Endermotherapy for Children With Developmental Disabilities
Children with developmental disabilities often sustain decreased range of motion in their extremities. The decrease in flexibility may be due to neuromuscular disorders such as spasticity or dystonia. Other causes may be imbalance in muscle strength surrounding a joint, leading to inappropriate habitual posture. Over time, muscle contracture may result for those muscle groups that are placed in a shortened position for an extended period of time. The most common site of muscle contractures among these children are gastrocnemius/soleus (lower limbs), and latissimus dorsi muscles (upper limbs). Muscle contractures can lead to further decline in functional abilities. Therefore, it is important to identify effective intervention strategies to enhance or maintain muscle flexibility in children with developmental dysfunctions.
Commercially available endermotherapy device has been used to soften scar tissue following burn injuries. The mechanical stimulation applied may also have beneficial effects on relaxing the muscle tissue. The overall aim of the proposed study is to determine whether endermotherapy treatment has immediate effect in improving joint range of motion among children with developmental disabilities.
The research hypothesis is that children in the endermotherapy group will have significantly more gain in ankle passive range of motion than those in the control group.
|Cerebral Palsy Developmental Delay||Procedure: Endermotherapy Procedure: Passive manual stretching||Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Effect of Endermotherapy on Passive Ankle Range of Motion in Children With Developmental Disabilities|
- Ankle Passive Range of Motion [ Time Frame: day 1 before treatment ]The ankle passive range of motion will be measured by a Myrin goniometer.
- Ankle Passive Range of Motion [ Time Frame: day 4 before treatment ]Ankle passive range of motion at day 4 before the crossover treatment
- Ankle Passive Range of Motion [ Time Frame: Day 1 after treatment ]Ankle dorsiflexion passive range of motion
- Ankle Passive Range of Motion [ Time Frame: Day 4 after treatment ]Ankle passive range of motion on day 4 after the crossover treatment
|Study Start Date:||February 2010|
|Study Completion Date:||May 2011|
|Primary Completion Date:||May 2011 (Final data collection date for primary outcome measure)|
The subjects in the experimental group will receive a single session (5 minutes) of endermotherapy) applied to the gastrocnemius/soleus muscle group in the more affected side. The treatment will b e carried out by a qualified physiotherapist.
The subjects will receive a single session of endermotherapy applied to the gastrocnemius/soleus muscle on the more affected side for 5 minutes. The treatment will be conducted by a qualified physiotherapist.
Active Comparator: Passive stretching
The subjects in this group will receive a single session of passive stretching of the gastrocnemius/soleus muscle for 5 minutes.
Procedure: Passive manual stretching
The subjects will receive a single session of passive manual stretching of the gastrocnemius/soleus muscle on the more affected side. The treatment will be given by a qualified physiotherapist.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01207570
|Heep Hong Society|
|Hong Kong, Hong Kong|
|Principal Investigator:||Marco Y P, PhD||The Hong Kong Polytechnic University|