Clinical trial NCT06608693: Effect of Different Stretching Techniques
Official title: Effect of Different stretchıng Techniques on Balance and Functionality in Children With Diplegic Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Keywords: PNF
Static Stretching
Balance
Functionality
Lead sponsor: Gazi University
Sponsor class: OTHER
First posted: 2024-09-23
Enrollment: 34
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effect of proprioceptive neuromuscular facilitation (PNF) and static stretching techniques on the balance and functional capabilities of children diagnosed with diplegic cerebral palsy (CP).

Detailed description: The aim of this study is to investigate the effect of proprioceptive neuromuscular facilitation (PNF) and static stretching techniques on the balance and functional capabilities of children diagnosed with diplegic cerebral palsy (CP). The study consisted of a group of sixteen children, ranging in age from 8 to 16 years, who were diagnosed with bilateral hip flexor contracture and diplegic cerebral palsy. These children were classified according to the Gross Motor Function Classification System (GMFCS) levels I to III. The children were randomly divided into PNF and static stretching groups. Stretching techniques were applied 2 days a week for 4 weeks, with 6 repetitions in each session. The study assessed various parameters, including hip extension range of motion (ROM), muscle tone intensity based on the Modified Ashworth Scale, hip flexor shortness as determined by the Thomas Test, the time up and go (TUG) test, balance using the Pediatric Berg Balance Scale, and functional status evaluated through the Gilette Functional Walking Assessment Questionnaire.

Eligibility criteria: Inclusion Criteria:

* A clinical diagnosis of CP;
* Age ranging from 6 to 18 years;
* No recent administration of Botulinum Toxin to the lower extremity muscles in the last 6 months;
* An IQ score of 70 or above;
* A Gross Motor Function Classification System (GMFCS) value of 1, 2 or 3;
* Presence of hip flexion contracture;
* Willingness to participate in the study

Exclusion Criteria:

* Concomitant diagnoses aside from CP,
* Presenting with muscle tone ratings of 3 or 4 in the hip muscles according to the Modified Ashworth Scale (MAS),
* Who had undergone tendon lengthening surgery to increase hip flexion

Primary outcomes:
measure: Hip extension Range of motion in degrees
timeFrame: 3 months
measure: Thomas test
timeFrame: 3 months
measure: Timed Up and Go test (TUG)
timeFrame: 3 months
measure: The Pediatric Berg Balance Scale (PBBS)
timeFrame: 3 months
measure: Gilette Functional Assessment Questionnaire (FAQ)
timeFrame: 3 months
measure: Age in years
timeFrame: 3 months
measure: Weight in kilograms
timeFrame: 3 months
measure: Height in meters
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Gazi University
state: Emniyet Mahallesi Bandırma Caddesi
Study officials:
affiliation: Gazi University
name: Selda Başar, Dr
role: STUDY_CHAIR
References: