Physiotherapy After Botulinum Toxin Injection and Serial Casting

Gazi University19 enrolled

Overview

The effects of different physiotherapy programs on children with cerebral palsy who have been received botulinum toxin injection and serial casting application will be determined.

CP children who underwent botulinum toxin injection to medial gastrocnemius muscle and serial casting application in last two months will be included in the study. The effects of traditional physiotherapy and downhill backward treadmill training plus to traditional physiotherapy on muscle morphology, activity, walking, quality of life and selectivity will be determined.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Cerebral Palsy Cerebral Palsy, Spastic

Interventions

backward downhill walkingPROCEDURE

Children in the intervention group will take backward downhill walking program plus to routine physiotherapy.

routine physiotherapyPROCEDURE

Children in one of the groups will take routine physiotherapy programme

Eligibility

Sex: ALLMin age: 5 YearsMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Being diagnosed with cerebral palsy (CP) (hemiplegic-diplegic) 2. To have undergone botulinum toxin and serial casting interventions in the last 2 months 3. to be between 5-10 years old 4. Being at the level of I-II-III (ambulatory or assisted ambulatory) according to Gross Motor Function Classification System 5. To have the mental competence to understand and apply assessments and exercises Exclusion Criteria: 1. Having undergone surgery involving the lower extremity in the last 6 months 2. Refusing to participate in the study 3. Having other accompanying neurometabolic or orthopedic disorders

Locations (1)

Pelin Atalan

Izmir, Bornova, Turkey (Türkiye)

Outcomes

Primary Outcomes

Muscle morphology

Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements

Time frame: Before the intervention

Muscle morphology

Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements

Time frame: After six weeks intervention

Vascularization

Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements

Time frame: Before the the intervention

Vascularization

Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements

Time frame: After six weeks intervention

Muscle strenght

Will be measured by manual muscle tester

Time frame: Before the intervention

Muscle strenght

Will be measured by manual muscle tester

Time frame: After six weeks intervention

Range of motion

Will be measured with goniometer

Time frame: Before the intervention.

Range of motion

Will be measured with goniometer

Time frame: After six weeks intervention

Edinburgh visual gait analysis

Data from ClinicalTrials.gov

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Secondary Outcomes

Demographic data

Face-to-face interview with family. Will be recorded in data registration form

Time frame: Before the intervention

Demographic data

Face-to-face interview with family. Will be recorded in data registration form

Time frame: After six weeks intervention

Child Health Questionnare (Parent form)

Quality of life will be measured by this questionnare

Time frame: Before the intervention

Child Health Questionnare (Parent form)

Quality of life will be measured by this questionnare

Time frame: After six weeks intervention

Children Functional Independence Measurement Scale

Functional Independency will be measured by this scale. Higher scores mean better independence.

Time frame: Before the intervention

Children Functional Independence Measurement Scale

Functional Independency will be measured by this scale. Higher scores mean better independence.

Time frame: After six weeks intervention

Lower extremity selective control measurement

Selective movement will be measured with this scale. Higher scores mean better selective control.

Time frame: Before the intervention

Lower extremity selective control measurement

Selective movement will be measured with this scale. Higher scores mean better selective control.

Time frame: After six weeks intervention