Effects of Transcutaneous Electrical Nerve Stimulation on Spasticity in Children With Cerebral Palsy

Riphah International University

Status: Enrolling

Conditions: Cerebral Palsy

Treatments: Other: Transcutaneous electrical nerve stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05463159

REC/RCR & AHS/22/0708

Details and patient eligibility

About

Cerebral Palsy (CP) is a group of mental disorder that disrupts the person's ability of moving, maintaining their balance and posture. Cerebral palsy is a motor disorganization in Childhood. Cerebral palsy can occur before birth, during birth, within a month after birth, or during 1st year of life when brain is under development. Symptoms vary from person to person in case of severe CP child must needs the equipment used to enhance their mobility and to train muscles. Transcutaneous electrical nerve stimulation (TENS) is method of relieving pain by using mild electric current. Purpose of this study will be to determine effects of TENS on spasticity and gross motor function in children with cerebral palsy. TENS is a small machine operated with battery containing attached sticky pads known as electrodes placed on stiffed and painful area of muscles. Classified by Ashworth Scale and Modified Tardieu Scale. Subjects will be randomly divided into four groups 1) Group A= TENS on spastic muscle/agonist, 2) Group B= TENS on antagonist, 3) GroupC= TENS on both agonist and antagonist muscle, Group D= conventional physiotherapy total treatment period is about 3 to 6 weeks. This study will help to discuss how much extent TENS will effect spasticity in children with cerebral palsy. Data will be analyzed through SPSS 22

Enrollment: 40 estimated patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 6-12
• Both Male and Female
• Spastic Cerebral Palsy

Exclusion criteria

• Patients with History of uncontrolled seizures
• Patients undergoing previous tendon lengthening surgery
• History of Botox Injection

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 4 patient groups

Group A

Experimental group

Description:

participants in this group will be given with TENS to spastic Hams, Adductor and TA along with stretchings and ROM as baseline treatment

Treatment:

Other: Transcutaneous electrical nerve stimulation

Group B

Active Comparator group

Description:

participants in this group will be given with TENS to opposite of spastic muscles, i.e. quards, abductor and dorsiflexors along with stretchings and ROM as baseline treatment

Treatment:

Other: Transcutaneous electrical nerve stimulation

Group C

Active Comparator group

Description:

participants in this group will be given with TENS to both spastic muscles and opposite of spastic muscle along with stretchings and ROM as baseline treatment

Treatment:

Other: Transcutaneous electrical nerve stimulation

Group D

Active Comparator group

Description:

participants in this group will be given with stretchings and ROM as baseline treatment

Treatment:

Other: Transcutaneous electrical nerve stimulation