Ignite Creation Date:
2024-05-06 @ 7:36 PM
Last Modification Date:
2024-10-26 @ 3:09 PM
Study NCT ID:
NCT06064357
Status:
RECRUITING
Last Update Posted:
2023-10-03
First Post:
2023-09-26
Brief Title:
Comparison of Massage Therapy and Tissue Flossing Technique
Sponsor:
Riphah International University
Organization:
Riphah International University
Study Overview
Official Title:
Comparison of Massage Therapy and Tissue Flossing Technique in Children With Diplegic Cerebral Palsy
Status:
RECRUITING
Status Verified Date:
2023-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of the study is to compare massage therapy with tissue flossing technique in children with diplegic cerebral palsy A randomized control trial would be conducted at helping hand for relief and development Quetta The sample size is 56 calculated through G power The participants would be divided into two interventional groups each having 28 participants The study duration would be six weeks Sampling technique applied would be convenient sampling for recruitment and group randomization via using envelop method Tools used in this study are Goniometer muscle length test and Functional Mobility scale Data would be collected before and after 6 weeks of the application of interventions Data analyzed through SPSS version 23
Detailed Description:
Cerebral palsy CP is a syndrome of motor impairments characterized by non-progressive disturbances taking place in developing fetal and infant brain1 The most prevalent motor disability in children CP affects 2 to 3 out of every 1000 live births The most prevalent type of CP spastic CP account for about 80 especially spastic diplegic accounts for between 50 and 60 of all cases2The term cerebral paralysis was used for the first time in 1861 by the English orthopedic surgeon named William Little 3 There are four categories of risk factors for CP pre-conception prenatal perinatal and postnatal3 4 Traditionally CP has been categorized according to the type of movement dysfunction and anatomical distribution Spastic dyskinetic hypotonic ataxic and mixed kinds of movement are among the patterns of movement Spastic movement is the most prevalent with dyskinetic ataxic or hypotonic movement patterns making up the minority of cases5 Hemiplegic diplegic and quadriplegic made up the anatomic distribution Only one side of the body is affected in hemiplegic CP and the upper extremities often show the greatest deficits Lower extremities are more commonly affected in Diplegic CP than upper extremities The axial and appendicular skeletons are both affected in Quadra plegic cerebral palsy which affects the entire body 6
Damage to the brain occurs in CP patients most frequently in the region of the brain that regulates muscle tone and limb movement As a result the brain is powerless to control how flexible a muscle should be The spinal cord is dominated by the command from the muscle which causes the muscle to become too tight or spastic7 Periventricular leukomalacia PVL the most prevalent abnormality on neuroimaging is a white matter anomaly located close to the lateral ventricle Children with PVL often exhibit spastic diplegia because the corticospinal tract fibers to the lower limbs are medial to those of the upper extremities in the periventricular white matter3 8CP child are diagnosed on the basis of history and physical examination2 Muscle stiffness and heightened reflexes are side effects of cerebral palsy which affects mobility and coordination Either too loose or too rigid a muscle tone Walking difficulty such as walking on ones toes or crossing ones knees like a scissor Inability to use fine motor abilities Balance and muscle coordination are noticeably absent Tremors and jerky involuntary movement also present in children with athetoid CP39Spasticity causes irregular movements in the muscles and joints of the extremities and is particularly damaging to growing youngsters Any muscle group in the body might be affected by spasticity Hip flexion adduction of the thighs knee flexion equinovarus foot posture and hyperextension of the big toe are the effects on the lower limbs7 In spastic diplegia the most commonly effected lower limb muscles are gastrocnemius soleus adductors hamstrings psoas and rectus femoris2
The treatment of a child with CP requires a multidisciplinary approach7 Physiotherapy intervention included static and dynamic weight bearing exercises balance training weight bearing exercises sustained stretching exercises Roods approach Bobath technique exercises on Swiss ball orthosis and proper home exercise program10Massage is one of the oldest and most widely used treatments in complementary and alternative medicine with more than 75 forms of it practiced today2Massage has positive effects on muscle tone disorder11 12Mocgregor et al conducted a study in this Transverse-friction massage was applied to the calf muscles of patients with spastic diplegia They hypothesized that this resets sarcomere length8Tissue flossing was first proposed by Starrett and Cordoza 2015 who claimed that it can lessen discomfort from various diseases or injuries increase range of motion andor improve performance such as strength or leaping performance13 The flexibility of muscles can be greatly increased with Floss Band intervention14 15
Generally muscles of children with CP lack muscular flexibility Muscular stiffness results from an increase in muscular tone Due to muscular stiffness it was impossible to stretch the muscle properly which led to the creation of contractures reduced range of motion ROM and restricted mobility Muscular flexibility is a basic element for muscular action and important milestone in the rehabilitation program for children with CP
Treatment options provided to improve muscles flexibility rang of motion and mobility of children with CP must not be limited to invasive methods which are also financially expensive The Tissue flossing is a novice non-invasive method that depend on an easily held safe cheap and light weighted The use of tissue flossing is becoming a popular strategy in rehabilitation program However the literature on floss band effectiveness in children with Cp remain sparse Previously studies have been conducted that support the role of tissue flossing in athletes and in individuals with various musculoskeletal injuries However its role particularly in CP patients is unavailable In this research we have incorporated this technique to determine its effects in cerebral palsy children Therefore the purpose of this study is to do comparison between transverse friction massage with tissue flossing technique and examine the effects on range of motion muscular flexibility and mobility in children with diplegic CP
Damage to the brain occurs in CP patients most frequently in the region of the brain that regulates muscle tone and limb movement As a result the brain is powerless to control how flexible a muscle should be The spinal cord is dominated by the command from the muscle which causes the muscle to become too tight or spastic7 Periventricular leukomalacia PVL the most prevalent abnormality on neuroimaging is a white matter anomaly located close to the lateral ventricle Children with PVL often exhibit spastic diplegia because the corticospinal tract fibers to the lower limbs are medial to those of the upper extremities in the periventricular white matter3 8CP child are diagnosed on the basis of history and physical examination2 Muscle stiffness and heightened reflexes are side effects of cerebral palsy which affects mobility and coordination Either too loose or too rigid a muscle tone Walking difficulty such as walking on ones toes or crossing ones knees like a scissor Inability to use fine motor abilities Balance and muscle coordination are noticeably absent Tremors and jerky involuntary movement also present in children with athetoid CP39Spasticity causes irregular movements in the muscles and joints of the extremities and is particularly damaging to growing youngsters Any muscle group in the body might be affected by spasticity Hip flexion adduction of the thighs knee flexion equinovarus foot posture and hyperextension of the big toe are the effects on the lower limbs7 In spastic diplegia the most commonly effected lower limb muscles are gastrocnemius soleus adductors hamstrings psoas and rectus femoris2
The treatment of a child with CP requires a multidisciplinary approach7 Physiotherapy intervention included static and dynamic weight bearing exercises balance training weight bearing exercises sustained stretching exercises Roods approach Bobath technique exercises on Swiss ball orthosis and proper home exercise program10Massage is one of the oldest and most widely used treatments in complementary and alternative medicine with more than 75 forms of it practiced today2Massage has positive effects on muscle tone disorder11 12Mocgregor et al conducted a study in this Transverse-friction massage was applied to the calf muscles of patients with spastic diplegia They hypothesized that this resets sarcomere length8Tissue flossing was first proposed by Starrett and Cordoza 2015 who claimed that it can lessen discomfort from various diseases or injuries increase range of motion andor improve performance such as strength or leaping performance13 The flexibility of muscles can be greatly increased with Floss Band intervention14 15
Generally muscles of children with CP lack muscular flexibility Muscular stiffness results from an increase in muscular tone Due to muscular stiffness it was impossible to stretch the muscle properly which led to the creation of contractures reduced range of motion ROM and restricted mobility Muscular flexibility is a basic element for muscular action and important milestone in the rehabilitation program for children with CP
Treatment options provided to improve muscles flexibility rang of motion and mobility of children with CP must not be limited to invasive methods which are also financially expensive The Tissue flossing is a novice non-invasive method that depend on an easily held safe cheap and light weighted The use of tissue flossing is becoming a popular strategy in rehabilitation program However the literature on floss band effectiveness in children with Cp remain sparse Previously studies have been conducted that support the role of tissue flossing in athletes and in individuals with various musculoskeletal injuries However its role particularly in CP patients is unavailable In this research we have incorporated this technique to determine its effects in cerebral palsy children Therefore the purpose of this study is to do comparison between transverse friction massage with tissue flossing technique and examine the effects on range of motion muscular flexibility and mobility in children with diplegic CP
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None