Clinical trial NCT06646718: Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy
Official title: Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Cerebral Palsy
Selective Dorsal Rhizotomy
Lead sponsor: Kafrelsheikh University
Sponsor class: OTHER
First posted: 2024-10-17
Enrollment: 66
Sex: ALL
Minimum age (years): 5
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: * The study will include children (age 5-14years) post selective dorsal rhizotomy.
* Children meeting the inclusion criteria will be randomly assigned to one of two groups:

  * Experimental Group: children in this group will receive closed kinetic chain.
  * Control Group: Patients in this group will receive Traditional physical therapy.
Primary purpose: OTHER

Brief summary: Purpose of the study:

To evaluate the effect of closed kinetic chain on hip stability after selective dorsal rhizotomy on spastic cerebral palsy.

Detailed description: * This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.
* Sixty-six children of both genders.
* The study will include children (age 5-14years) post selective dorsal rhizotomy.
* Children meeting the inclusion criteria will be randomly assigned to one of two groups:

  * Experimental Group: children in this group will receive closed kinetic chain.
  * Control Group: Patients in this group will receive Traditional physical therapy.
* Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.

Eligibility criteria: Inclusion Criteria:

* 1-Patients will be aged from 5 to 14 years

  2- will be included both genders post selective dorsal rhizotomy.

  3- The GMFCS level I-II spastic diplegia, able to stand up from a chair independently and maintain standing for more than 5 seconds without falling.

  4- Had not received any strength training program in the past 3 months before the study.

  5- Able to attend physical therapy (PT) treatment at least three a week before and during this study.

Exclusion Criteria:

* 1-have perceptual, cognitive, visual and auditory disorder.

  2- botulinum toxin injection to the lower extremities within 6 Months.

  3- Medical conditions that prevented children from participating in the exercises.

  4- Previous lower extremity surgery, such as prior hamstring muscle Lengthening. 5- Existence of any orthopedic condition or any static hip, knee or ankle deformities.

Primary outcomes:
measure: Isokinetic dynamometry:
timeFrame: 12 weeks
measure: X-ray:
timeFrame: 12 weeks
measure: The Pediatric Balance Scale:
timeFrame: 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Kafr Ash Shaykh
country: Egypt
facility: Faculty of physical therapy, Kafr elsheikh University
state: Kafr Elsheikh
Study officials:
affiliation: Kafr elsheikh University
name: Abdelaziz Ali Sherief, Professor
role: STUDY_DIRECTOR
References: