Predictors of Range of Motion and Balance Abnormalities in Children Diagnosed with Cerebral Palsy

NCT06601569 — Unknown, 120 participants, Cairo University

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Registry	NCT06601569
Status	Unknown
Study type	Observational
Enrollment	120 (Estimated)
Sponsor	Cairo University (Other)
Conditions	Cerebral Palsy
Interventions	balance and range of motion (Diagnostic test)
Dates	start 2024-08-01, primary completion 2025-01-01 (estimated), completion 2025-02-01 (estimated), first posted 2024-09-19, last updated 2024-10-01
Locations	1 site in Egypt

-Summary

1. To better understand the factors that contribute to ROM abnormalities in children diagnosed with CP.
2. To describe the distribution of primary (muscle tone and postural stability)and secondary impairments (ROM and functional muscle strength) across the gross motor spectrum measured by GMFCS scores.
3. To evaluate the effects of primary and secondary impairments on gross functional outcome in children with spastic CP.
4. To find any possible correlation between clinical variables.

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+Arms and interventions

Arm	Type	Interventions	Description
diplegic cerebral palsy		Diagnostic Test: balance and range of motion
quadripledic cerebral palsy		Diagnostic Test: balance and range of motion
hemiplegic cerebral palsy		Diagnostic Test: balance and range of motion
dyskinetic cerebral palsy		Diagnostic Test: balance and range of motion

balance and range of motion (Diagnostic test), also known as Spinal alignment and range of motion measure scale, Modified Ashworth scale (MAS), Early clinical assessment of balance (ECAB) scale, Functional strength assessment scale: * Spinal alignment and range of motion measure scale (SAROMM): is a measure of spinal alignment and range of motion using standard physical therapy techniques scored on a 5-point ordinal score of 0 (normal alignment and range with active correction) to4 ("severe" ﬁxed deformity) (Bartlett ey al., 2005) * Modified Ashworth scale (MAS): is a measure of muscle motion and scoring the perceived resistance to movement on a scale of 1 (no increase in tone) to 5 (rigid in ﬂexion or extension) (Clopton et al., 2005). * Early clinical assessment of balance (ECAB) scale: Is a 13-item test that estimates postural stability for children with CP across all levels of functional ability (Jeffries etal., 2016). * Functional strength assessment scale: Therapists completed a functional strength assessment (FSA) to obtain an estimate of strength for major muscle groups including the neck and trunk ﬂexors and extensors, and hip extensors, knee extensors, and shoulder ﬂexors bilaterally.

+Outcome measures

Primary outcomes

predictors of range of motion and balance abnormalities [from 1 august 2024 to 1 october 2024]: the aim of the study is to investigate the predicted cause if the range of motion abnormalities measured by (spinal alignment and range of motion assessment scale ) and balance abnormalities ( measured by early clinical assessment of balance scale )in children with cerebral palsy like muscle strength (measured by functional muscle strength scale) and muscle tone changes (measured by modified athwart scale)

+Eligibility

Sex: All, ages: 18 Months to 5 Years

Inclusion Criteria:

* only children with clinical diagnosis of cerebral palsy , who were receiving physiotherapy services at the paediatric out-patient clinic of Faculty of Physical Therapy, Cairo University for a minimum of six months regularly.

Exclusion Criteria:

* Children were excluded if they had one or more of the following: behavioral issues, a history of persistent heart or chest disease, significant visual or auditory impairment, botulinum toxin injection at last six months prior to the study.

+Locations (1)

Facility	City	Country	Status
Faculty of Physical Therapy Cairo University	Cairo, Cairo Governorate	Egypt	Recruiting