Comparision Of The Effectiveness Of Physiotherapy Methods

Kayseri Education and Research Hospital28 enrolled

Overview

A total of 28 patients who were followed-up in our clinic and received botulinum toxin injection of lower extremities in the last month were randomized to two groups in the study. Group 1 received conventional physiotherapy and Group 2 received robot-assisted gait training. The treatment period was 30 min/day, five sessions in a week, 15 sessions in total, for both groups. The study population was evaluated using range of joint motion evaluation chart, the Modified Ashworth Scale, The Gross Motor Function Classification System, The Berg Balance Scale, the functional independence measure for children, and the Edinburgh Visual Gait Score

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Cerebral Palsy

Eligibility

Sex: ALLMin age: 7 YearsMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 4\>, \<16 with CP diagnosis * Walking diffculties due to the spasticity of lower extremities, * Level I-IV on the Gross Motor Function Classification System. Exclusion Criteria: * MAS Level IV spasticity, contractures, or rigidity in the lower extremities, * A limb length inequality of \>2 cm, * Hypotonic CP, * Having drug-related refractory epilepsy, * Undergoing intrathecal baclofen pump surgery, * Surgical interventions in the lower extremities in the last year, * Scoliosis angle of \>30°, * Complicated osteoporosis (nontraumatic fracture...), * Cardiovascular instability, * GMFCS Level V, * Metabolic disorder, genetic disease, neurodegenerative and neuromuscular diseases.

Outcomes

Primary Outcomes

The Gross Motor Function Classification System (GMFCS)

The Gross Motor Function Classification System or GMFCS is a 5 level clinical classification system that describes the gross motor function of people with cerebral palsy on the basis of self-initiated movement abilities.

Time frame: 3 weeks

The Edinburgh Visual Gait Scale (EVGS)

The Edinburgh visual gait score is an evaluative tool that uses software and video cameras to provide 3D video gait analysis as well as onscreen drawing and measurement tools to evaluate each portion of gait. The software will then generate a EVGS report, with illustrative images from the video if desired, in PDF format.