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| ID | Type | Description | Link |
|---|---|---|---|
| ID-RCB | Other Identifier | 2018-A00709-46 |
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protocol with too many constraints. long protocol
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Children with cerebral palsy present early in the childhood altered muscular properties, as soon as structural or stiffness. In the gastrocnemius muscle, altered muscular properties are characterized by short muscle belly length and increased stiffness which contribute to contracture and limiting joint range of motion.
This study assess efficacy of a long term stretching program of plantarflexors muscle on their viscoelasticity properties and maximal dorsiflexion angle gain. Stretching program is characterized by 3 phases: baseline, intervention and follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Children with spastic cerebral palsy | Experimental | Children with spastic cerebral palsy will be included. They will have 3 phases:
The evaluation part will be composed of isokinetic dynamometer with ultrasound and Visual Analog Scale (VAS). The number of evaluations at baseline and follow-up will be randomized before the study by Single Case Experimental Design (SCED) methodology. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| isokinetic dynamometer with ultrasound | Diagnostic Test | children are lying prone on a isokinetic dynamometer with ultrasound which stretches spastic and paretic plantarflexors muscles very slowly until maximal torque tolerated. The parameters can be measured. |
| Measure | Description | Time Frame |
|---|---|---|
| slope of the torque-angle curve | Analysis of the slope of the torque-angle curve in Nm/°. It is measured by isokinetic dynamometer with ultrasound. | up to 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal dorsiflexion angle | Analysis of the maximal dorsiflexion angle in degrees. It is measured by isokinetic dynamometer with ultrasound. | up to 12 weeks |
| Slope of the torque- MyoTendinous Junction (MTJ) displacement |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Vincent GAUTHERON, PhD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Saint-Etienne | Saint-Etienne | France |
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The methodology used is : Single Case Experimental Design (SCED).
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| Visual Analog Scale (VAS) | Other | the discomfort level will be measured by Visual Analog Scale (VAS) completed by children. 0 = no discomfort and 10 = maximum discomfort |
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| Stretching | Diagnostic Test | the ankle of children will be mobilized for 5 minutes (first two weeks) to 10 minutes (last two weeks). |
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Analysis of the Slope of the torque- MyoTendinous Junction (MTJ) displacement in cm/°.
It is measured by isokinetic dynamometer with ultrasound.
| up to 12 weeks |
| MyoTendinous Junction (MTJ) displacement of muscle triceps sural | Analysis of the MyoTendinous Junction (MTJ) displacement of muscle triceps sural in cm. It is measured by isokinetic dynamometer with ultrasound. | up to 12 weeks |
| muscle triceps sural, muscle body of the medial gastrocnemius muscle and Achilles tendon | Correlation of the length of Musculo-Tendinous Unit (MTU) of muscle triceps sural, muscle body of the medial gastrocnemius muscle and Achilles tendon. It is measured by isokinetic dynamometer with ultrasound. | up to 12 weeks |
| discomfort level | Analysis of the discomfort level. It is measured by Visual Analog Scale (VAS) completed by children. 0 = no discomfort and 10 = maximum discomfort | up to 12 weeks |
| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| D052580 | Muscle Stretching Exercises |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D005081 | Exercise Therapy |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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