Investigation of the Effect of Constraint Induced Movement Therapy Applied to the Lower Extremity on Lower Extremity Functions in Individuals With Unilateral Cerebral Palsy
constraint induced movement therapyControl (Standard treatment)
constraint induced movement therapy: Children in this group will receive constraint induced movement therapy for 10 sessions over 2 weeks, each session lasting 90 minutes, in addition to the treatment they receive 2 days a week at the special education and rehabilitation centers they attend.
Control (Standard treatment): Children in this group will continue to receive their treatment at the special education and rehabilitation center they attend, two days a week for 40 minutes.
Study summary
Lower extremity constraint induced movement therapy has been applied to individuals with multiple sclerosis, stroke, subacute and chronic hemiparesis in recent years and positive results have been reported. However, there is no study in the literature regarding the application of this treatment method to the pediatric population. In order to address this gap in the literature, we planned to conduct this study to examine the possible effects of lower extremity constraint induced movement therapy on lower extremity functions, balance and gait parameters in individuals with cerebral palsy.
Eligibility
Sex
ALL
Min age
5 Years
Max age
15 Years
Healthy volunteers
No
Inclusion Criteria:
* Having been diagnosed with Cerebral Palsy by a Child Neurologist.
* Having been classified as Unilateral Cerebral Palsy according to SCPE.
* Being between the ages of 5-15,
* Being at levels I-II according to the Gross Motor Function Classification System
* Being at levels I-II according to the Communication Function Classification System
* Being able to stand up from sitting independently, even with the help of the upper extremity
* Being able to walk at least 10 m with or without an assistive device
Exclusion Criteria:
* Children who have had lower extremity orthopedic surgery within the last six months
* Children who have had lower extremity Botox injections within the last six months
* Those with rigid contractures involving lower extremity joints,
* Children with levels III-IV according to the Communication Functions Classification System
* Families and children who do not accept full participation in treatment
Primary outcome measure(s)
Surface EMG — 6 weeks Electromyography is a method used to record and analyze myoelectric signals; it provides information about the transfer of the signals to the neuromuscular junction, the electrical activation of muscle cells in the motor unit, muscular contraction and relaxation strategies and activation time. sEMG measurements made on the individual's skin using superficial electrodes are frequently preferred for research purposes because they are non-invasive and painless. In sEMG application, electrodes are usually placed in the center of the muscle body for large superficial muscles and on the target muscle for small muscles. The maximal voluntary isometric contraction (MVIC) value of the muscles will be calculated and recorded with electromyographic evaluation in the individuals participating in the study. The results of the pre-evaluation and post-evaluation will be compared. The muscle groups to be evaluated within the scope of our study are M. Rectus Femoris and M. Gastrocnemius.
Trial sites (1)
Facility
City
Region
Status
Bolu Abant İzzet Baysal University Faculty of Health Sciences
Bolu
Turkey (Türkiye)
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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