Effect Of Closed Kinetic Chain On Hip Stability In Spastic Cerebral Palsy Post Selective Dorsal Rhizotomy

Kafrelsheikh University

Status: Active, not recruiting

Conditions: Cerebral Palsy; Selective Dorsal Rhizotomy

Treatments: Procedure: Traditional physical therapy.; Procedure: Close kinetic chain exercise group

Study type: Interventional

Funder types: Other

Identifiers

NCT06646718

KFSIRB200-171

Details and patient eligibility

About

Purpose of the study:

To evaluate the effect of closed kinetic chain on hip stability after selective dorsal rhizotomy on spastic cerebral palsy.

Full description

• This is a prospective randomized controlled clinical trial, conducted at Kafr El sheikh Hospital.

• Sixty-six children of both genders.

• The study will include children (age 5-14years) post selective dorsal rhizotomy.

• Children meeting the inclusion criteria will be randomly assigned to one of two groups:

  • Experimental Group: children in this group will receive closed kinetic chain.
  • Control Group: Patients in this group will receive Traditional physical therapy.

• Randomization will be achieved using computer-generated random numbers to ensure an equal distribution of patients between the two groups.

Enrollment: 66 estimated patients

Sex: All

Ages: 5 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1-Patients will be aged from 5 to 14 years

  2- will be included both genders post selective dorsal rhizotomy.

  3- The GMFCS level I-II spastic diplegia, able to stand up from a chair independently and maintain standing for more than 5 seconds without falling.

  4- Had not received any strength training program in the past 3 months before the study.

  5- Able to attend physical therapy (PT) treatment at least three a week before and during this study.

Exclusion criteria

• 1-have perceptual, cognitive, visual and auditory disorder.

  2- botulinum toxin injection to the lower extremities within 6 Months.

  3- Medical conditions that prevented children from participating in the exercises.

  4- Previous lower extremity surgery, such as prior hamstring muscle Lengthening. 5- Existence of any orthopedic condition or any static hip, knee or ankle deformities.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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66 participants in 2 patient groups

❖ Experimental Group: group A

Experimental group

Description:

Group A (study group): will include 33 children after selective dorsal rhizotomy surgery from both gender will be selected from the Outpatient Clinic. Able to attend physical therapy (PT) treatment at least three a week before and during this study. who will receive closed kinetic chain.

Treatment:

Procedure: Close kinetic chain exercise group

❖ Control Group:Group B

Other group

Description:

●Group B (control group): will include 33 children who will receive Traditional physiotherapy. will include 33 children after selective dorsal rhizotomy surgery from both gender

Treatment:

Procedure: Traditional physical therapy.