Endermotherapy for Children With Developmental Disabilities

NCT01207570 — Phase 2, Completed, 54 participants, The Hong Kong Polytechnic University

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Effect of Endermotherapy on Passive Ankle Range of Motion in Children With Developmental Disabilities

RegistryNCT01207570
StatusCompleted
PhasePhase 2
Study typeInterventional; randomized, crossover, masking: single, treatment
Enrollment54 (Actual)
SponsorThe Hong Kong Polytechnic University (Other); collaborators: Phoelia Co. Ltd.
ConditionsCerebral Palsy, Developmental Delay
InterventionsEndermotherapy, Passive manual stretching (Procedure)
Datesstart 2010-02-01, primary completion 2011-05-01, completion 2011-05-01, first posted 2010-09-23, last updated 2011-10-10
Locations1 site in Hong Kong

Related Papers Related Patents Related Grants Related Experts
All trials for Cerebral Palsy All trials for Developmental Delay All trials of Endermotherapy All trials of Passive manual stretching

-Summary

Children with developmental disabilities often sustain decreased range of motion in their extremities. The decrease in flexibility may be due to neuromuscular disorders such as spasticity or dystonia. Other causes may be imbalance in muscle strength surrounding a joint, leading to inappropriate habitual posture. Over time, muscle contracture may result for those muscle groups that are placed in a shortened position for an extended period of time. The most common site of muscle contractures among these children are gastrocnemius/soleus (lower limbs), and latissimus dorsi muscles (upper limbs). Muscle contractures can lead to further decline in functional abilities. Therefore, it is important to identify effective intervention strategies to enhance or maintain muscle flexibility in children with developmental dysfunctions.

Commercially available endermotherapy device has been used to soften scar tissue following burn injuries. The mechanical stimulation applied may also have beneficial effects on relaxing the muscle tissue. The overall aim of the proposed study is to determine whether endermotherapy treatment has immediate effect in improving joint range of motion among children with developmental disabilities.

The research hypothesis is that children in the endermotherapy group will have significantly more gain in ankle passive range of motion than those in the control group.

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+Arms and interventions

ArmTypeInterventionsDescription
EndermotherapyExperimentalProcedure: EndermotherapyThe subjects in the experimental group will receive a single session (5 minutes) of endermotherapy) applied to the gastrocnemius/soleus muscle group in the more affected side. The treatment will b e carried out by a qualified physiotherapist.
Passive stretchingActive comparatorProcedure: Passive manual stretchingThe subjects in this group will receive a single session of passive stretching of the gastrocnemius/soleus muscle for 5 minutes.
  • Endermotherapy (Procedure): The subjects will receive a single session of endermotherapy applied to the gastrocnemius/soleus muscle on the more affected side for 5 minutes. The treatment will be conducted by a qualified physiotherapist.
  • Passive manual stretching (Procedure): The subjects will receive a single session of passive manual stretching of the gastrocnemius/soleus muscle on the more affected side. The treatment will be given by a qualified physiotherapist.

+Outcome measures

Primary outcomes

  • Ankle Passive Range of Motion [day 1 before treatment]: The ankle passive range of motion will be measured by a Myrin goniometer.
  • Ankle Passive Range of Motion [day 4 before treatment]: Ankle passive range of motion at day 4 before the crossover treatment
  • Ankle Passive Range of Motion [Day 1 after treatment]: Ankle dorsiflexion passive range of motion
  • Ankle Passive Range of Motion [Day 4 after treatment]: Ankle passive range of motion on day 4 after the crossover treatment

+Eligibility

Sex: All, ages: 2 Years to 6 Years

Inclusion Criteria:

* children aged between 2 and 6.
* children with diagnosis of cerebral palsy or developmental disabilities.
* Has limited ankle dorsiflexion range of motion (less than 20 degrees)

Exclusion Criteria:

* Other serious illnesses that preclude participation

+Posted results

Participant flow

MilestoneEndermotherapyPassive Stretching
Started2331
Completed2331
Not completed00

Outcome results

  • Ankle Passive Range of Motion (Primary), Mean, degree: Endermotherapy 8.3 +/- 8.1; Passive Stretching 10.4 +/- 6.0
  • Ankle Passive Range of Motion (Primary), Mean, degree: Endermotherapy 11.6 +/- 6.0; Passive Stretching 11.3 +/- 8.3
  • Ankle Passive Range of Motion (Primary), Mean, degree: Endermotherapy 12.2 +/- 8.6; Passive Stretching 14.9 +/- 6.7
  • Ankle Passive Range of Motion (Primary), Mean, degree: Endermotherapy 15.9 +/- 6.7; Passive Stretching 13.5 +/- 8.4

Adverse events

ArmDeathsSerious adverse eventsOther adverse events
Endermotherapy00/54 (0.0%)0/54 (0.0%)
Passive Stretching00/54 (0.0%)0/54 (0.0%)

+Locations (1)

FacilityCityCountryStatus
Heep Hong SocietyHong KongHong Kong

+Investigators

  • Marco Y P, PhD, Principal investigator, The Hong Kong Polytechnic University