantar flexors OTHER

A manual static stretching exercises was performed on the plantar flexors in both knee extension and flexion. The stretch was applied while the participant was in a prone position

Group 1

deep friction massage on plantar flexors OTHER

Deep Friction Massage was applied to both the gastrocnemius muscle and the Achilles tendon. Participants were positioned in a prone posture for both applications

Group 2

Eligibility Criteria

• Age: 3 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• a diagnosis of spastic diplegic or hemiparetic CP
• aged between 3 and 18 years
• classified as level I, II, or III according to the Gross Motor Function Classification System (GMFCS)
• possessing sufficient cognitive function to cooperate.

You may not qualify if:

• Botulinum toxin (BoNT) injections to the lower extremity muscles within the last six months
• undergoing any surgery such as muscle lengthening or joint contracture within the last six months
• non-participation in two consecutive exercise sessions
• experiencing illnesses such as infections or musculoskeletal injuries during the study period.

Sponsors & Collaborators

• Muğla Sıtkı Koçman University: lead

Study Sites (1)

Mugla Sitki Kocman University

Muğla, Menteşe, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 30, 2024
• First Posted: January 7, 2025
• Study Start: February 23, 2023
• Primary Completion: May 1, 2024
• Study Completion: June 1, 2024
• Last Updated: January 8, 2025

Record last verified: 2025-01

Locations

TU (1)