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临床试验 NCT06658236 针对脑瘫目前招募中。请查看临床试验雷达卡片视图和 AI 发现工具了解所有详情，或在此提出任何问题。 | ||
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里法国际大学Upper Extremity Proprioceptive Neuromuscular Facilitation and Chest Expansion Exercises in Cerebral Palsy 16 生活方式 运动
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临床试验NCT06658236是一项针对脑瘫的干预性研究试验，目前试验状态为招募中。试验始于2024年9月26日，计划招募16名患者。该研究由里法国际大学主导，预计于2025年1月1日完成。试验数据来源于ClinicalTrials.gov，最后更新时间为2024年11月5日。
简要概括
Thoracic mobility is the mobility of the thoracic spine, and the rib cage is often measured by the degree of thorax expansion during breathing. Thoracic mobility is affected by many reasons, such as breathing mechanics, muscle stiffness, a sedentary lifestyle, and poor posture. The risk of respiratory illness should be assessed in all individuals with Cerebral palsy. Poor mobility of the thoracic will lead to limited...显示更多
详细描述
The current study will be a randomized control trial; data will be collected from the Lahore Garrison Institute of Special Education. The study will include 14 patients who are equally divided into two groups and randomly allocated. Inclusion criteria for the study will be either gender of CP patients at Gross Motor Function Classification System level I to III, who had no orthopedic surgery in the last 6 months and ...显示更多
官方标题
Comparative Effects of Upper Extremity Proprioceptive Neuromuscular Facilitation and Chest Expansion Exercises on Thoracic Mobility in Children With Cerebral Palsy
疾病
脑瘫其他研究标识符
- REC/RCR/AHS/24/Naima Khalid
NCT编号
实际开始日期
2024-09-26
最近更新发布
2024-11-05
预计完成日期
2025-01-01
计划入组人数
16
研究类型
干预性研究
试验分期 (阶段)
不适用
试验状态
招募中
关键词
chest cirtometry
Cerebral palsy
thoracic mobility
PNF of upper extremity
chest expansion
BPAT
Cerebral palsy
thoracic mobility
PNF of upper extremity
chest expansion
BPAT
主要目的
治疗方法
分配方式
随机
干预模型
平行
盲法
单盲
试验组/干预措施
| 参与者组/试验组 | 干预措施/治疗方法 |
|---|---|
实验性Proprioceptive Neuromuscular Facilitation Group Group A will perform PNF exercises using a yellow Thera-Band with a flexion-abduction-external rotation pattern, followed by extension-adduction-internal rotation, all with the elbow extended. The protocol includes three sets of 10 reps, with 60-second rest intervals conducted thrice a week for 12 weeks. | 本体感觉神经肌肉促进 Group A will follow a PNF-based training protocol to enhance strength, flexibility, and coordination. The exercises include two main movement patterns: flexion-abduction-external rotation with the elbow extended and extension-adduction-internal rotation with the elbow extended. These patterns target the muscles around the shoulder and upper chest. A yellow Thera-Band adds light resistance, increasing muscle engagemen...显示更多 |
实验性Chest Expansion Exercise Group Group B was instructed to 1) breathe normally at rest; 2) perform upper extremity flexion, abduction, and external rotation with inhalation, followed by extension, adduction, and internal rotation with exhalation using a yellow Thera-Band. Subjects completed three sets of 10 repetitions with a 1-minute rest between sets thrice a week for 12 weeks. | Chest Expansion Exercises Group B participants followed a breathing-coordinated exercise protocol using a yellow Thera-Band to improve upper extremity function. The protocol began with subjects breathing generally at rest. They were then instructed to synchronize their movements with their breathing: performing upper extremity flexion, abduction, and external rotation during inhalation, followed by extension, adduction, and internal rotation ...显示更多 |
主要终点
次要终点
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
The Brompton BPAT (Breathing Pattern Assessment Tool) | The BPAT (Breathing Pattern Assessment Tool) is a structured method for recording data collected during a respiratory physiotherapy assessment. It evaluates several components: (i) chest and abdominal wall movement, (ii) the sound of inspiratory flow, (iii) the sound of expiratory flow, (iv) the pathway of inspiration and expiration, (v) signs of air hunger (such as yawning, sighing, and deeper breaths), (vi) respiratory rate (RR), and (vii) breathing rhythm. Each component is scored from 0 to 2, where 0 represents normal function, and 2 indicates severe Dysfunctional Breathing, resulting in a total score ranging from 0 to 14. The BPAT is completed with the patient seated comfortably in a supported chair for at least 5 minutes, with data collection taking approximately 1 minute. A BPAT score of 4 or higher has been validated as a threshold for diagnosing Breathing Pattern Disorder, with ROC analysis showing an AUC of 0.938 (0.885-0.991), 95% sensitivity, and 78% specificity. | The BPAT is completed with the patient seated comfortably in a supported chair for at least 5 minutes, with data collection taking approximately 1 minute. |
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
Measuring tape for measuring chest expansion | Chest mobility will be assessed using a non-stretch measuring tape placed at the level of the xiphoid process, measuring both at rest and during maximal inhalation and exhalation. Interclass correlation coefficients for chest expansion measurements using the tape have been reported to range from 0.95 to 0.97, indicating high reliability. | The test for measuring chest mobility using a non-stretch measuring tape typically takes about 5 to 10 minutes. |
Pediatric Sleep Questionnaire | The scale consists of 22 symptom items that assess various aspects of pediatric Obstructive Sleep Apnea (OSA), including the frequency of snoring, loud snoring, observed apneas, difficulty breathing during sleep, daytime sleepiness, and behaviours such as inattention or hyperactivity. It has demonstrated a sensitivity of 0.85 and a specificity of 0.87, indicating its effectiveness in identifying children at risk for OSA. | The test for assessing pediatric Obstructive Sleep Apnea using the symptom scale typically takes about 10 to 15 minutes to complete. This duration includes the time required for the caregiver or parent to respond to the 22 symptom items and any necessary |
参与助手
资格标准
适龄参与研究
儿童, 成人, 老年人
适龄性别
全部
- Gross Motor Function Classification System level of I to III.
- BPAT score ≥ 4.
- Either gender will be included
- Recent chest infection.
- Children who are hospitalized
- Scoliosis
- No orthopedic surgery in last 6 months
里法国际大学416 个活跃的临床试验可供探索研究中心联系人
联系人: Imran Amjad, PhD, +9233224390125, [email protected]
联系人: Muhammad Asif Javed, MS, +923224209422, [email protected]
1 位于 1 个国家/地区的研究中心
Punjab Province
Riphah International University, Lahore, Punjab Province, 54700, Pakistan
Imran Amjad, PhD, 联系人, +9233224390125, [email protected]
Muhammad Asif Javed, MS, 联系人, +923224209422, [email protected]
Naima Ahmad Khalid, MS*, 主要研究者
Fareeha Kausar, MS, 分研究者
招募中