Pronation deformity is a very common problem in children with cerebral palsy. This deformity is usually has neural and non-neural aspects. In this clinical trial the aim is to show the importance of combine treatment approach with pharmacological and non-pharmacological modalities. .
Spasticity is not only the most common motor disorder but also the main cause of slowly developing contractures in children with cerebral palsy. Pronation deformity which is a very common problem in children with cerebral palsy is primarily due to spasticity of the pronator muscles. Reduced strength and loss of control of the supinator muscles and soft tissue and joint contractures usually coexist with spasticity of pronator muscles. There is very limited information about how to treat this deformity in the current literature. In this prospective, randomized, controlled clinical trial the aim is to show the effectiveness of twister, and home exercise program in an integrated approach with BoNT-A injections on spasticity, and passive range of motion (pROM) of children with CP having pronation deformity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
35
Dysport
Twister
Specific exercises for pronation deformity
Kocaeli University
Kocaeli, Turkey (Türkiye)
Mean change from baseline Modified Ashworth Scale (MAS)
Tone measurement
Time frame: Week 12
Mean change from baseline passive range of supination
Range of motion measurement
Time frame: Week 12
Mean change from baseline angle of catch (XV3) Tardieu scale
Spasticity measurement
Time frame: Week 12
Mean change from baseline active range of supination
Active range of motion
Time frame: Week 12
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