The Efficacy of Distortion Banding on Outcome Measures in Children With Cerebral Palsy

Study Overview
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Brief Summary
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The aim of the study is to compare the conventional rehabilitation program and the distortion taping applied with Kinesio Tex tape in addition to conventional rehabilitation in children with hemiplegic or monoplegic cerebral palsy with ankle varus deformity.

Detailed Description
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Conventional rehabilitation practices will be applied to the control group. In addition to Kinesio Tex tape distortion taping, conventional rehabilitation will be applied to the intervention group. It is aimed to evaluate the patients' balance, quality of life, performance test, spasticity level and gait quality.

Official Title
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The Efficacy of Distortion Taping on Balance, Performance, Gait, Spasticity and Quality of Life in Ankle Varus Deformity in Children With Cerebral Palsy

Conditions
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Cerebral Palsy, Spastic

Intervention / Treatment
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* Other: Kinesio Taping
* Other: Conventional Rehabilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children with cerebral palsy aged 4-12 years with unilateral involvement who are hemiplegic or monoplegic Cases with Gross Motor Function Classification (GMFCS) level 1 or 2 Understanding simple commands and signing the consent form Exclusion Criteria: Presence of equinus deformity Situations that may prevent assessments or communication Lack of cooperation during work Presence of surgery that may affect assessments, such as joint freezing Presence of botulinum toxin administration in the last 6 months Development of an allergic reaction on the skin to the tape

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomised Controlled Trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kinesio Taping Group (KTG)<br>Distortion taping with Kinesio Tex will be applied to the patients in addition to conventional rehabilitation through a pediatric physiotherapist. | Other: Kinesio Taping<br>* In addition to Kinesio Tex tape distortion taping, conventional rehabilitation is applied.<br>|
| Active Comparator: Conventional Rehabilitation Group (CRG)<br>Conventional rehabilitation program will be applied to the patients through a pediatric physiotherapist. | Other: Conventional Rehabilitation<br>* Conventional rehabilitation practices are carried out<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| TUG | Patients are asked to get up from a standard chair, walk 3 meters at a safe and comfortable pace, and return without stopping to sit back in the chair safely. The elapsed time is calculated. There is no score range in TUG. | Change from Baseline TUG at 3 days | 
| SLS | The one-leg standing test measures the time one is able to stand on one lower limb without support. There is no score range in SLS. | Change from Baseline SLS at 3 days | 
| Modified Ashworth Scale (MAS) | The Modified Ashworth Scale is a 6-point rating scale for gauging muscle resistance to passive movement. MAS is scored from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity. | Change from Baseline MAS at 3 days | 
| WGS | The scale allows for a multifactorial gait analysis, takes in to account 14 observable gait parameters divided into four sub-scales referring to particular phases of gait, i.e. stance phase, toe off, swing phase, andheel strike. WGS is scored from 13.35 to 42.0. Higher scores indicate higher impairment. | Change from Baseline WGS at 3 days | 
| CHQ | The CHQ is a validated multidimensional instrument that measures the functional health and well-being of children and young people. CHQ is scored from 0 to 100. Higher scores indicate better health status. | Change from Baseline CHQ at 3 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral palsy, Kinesio taping