NCT03379038

Role Of Physical Therapy In Relieving Constipation In Children With Spastic Cerebral Palsy

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 35 (actual)
• Sponsor: Isra University · Academic / Other
• Sex: All
• Age: 2 Years – 11 Years
• Healthy volunteers: Not accepted

Summary

This study was conducted to determine the effectiveness of Physical Therapy management in relieving constipation among Spastic Cerebral Palsy children. There were two groups, Group A received routine Physical Therapy and Group B received maintenance Physical Therapy (aim to maintain current level of spasticity, functionality to avoid deterioration of conadition as approved by ASRC)

Detailed description

Physical therapy makes an integral part of the non-pharmacological, conservative management of cerebral palsy. Routine physical therapy aims to reduce spasticity, improve joint range of motion (ROM), and improve strength and mobility. Passive ROM and stretching of lower limb and trunk increases parasympathetic activity and thus improves intestinal motility in prolonged bed ridden patients.Abdominal muscle training improves intestinal motility by two ways: mechanically by improving fecal propulsion towards rectum and neurologically by inducing parasympathetic activity to improve intestinal motility.20 Thermotherapy of back and abdomen in chronic constipation patient improves intestinal blood flow and parasympathetic activity.

Conditions

• Cerebral Palsy, Spastic

Interventions

Type	Name	Description
OTHER	Progressive Physical Therapy	Stretching of the tight muscle, positioning, abdominal co activation; rolling etc to decrease muscle tone and functional independence.
OTHER	Maintenance Physical Therapy	Same Physical therapy protocol but aim was to maintain current level of spasticity and functioning

Timeline

• Start date: 2017-12-27
• Primary completion: 2019-01-20
• Completion: 2019-01-30
• First posted: 2017-12-20
• Last updated: 2019-02-19

Locations

1 site across 1 country: Pakistan