The Effects of Continuous Passive Motion on Hypertonia of Soleus in Individuals With Cerebral Palsy
Cerebral palsy (CP) is a group of disorders of the development of movement and posture but often changing motor impairment syndromes. The spastic subtypes are the most common manifestations of cerebral palsy who perform movement difficultly due to hypertonia. Decease of spinal cord pathway, hyperactivity of alpha and gamma motoneuron and reduction of presynaptic inhibition may cause tendon reflex increase and hypertonia in individuals with CP. There are many ways to improve the hypertonia. In the past studies, the fast repeated range of motion could reduce muscle's activation effectively. The polyarticular movement training might increase joint range of motion and reduce the muscle activation. But the polyarticular movement training is difficulty for some individuals with CP. The single joint movement training may achieve the same effect as the polyarticular movement training. The purpose of this study was to investigate the effects of continuation passive range of motion (CPM) training whether could get the improvement of soleus hypertonia in individuals with CP.
|Study Design:||Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
- Muscle tone tests [ Time Frame: Baseline, 1, and 4 months. ] [ Designated as safety issue: No ]Measure of changes in Hypertonia measured by Modified Ashworth Scale (MAS).
- Ankle range of motion [ Time Frame: Baseline, 1, and 4 months. ] [ Designated as safety issue: No ]Measure of changes in Ankle range of motion.
- Hoffman reflex (H-reflex) [ Time Frame: Baseline, 1, and 4 months. ] [ Designated as safety issue: No ]Measure of changes in Hoffman reflex (H-reflex).
- Leg girth [ Time Frame: Baseline,1 ,and 4 mouths. ] [ Designated as safety issue: No ]
|Study Start Date:||April 2011|
|Study Completion Date:||April 2013|
|Primary Completion Date:||April 2013 (Final data collection date for primary outcome measure)|
Experimental: Spastic CP
continuous passive motion training
Procedure: Ankle continuous passive motion machine.
A rehabilitation program of machine driven passive stretch.