Clinical trial NCT04448275: Effect of Neurodynamics Nerve Flossing on Femoral Neuropathy in Haemophilic Patients
Official title: Effect of Neurodynamics Nerve Flossing on Femoral Neuropathy in Haemophilic Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Femoral Neuropathy in Haemophilic Patients
Keywords: Neurodynamics,
Nerve flossing;
femoral neuropathy
, haemophilia,
Lead sponsor: October 6 University
Sponsor class: OTHER
First posted: 2020-06-25
Enrollment: 30
Sex: MALE
Minimum age (years): 12
Maximum age (years): 16
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: control group which received conventional selected exercise program in form of Ultrasound therapy The flexibility exercises for iliopsoas \& quadriceps The iliopsoas \& quadriceps muscles strength exercise

and study group received the same exercise training program in addition to Neurodynamics Nerve flossing three times per week for three successive months
Primary purpose: TREATMENT

Brief summary: To investigate the effect of Neurodynamics Nerve flossing on femoral neuropathy in patients with haemophilia

Background: heamophilia is one of the serious chronic disorders in children and adolescents which results in less physical activities and restlessness hours than their peer.

HYPOTHESES:

This study will hypnotize that:

Neurodynamics Nerve flossing will have a significant effect on femoral neuropathy in patients with haemophilia

RESEARCH QUESTION:

will the Neurodynamics Nerve flossing has an effect on femoral neuropathy in patients with haemophilia?

Detailed description: Haemophilic patients with Femoral Neuropathy will be randomly divided in two equal groups control group which will receive conventional selected exercise program and study group will receive the same exercise training program in addition to Neurodynamics Nerve flossing three times per week for three successive months.

The Evaluation will done pre and post interventions included:

femoral nerve motor conduction velocity, muscle test For Iliopsoas and Quadriceps muscles and Pain visual analogue scale.

Eligibility criteria: Inclusion Criteria:

* hemophilia A or B, all the patients
* positive femoral nerve tension test
* the Manual muscle test for iliopsoas and quadriceps muscles in all patients not less than grade 2 according to the oxford scale
* the age ranging from (12:16) years
* all the participants will be able to communicate verbally ,obey commands and instructions and co-operate with testing and training protocols

Exclusion Criteria:

* any participants have auditory, visual and sever cardiac disorders
* Patients who have mild degree of hemophilia
* Patients who have joint, muscle bleeding or pain in the lower limb in the preceding 3 weeks
* patients with any other neurological disorders or musculoskeletal disorders or deformities of the lower limb.

Primary outcomes:
measure: Electromyography Nerve conduction study
timeFrame: 12 weeks
measure: Femoral Nerve Tension Test, for femoral nerve injury
timeFrame: 12 weeks
measure: Manual muscle test, Oxford five grades of muscle power assessment
timeFrame: 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: October 6 University
state: El-Sheikh Zayed City Giza 1133 Egypt
Study officials:
affiliation: lecturer , department of Neuromuscular Disorders and its surgery, faculty of physical therapy O6U physical therapy
name: Lama S Mahmoud, PHD
role: STUDY_DIRECTOR
References: