Efficacy of a Long Term, High Intensity and Long Time Stretch Training Program on Viscoelasticity Plantarflexors Muscle in Children With Cerebral Palsy (CP). (LONGSTRETCH PC)

Centre Hospitalier Universitaire de Saint Etienne

Status: Terminated

Conditions: Cerebral Palsy, Spastic; Children, Only

Treatments: Diagnostic Test: Stretching; Diagnostic Test: isokinetic dynamometer with ultrasound; Other: Visual Analog Scale (VAS)

Study type: Interventional

Funder types: Other

Identifiers

NCT03565172

ID-RCB (Other Identifier)

18CH033

Details and patient eligibility

About

Children with cerebral palsy present early in the childhood altered muscular properties, as soon as structural or stiffness. In the gastrocnemius muscle, altered muscular properties are characterized by short muscle belly length and increased stiffness which contribute to contracture and limiting joint range of motion.

Full description

This study assess efficacy of a long term stretching program of plantarflexors muscle on their viscoelasticity properties and maximal dorsiflexion angle gain. Stretching program is characterized by 3 phases: baseline, intervention and follow-up.

Enrollment: 1 patient

Sex: All

Ages: 8 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 8 to 16 years
• Children diagnosed spastic cerebral palsy
• Children with decrease maximal dorsiflexion angle under +5° in the last four weeks
• Children who don't understand instructions

Exclusion criteria

• Children who had damage orthopedics or surgical operation contraindicating realization of the experimental protocol
• Hospitalization incompatible with the progress of the protocol.
• Children who had botulinum injection, extensions casts or the implementation of new equipment (night or day orthosis) for less than three months or the progress of the protocol.
• Children having analgesic treatment in progress

Trial design

Primary purpose: Basic Science

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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1 participants in 1 patient group

Children with spastic cerebral palsy

Experimental group

Description:

Children with spastic cerebral palsy will be included. They will have 3 phases: * Baseline: 4, 5 or 6 evaluations * Intervention: 9 evaluations before and after every stretching session * Follow-up: 4, 5 or 6 evaluations The evaluation part will be composed of isokinetic dynamometer with ultrasound and Visual Analog Scale (VAS). The number of evaluations at baseline and follow-up will be randomized before the study by Single Case Experimental Design (SCED) methodology.

Treatment:

Diagnostic Test: Stretching

Diagnostic Test: isokinetic dynamometer with ultrasound

Other: Visual Analog Scale (VAS)