The Efficacy of Derotation 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 derotation taping applied with Kinesio Tex tape in addition to conventional rehabilitation in children with hemiplegic or monoplegic cerebral palsy with femoral internal rotation deformity.

Detailed Description
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Conventional rehabilitation (CR) practices will be applied to the control group. Conventional rehabilitation (KT) application will be applied to the study group in addition to Kinesio Tex tape derotation banding. With the kinesio tape application, it is aimed to provide economical, ergonomic and effective support to the patients in non-clinical times. 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 Derotation Taping on Balance, Performance, Gait, Spasticity and Quality of Life in Femoral Internal Rotation 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 a static cause of femoral internal rotation 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>Conventional rehabilitation application will be performed in addition to Kinesio Tex tape derotation taping. | Other: Kinesio Taping<br>* Derotation taping with Kinesio Tex is applied to the patients through a pediatric physiotherapist.<br>|
| Active Comparator: Conventional Rehabilitation Group (CRG)<br>A conventional rehabilitation program will be applied to the patients through a pediatric physiotherapist. | Other: Conventional Rehabilitation<br>* Conventional rehabilitation program is applied to the patients through a pediatric physiotherapist<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 6MWT | The 6-meter course was mapped as 10 meters in length with a 2-meter acceleration interval and a 6-meter testing interval. There is no scoring range for the 6MWT. | Change from Baseline 6MWT at 3 days | 
| PBBT | PBBT is a 14-item, criterion-referenced measure and examines functional balance in the context of everyday tasks. PBBT is scored between 0 to 56. Higher scores indicate better function. | Change from Baseline PBBT at 3 days | 
| 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 | 
| EVGS | EVGS was developed to evaluate gait in children with CP using video recordings. It includes 17 variables, and each of these variables can be scored as 0, 1, or 2 based on movement deviation from normal. enced measure and examines functional balance in the context of everyday tasks. EVGS is scored between 0 to 34. Higher scores indicate worse gait function. | Change from Baseline EVGS at 3 days | 
| KINDL | The KINDL was derived from a conceptual model, in which the four main components of quality of life, namely psychological well-being, social relationships, physical function and everyday life activities, were included in interviews with children. KINDL is scored between 0 to 100. Higher scores indicate better quality of life. | Change from Baseline KINDL at 3 days | 

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