Physiotherapy After Botulinum Toxin Injection and Serial Casting

Gazi University

Status: Completed

Conditions: Cerebral Palsy, Spastic; Cerebral Palsy

Treatments: Procedure: backward downhill walking; Procedure: routine physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05312125

GaziUniPA

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 19 patients

Sex: All

Ages: 5 to 10 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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19 participants in 2 patient groups

control group

Active Comparator group

Description:

Children in this group will take routine physiotherapy (stretching, strengthening) program during 6 weeks. 3 days/week.

Treatment:

Procedure: routine physiotherapy

intervention group

Active Comparator group

Description:

Children in this group will take routine physiotherapy (stretching, strengthening) program + backward downhill walking (10 minutes in a day) during 6 weeks. 3 days/week.

Treatment:

Procedure: backward downhill walking

Procedure: routine physiotherapy