The Efficacy of Fascial Manipulation Compared to Stretching in the Rehabilitation of Children With Cerebral Palsy

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The purpose of the study is to investigate the potential additional benefits of a relatively new physiotherapy method, fascial manipulation, in the rehabilitation of movement difficulties or other problems caused by CP (cerebral palsy). A physiotherapist specialized in fascial manipulation specifically treats the muscle fascia, which plays a central role in the problems associated with CP. Fascial manipulation feels just like a massage but does not hurt. The purpose of the study is to determine how physiotherapeutic rehabilitation methods should be further developed in Finland and elsewhere. Fascial manipulation was originally developed in Italy and is used to treat many musculoskeletal problems. There have been few studies on the effectiveness of fascial manipulation in the context of CP problems. It is important to obtain more research evidence, which is why conducting this study is crucial.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 7
Maximum Age: 14
Healthy Volunteers: f
View:

• Age 7-14 years

• GMFCS level 2-3

• Good cooperation

• Family living in the Helsinki metropolitan area

Locations
Other Locations
Finland
Helsinki University Hospital
RECRUITING
Helsinki
Contact Information
Primary
Juha-Pekka Kulmala, PhD
juha-pekka.kulmala@hus.fi
+358404863595
Time Frame
Start Date: 2024-10-04
Estimated Completion Date: 2027-12-31
Participants
Target number of participants: 20
Treatments
Active_comparator: Fascial manipulation
In fascia manipulation (FM), the treatment targets the deep fascia related to muscles, including the aponeurotic and epimysial fascia. Treatment points are selected based on a thorough assessment, including the client's history, movement tests and analysis, and palpation tests. Fascia manipulation treatment affects the hyaluronan and viscosity of the muscle fascia. In the treatment of spasticity, the treatment points are in the body parts involved in spastic movement patterns. In this study, fascia manipulation is performed once a week, and the therapist provides instructions for self-exercises to the child with CP.~The child's own physiotherapy continues at the same time.
Active_comparator: Stretching
The stretches are based on the article published 2024 at University of Jyväskylä. Four sets of 45-second manual passive-static guided stretches to the pain threshold are performed for the ankle extensors, hip flexors, hip adductors, and knee flexors.
Related Therapeutic Areas
Sponsors
Leads: Orton Orthopaedic Hospital

This content was sourced from clinicaltrials.gov