Is Serial Casting a Valid Option for Management of Lower Limb Deformities in Patient With Spastic Cerebral Palsy?

NCT07338162 | Completed

• 1 other identifier: MD-97-2023
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to evaluate the effectiveness of serial casting as a modality of management of lower limb deformities in patients with spastic cerebral palsy (equinous - equinovarus).

Conditions

Serial Casting; Management; Lower Limb Deformities; Spastic Cerebral Palsy

Outcome Measures

Primary Outcomes (1)

• Evaluation of ankle range of motion

  Ankle range of motion was assessed.

  3 months after the procedure

Secondary Outcomes (4)

• Tone of the calf muscle

  3 months after the procedure

• Detection of ankle kinematics during gait

  3 months after the procedure

• Incidence of true equinous in patients with spastic cerebral palsy

  3 months after the procedure

• Modified Ashworth Scale (MAS) score

  3 months after the procedure

Study Arms (2)

Group A

ACTIVE COMPARATOR

Children with spastic cerebral palsy who is subjected to a selected physical therapy program once a day/3 times a week for three successive weeks mainly consisted of stretching and strengthening exercises, weight bearing, balance, proprioception, and ambulation training.

Other: Physical therapy program

Group B

EXPERIMENTAL

Children with spastic cerebral palsy who is additionally subjected to three consecutive casts applied for five days each and will be removed in the last two days in each week to conduct the same selected physical therapy program.

Other: Three consecutive casts + Physical therapy program

Interventions

Physical therapy program OTHER

Children with spastic cerebral palsy who is subjected to a selected physical therapy program once a day/3 times a week for three successive weeks mainly consisted of stretching and strengthening exercises, weight bearing, balance, proprioception, and ambulation training.

Group A

Three consecutive casts + Physical therapy program OTHER

Children with spastic cerebral palsy who is additionally subjected to three consecutive casts applied for five days each and will be removed in the last two days in each week to conduct the same selected physical therapy program.

Group B

Eligibility Criteria

• Age: 3 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients from 3 to 12 years old.
• Both sex.
• Spastic cerebral palsy patients with true equinous.
• Modified Ashworth Scale score of 2 or 3 in the plantar flexor muscle complex.
• Gross Motor Functional Classification System Level I, II \& III.

You may not qualify if:

• Patients with bony joint limitation.
• Previous surgeries (tendon lengthening).
• Patients received Botulinum toxin A injections in the last six months.
• Patients with apparent equinus as a compensation for knee or hip flexion while dorsiflexion range is preserved at the lower extremity.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, 12613, Egypt

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: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Orthopaedic Surgery specialist at Al-Helal Hospital, Egypt.

Study Record Dates

• First Submitted: January 3, 2026
• First Posted: January 13, 2026
• Study Start: October 1, 2022
• Primary Completion: February 1, 2024
• Study Completion: February 1, 2024
• Last Updated: January 13, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: After the end of study for one year.
• Access Criteria: The data will be available upon a reasonable request from the corresponding author.

Locations

EG (1)