Ignite Creation Date:
2024-10-26 @ 3:35 PM
Last Modification Date:
2024-10-26 @ 3:35 PM
Study NCT ID:
NCT06504550
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-06-11
Brief Title:
Comparison Between Schroth and Klapp Method in CP Children With Scoliosis
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Comparison Between Schroth AND Klapp Method On Postural Stability AND Trunk Rotation Angle In CP Children With Scoliosis
Status:
COMPLETED
Status Verified Date:
2024-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Cerebral palsy which occurs in two to three out of 1000 live births has multiple etiologies resulting in brain injury that affects movement posture and balance Approximately one-third of children with CP are non-ambulant and subsequently spend prolonged periods of time in sitting or lying Non-ambulatory patients with cerebral palsy CP bear a high risk of developing simultaneous progressive scoliotic spine deformities loss of sitting balance and hip subluxationdislocationTreatments for the Spinal deformities associated with cerebral palsy are Schroth method It is a scoliosis-specific exercise approach that uses postural scoliosis-specific sensorimotor exercises While another treatment approach Klapp method aimed to stretch and strengthen muscles by all fours positions easily applied and that can be used in small groups
A Randomized clinical trial will be conducted through convenient sampling Inclusion criteria of this study is age between 8 to 12 years of either gender with GMFCS level I and II and Trunk rotation angle ATR 4 degree who are able to understand and follow verbal instructions Those patients who has been prescribed brace treatment has scheduled or undergone any corrective surgical treatment of the spine before or during data collection process will be excluded Patients who are unable to participate or are reluctant to receive treatment are excluded Study will be conducted on 22 patients who will be randomly allocated into two groups One group will receive Schroth exercises It consists of passive and active postural auto-correction exercises done repeatedly and based on kinesthetic and sensorimotor principles While the other group with Klapp method includes stretching and strengthening muscles by all fours positions Bunnells scoliometer Adams forward bend test and Posture and postural ability scale PPAS will be used as outcome measure
A Randomized clinical trial will be conducted through convenient sampling Inclusion criteria of this study is age between 8 to 12 years of either gender with GMFCS level I and II and Trunk rotation angle ATR 4 degree who are able to understand and follow verbal instructions Those patients who has been prescribed brace treatment has scheduled or undergone any corrective surgical treatment of the spine before or during data collection process will be excluded Patients who are unable to participate or are reluctant to receive treatment are excluded Study will be conducted on 22 patients who will be randomly allocated into two groups One group will receive Schroth exercises It consists of passive and active postural auto-correction exercises done repeatedly and based on kinesthetic and sensorimotor principles While the other group with Klapp method includes stretching and strengthening muscles by all fours positions Bunnells scoliometer Adams forward bend test and Posture and postural ability scale PPAS will be used as outcome measure
Detailed Description:
Group A is Schroth Group SG The patients in the Schroth exercise group will start their exercise program under physiotherapist supervision Exercise treatment program will consist of 18 sessions 30 minutes each session three times a week for 6 weeks Schroth exercises will be performed in an asymmetric position to maximize correction to achieve trunk symmetry These exercises include spinal elongation de-rotation de-flexion stretching strengthening and rotational breathing exercises to maintain vertebral alignment The participants will be asked to combine these exercises with their daily living activities ADLs During the Schroth exercises rice bags foam blocks a stool and long sticks will be used to adjust the posture and give passive support Exercises are progressed from lying sitting or standing positions and from most to least passive support per a review of the quality of the performance Decreasing the amount or degree of passive support changing the patients position and adjusting the sets and repetitions of exercises will depend on the patients improvement in exercise performance Group B is Klapp group KGThe patients in the Klapp exercise group will be treated with supervised klapp exercises Exercise treatment program will consist of 18 sessions 30 minutes each session three times a week for 6 weeks In each session a sequence of 8 postures of Klapp Exercises will be carried out Each posture will be maintained for 4-5 minutes with rest breaks when needed Positions that will be held are 1 Lateral crawl 2 Horizontal sliding 3 Crawl posture near the ground 4 Bunny hopping 5 Arm turn 6 Big arch 7 Lateral crawl near the ground 8 Big curve
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None