NCT05042570

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

The Effect of Instrument Assisted Soft Tissue Mobilization and Stretching Exercises on Flexibility, Spasticity and Balance in Individuals With Cerebral Palsy

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 39 (estimated)
• Sponsor: Istanbul University - Cerrahpasa · Academic / Other
• Sex: All
• Age: 5 Years – 18 Years
• Healthy volunteers: Accepted

Summary

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.

Detailed 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.

Conditions

• Cerebral Palsy

Interventions

Type	Name	Description
OTHER	Instrument Assisted Soft Tissue Mobilization	* This technique will be performed using instruments of different sizes, shapes and treatment styles. * During the application, instruments will be applied to loosen the muscle tissue and fascia by gliding on the tissue at certain angles. * The muscle groups to be treated with IASTM are gastrocnemius, soleus and tibialis posterior. It will also be applied to the superficial and deep fascia. * The instrument will be sterilized before treatment. * IASTM treatment will be applied without damaging the tissue after massaging cream is applied to the muscle fibers with the instrument.
OTHER	Stretching Exercises	* The muscle groups to be applied stretching exercises are gastrocinemius, soleus and tibialis posterior. It will also be applied to the superficial and deep fascia. * 3 different functional stretching exercises will be applied; * With the hands supported on the wall and with the help of the physiotherapist, the affected extremity is behind the knee in full extension m. gastrocnemius stretching exercise, * With the hands supported on the wall and with the help of the physiotherapist, the knee is partially flexed, with the affected extremity behind. soleus stretching exercise, * It is a stretching exercise that will be applied by asking the patient to squat without lifting his heels, with the patient's hands supported by the physiotherapist.
OTHER	Control Group / NDT program	* Efforts to eliminate tone disorders, * Sensory-perception-motor integrity development studies, * Activities aimed at facilitating movements in daily life, * Stretching and strengthening exercises due to muscle shortness and weakness, * Studies to increase lower and upper extremity functionality, * It will include the training of activities such as standing up, walking and balance.

Timeline

• Start date: 2021-11-01
• Primary completion: 2022-06-01
• Completion: 2022-12-01
• First posted: 2021-09-13
• Last updated: 2021-09-13

Locations

1 site across 1 country: Turkey (Türkiye)