The Effect of Instrument Assisted Soft Tissue Mobilization and Stretching Exercises in Cerebral Palsy (IASTM)

Istanbul University - Cerrahpasa (IUC)

Status: Unknown

Conditions: Cerebral Palsy

Treatments: Other: Control Group / NDT program; Other: Instrument Assisted Soft Tissue Mobilization; Other: Stretching Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05042570

EAvcil2

Details and patient eligibility

About

The aim of the study; To investigate the effects of Instrument Assisted Soft Tissue Mobilizations and Stretching Exercises on flexibility, spasticity, balance and functional mobility in patients with CP.

Full description

Various intervention studies; reported positive results with EDYDM after carpal tunnel syndrome, myofascial trigger point, chronic low back pain, nonspecific thoracic spine pain, ankle instability, mastectomy and total joint arthroplasty. Observational studies have shown positive results in improving posterior shoulder range of motion, hip, knee, and ankle ROM.

There is no study in the literature with EDYDM in patients with CP. Many of the problems in which EDDM is applied for fascia and muscle mobilization in different diseases are also seen in patients with CP. In current rehabilitation methods, Stretching Exercises are applied for muscle and fascia shortening. The advantages of the applications over each other are unknown. Our study is planned as a study with high original value as it is the first study to be conducted using EDYDM in cases with CP. In our study, the effectiveness of EDYDM treatment, which will increase the effectiveness of stretching exercises in CP or can be an alternative treatment approach in cases with CP, will be compared with Stretching Exercises.

Enrollment: 39 estimated patients

Sex: All

Ages: 5 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Having been diagnosed with Unilateral Spastic Type Cerebral Palsy by the health committee report,
• Level I or II according to GMFCS,
• Being between the ages of 5-18,
• No Botulinum Toxin (Botox) injection in the last 6 months,
• Not using any medication that may affect muscle tone,
• Passive ankle dorsiflexion + 10o and passive plantar flexion -25o,
• Families and children agree to participate voluntarily in the study.

Exclusion criteria

• Having undergone any lower extremity surgery,
• Tone in plantar flexors is level IV according to MAS,
• Presence of advanced contracture in the ankle,
• Presence of any diagnosed cardiac or orthopedic disorder that may prevent the application of the treatment,
• Hearing or vision problems,
• Having a history of epileptic attacks,
• Not having the ability to adapt to exercises (cases with the phrase "Mental Retarde" according to the health report).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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39 participants in 3 patient groups

Instrument Assisted Soft Tissue Mobilization

Experimental group

Description:

Group 1 (n=13): Each session will consist of 40 minutes. An additional 10 minutes of IASTM will be performed to the 30-minute NDT program.

Treatment:

Other: Instrument Assisted Soft Tissue Mobilization

Stretching Exercises

Experimental group

Description:

Group 2 (n=13): Each session will consist of 40 minutes. In addition to the NDT program applied for 30 minutes, 10 minutes of Stretching Exercises will be performed.

Treatment:

Other: Stretching Exercises

Control

Active Comparator group

Description:

Group 3 (n=13): Each session will consist of 40 minutes. There will be no additional application to the NDT program, which is applied for 40 minutes, and it will be included as a control group in the study.

Treatment:

Other: Control Group / NDT program