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| Name | Class |
|---|---|
| Gulhane Training and Research Hospital | OTHER_GOV |
| Ankara Eğitim ve Araştırma Hastanesi | UNKNOWN |
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The effects of different physiotherapy programs on children with cerebral palsy who have been received botulinum toxin injection and serial casting application will be determined.
CP children who underwent botulinum toxin injection to medial gastrocnemius muscle and serial casting application in last two months will be included in the study. The effects of traditional physiotherapy and downhill backward treadmill training plus to traditional physiotherapy on muscle morphology, activity, walking, quality of life and selectivity will be determined.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Active Comparator | Children in this group will take routine physiotherapy (stretching, strengthening) program during 6 weeks. 3 days/week. |
|
| intervention group | Active Comparator | Children in this group will take routine physiotherapy (stretching, strengthening) program + backward downhill walking (10 minutes in a day) during 6 weeks. 3 days/week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| backward downhill walking | Procedure | Children in the intervention group will take backward downhill walking program plus to routine physiotherapy. |
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| Measure | Description | Time Frame |
|---|---|---|
| Muscle morphology | Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements | Before the intervention |
| Muscle morphology | Muscle thickness, cross sectional area, fiber length, pennation angle will be recorded by ultrasonographic measurements | After six weeks intervention |
| Vascularization | Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements | Before the the intervention |
| Vascularization | Muscle vascularization will be recorded by Suberb Microvascular Imaging (SMI) method via ultrasonographic measurements | After six weeks intervention |
| Muscle strenght | Will be measured by manual muscle tester | Before the intervention |
| Muscle strenght | Will be measured by manual muscle tester | After six weeks intervention |
| Range of motion | Will be measured with goniometer | Before the intervention. |
| Range of motion | Will be measured with goniometer |
| Measure | Description | Time Frame |
|---|---|---|
| Demographic data | Face-to-face interview with family. Will be recorded in data registration form | Before the intervention |
| Demographic data | Face-to-face interview with family. Will be recorded in data registration form |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pelin Atalan | Izmir | Bornova | 35050 | Turkey (Türkiye) |
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| 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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2 groups of children with Cerebral palsy are going to be involved at the same time. One of the groups will be enrolled in the routine physiotherapy intervention. The other group will be enrolled to the routine physiotherapy intervention + backward downhill walking.
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| routine physiotherapy | Procedure | Children in one of the groups will take routine physiotherapy programme |
|
| After six weeks intervention |
| Edinburgh visual gait analysis | Gait will be recorded as video and this video will be scored | Before the intervention |
| Edinburgh visual gait analysis | Gait will be recorded as video and this video will be scored | After six weeks intervention |
| Modified Tardieu Scale | Lower extremity spasticity will be mesured with this scale. Higher scores mean more intensive spasticity | Before the intervention |
| Modified Tardieu Scale | Lower extremity spasticity will be mesured with this scale. Higher scores mean more intensive spasticity | After six weeks intervention |
| After six weeks intervention |
| Child Health Questionnare (Parent form) | Quality of life will be measured by this questionnare | Before the intervention |
| Child Health Questionnare (Parent form) | Quality of life will be measured by this questionnare | After six weeks intervention |
| Children Functional Independence Measurement Scale | Functional Independency will be measured by this scale. Higher scores mean better independence. | Before the intervention |
| Children Functional Independence Measurement Scale | Functional Independency will be measured by this scale. Higher scores mean better independence. | After six weeks intervention |
| Lower extremity selective control measurement | Selective movement will be measured with this scale. Higher scores mean better selective control. | Before the intervention |
| Lower extremity selective control measurement | Selective movement will be measured with this scale. Higher scores mean better selective control. | After six weeks intervention |