Effect of Neural Mobilization, Compared to Conventional Physical Therapy, in Children Diagnosed with Cerebral Palsy. a Pragmatic Approach

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Objective: To assess the effect of neural mobilization applied to the lower limbs, compared to conventional physical therapy, in children diagnosed with Cerebral Palsy. Using the International Classification of Functioning, Disability and Health, the investigators will try to evaluate the impact of the intervention in aspects related with structure, activity, and participation.This project will mainly focus on the structure dimension. More specifically, the investigators aim to observe if a treatment protocol designed to modify the structure (e.g.,the sciatic nerve using neural mobilization techniques), will evoke changes not only in the structural dimension, but also will be able to modify the activity and participation dimensions.

Design: A single blinded randomized clinical trial (the evaluator will remain blinded to treatment allocation group) will be conducted. The experimental group will receive an intervention consisting on the use of neurodynamic mobilization procedures of the lower limb and participants in the control group will undergo a conventional physical therapy intervention (stretching, mobilization), without the use of neural mobilization. Subjects: Participants will be aged between 5 and 18 years, and with a confirmed diagnosed of Cerebral Palsy with the presence of spasticity in the lower limbs.

Methods: Participants will be randomly allocated into two groups: experimental or control group. The primary outcome will be the range of motion (flexion and extension) of the hip, knee and ankle. Secondary outcomes will include gross motor function, pain intensity, muscle stiffness, muscle tension, and functional measures.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 5
Maximum Age: 18
Healthy Volunteers: f
View:

• Children and adolescents diagnosed with Cerebral Palsy or presence of spasticity and aged between 5 and 18 years.

• Level I to V in the Gross Motor Function Classification System, which denotes that the participant should be able to walk with or without using assistive devices.

• Increased muscle tone in the lower extremities, represented by a score greater than 0 on the Tardieu clinical scale and a positive response in the Duncan Ely test.

• Ability to communicate pain.

• Ability to follow simple commands.

Locations
Other Locations
Spain
Centro de Atencion Infantil Temprana (CAIT), Universidad de Cordoba
RECRUITING
Córdoba
University of Sevilla
RECRUITING
Seville
Contact Information
Primary
Ramon Gonzalez Matilla, MSc.
ramongonzalezfisioterapia@gmail.com
0034 954486507
Backup
Alberto M. Heredia Rizo, PhD
amheredia@us.es
0034 954486507
Time Frame
Start Date: 2024-07-10
Estimated Completion Date: 2025-06-15
Participants
Target number of participants: 42
Treatments
Experimental: Neural mobilization of the lower limb
Several neural mobilization techniques will be performed for the lower limb, with a special focus on the sciatic nerve. First, three different passive techniques will be used. These will consist of two sets of ten repetitions each with one minute rest between sets. This will last approximately 5 minutes. Then, three dynamic neural mobilization techniques will be performed, with each exercise lasting for 5 minutes per set, including two different sets (one minute rest between them), with a total of 10 minutes of mobilization and one minute of rest per exercise. Therefore the complete approach will last for 30 minutes approximately. Following this set of dynamic neural mobilization exercises, static neural mobilizations of the sciatic nerve will be performed again following the same order and duration than in the beginning.
Active_comparator: Conventional physiotherapy treatment
A conventional treatment will be performed, consisting of passive and active mobilizations, active stretching, and techniques aimed at improving daily life activities
Related Therapeutic Areas
Sponsors
Leads: University of Seville
Collaborators: Instituto de Biomedicina (IBiS) de Sevilla

This content was sourced from clinicaltrials.gov