Effects Of Dry Needling On Mobility Among Children With Cerebral Palsy
Key facts
- Who runs it
- Riphah International University
- Where
- Pakistan1 site in 1 countryChoose a country to see its sites
- Trial code
- Status
- Completed
- People taking part
- 38 people enrolled
- Started
- 24 Sept 2024
- Ended
- 1 Jan 2025
- Type of study
- Interventional, 2 groups
- Treatments tested
- Dry Needling
- Cerebral Palsy conventional Treatment
- Record updated
- 13 January 2025
Who can take part
- Age
- 6 years to 12 years
- Sex
- Women and men
- Healthy volunteers
- Cannot take part
The registry criteria, word for word
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Who can take part
- Age: 6 to 12 years old
- Walking ability at Gross Motor Function Classification System levels I to II
- Modified Modified Ashworth Scale (MAS) score higher than equal to 1 (score up to 2)
- Ability to understand and execute orders
- No ongoing rehabilitation intervention
Who cannot take part
- Recent introduction of a new intervention in addition to previous treatments
- Previous administration of BTX-A injection within the last 6 months
- Presence of bleeding disorders or skin conditions
- History of seizures within the past six months
- Skin sensitivity issues
- Presence of
- contraindications to dry needling
- Lack of consent to participate in the study
This trial has no sites in United States.
It has sites in one country. Choose a country to see its sites.
About the trial
What the trial wants to find out
This study explores the potential of dry needling as a treatment for spasticity in the foot among children with cerebral palsy (CP). Dry needling involves inserting fine needles into specific trigger points or tight muscles without injecting any substances, aiming to relieve pain, improve muscle function, and promote tissue healing. In CP-related foot spasticity, dry needling may target hypertonic muscles, inducing a local twitch response that helps release muscle tension, reduce spasticity, and enhance overall muscle function. The technique may also stimulate sensory nerves and trigger the release of endorphins, contributing to pain relief and muscle relaxation.
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While dry needling has shown effectiveness in reducing spasticity and improving muscle function in adults with conditions such as post-stroke, there is limited research on its benefits for children with CP. This randomized controlled trial aims to address this gap by evaluating the impact of dry needling on spasticity, range of motion, and functional mobility in children with CP.
The 2 groups in the trial
- Dry Needling GroupTreatment being tested
Group A will receive Dry Needling Therapy (DNT) along with routine physical therapy. Each session includes a 5-minute warm-up, stretching, and strengthening exercises. Hamstring stretches will be done with the child supine, one leg flat, and the opposite hip flexed to 90°. Active knee extension will be held for 5 seconds, followed by a 40-second assisted stretch, repeated five times. If a short psoas is detected, psoas stretching will be done prone, with assisted hip extension for 5 seconds and a 40-second hold, repeated five times. Strengthening exercises, including squats, heel rises, and step-ups with a loaded backpack, will target the lower extremities. The program lasts one month with three sessions per week, gradually increasing in intensity. Dry Needling (DN) uses 0.30 × 50 mm needles, applying the fast-in, fast-out technique for 1 minute per muscle. DN is done once per week for 10 weeks, with at least 48 hours between treatments.
Treatment: Dry Needling
- Conventional Therapy GroupOther group
Sessions will include a 5-minute warm-up, stretching, and strengthening exercises. Hamstring stretches will be done with the child supine, one leg flat, and the opposite hip flexed to 90°. Active knee extension will be held for 5 seconds, followed by a 40-second assisted stretch, repeated five times. If a short psoas is detected, a prone psoas stretch will involve assisted hip extension for 5 seconds, followed by a 40-second hold, repeated five times. Strengthening exercises like squats, heel raises, and step-ups with a loaded backpack will target the lower extremities. The program will last one month, with three weekly sessions focusing on hamstring stretches and progressive resistance exercises.
Treatment: Cerebral Palsy conventional Treatment
Data and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- Effects of Dry Needling on Spasticity, Range of Motion, and Functional Mobility Among Children With Cerebral Palsy
- Record updated
- 13 January 2025