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IRCT20210805052088N1 IRCT 2021-08-15 The University of Faisalabad comparison between Rood inhibitory approach and Bobath Reflex inhibiting pattern to improve Gross motor function and reduce spasticity in hemiplegic children of encephalitis comparison between Rood inhibitory approach and Bobath Reflex inhibiting pattern to improve Gross motor function and reduce spasticity in hemiplegic children of encephalitis 2021-06-15 anticipated 30 Complete https://irct.ir/trial/57957 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Randomized clinical design, Randomization description: Non-probability purposive sampling technique will be utilized to collect sample and the sample will be allocated to treatment group 1 and 2 by using lottery method.Screening of population will be done by using, selected inclusion and exclusion criteria.Lottery method basically is a chit and draw method during allocation make the chits and than said the patients that please collect any one chit than enrolled the patient in respective group.In a chit-pull system, a number of chits is first placed in a container (often a bag or cup). ... In the course of the game, chits are drawn randomly out of this container, triggering certain game effects. This is essentially just another way of producing random results.Patients who met the eligibility criteria will be enrolled in the study.During randomization patients fully blinded than allocate the patients into treatment group 1(Rood inhibitory approach) and treatment group 2(Bobath reflex inhibiting pattern), Blinding description: Patients will be kept blind through allocation concealment to treatment groups.Patients will be unaware of their respective group treatment plans.Patients who met the eligibility criteria will be enrolled in the study.During randomization patients fully blinded than allocate the patients into treatment group 1(Rood inhibitory approach) and treatment group 2(Bobath reflex inhibiting pattern).Basically blinding in research prevent biasness in the study.Patients will be fully unknown about the allocation procedure because used lottery method for allocation of the patients. 3 Encephalitis is defined as inflamation of brain caused by any viral and bacterial infection but in different researches cause of encephalitis is unknown due to encephalitis patients present with the symptoms of fever,vomiting,headach,spasticity,muscle weakness etc.. Intervention 1: Intervention group 1:Rood Inhibitory Approach will be receive of group 1 in alternatives days for 4 month duration after the approval of synopsis.•After allocation to treatment Group A and B, level of spasticity will be recorded using modified Ashworth Scale.•GMFM-88 and GMFM-66 scale will also be used to record the improvement of Gross Motor Functional Movements.•Measurement will also be recorded pretreatment.•First reading will be taken on baseline before treatment session•Each reading was taken after the treatment session of 15 days •Data will be collected before treatment and after 2, 4 and 6 weeks of intervention.•Infrared: On baseline for 15 min.•Rood (Inhibitory): Group 1 will be receiving Rolling, Shaking, Slow joint compression, Maintain stretch for 30 mints in alternative days. .Rood inhibitory approach basically is generally accepted.This approach is used to homogenize the muscle tone,correcting the body postures,positioning and improve gross motor functions. Basically its a stretching and specialized method of handling. Intervention 2: Intervention group 2: Bobath reflex inhibiting patterns technique will be apply in group 2 patients in alternatives days for 4 month duration after the approval of synopsis.•After allocation to treatment Group A and B, level of spasticity will recorded using modified Ashworth Scale.•GMFM-88 and GMFM-66 scale will also be used to record the improvement of Gross Motor Functional Movements.•Measurement will also be recorded pretreatment.•First reading will taken on baseline before treatment session•Each reading will taken after the treatment session of 15 days• Data will be collected before treatment and after 2, 4 and 6 weeks of intervention.Group 2 will be received infrared on baseline for 15 minutes and bobath reflex inhibiting pattern in which traction and light joint compression will be receive for 30 minutes in alternative days. Bobath reflex inhibiting pattern and posture also called tone influencing pattern and postures includes spasticity inhibiting position and postures so the person can move his body parts by his/her on wil. This make the person independent in his daily activities.When the stimulation is given in inhibitory postures than the chance in increase spasticity decrease rapidly. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It will be decided later on as per the advice of supervisor and the requirements of the journal in which the article will be sent for publication
public Noor-ul-ain
Kamalia Road banglaw chowk mamunkanjan faisalabad
Faisalabad Pakistan 38000 +92 41 8502460 noorulainjerry@yahoo.com The University of Faisalabad scientific Noor-ul-ain
Kamalia road banglaw chowk mamunkanjan faisalabad
Faisalabad Pakistan 38000 +92 41 8502460 noorulainjerry@yahoo.com The University of Faisalabad Pakistan Pakistan Both gender Hemiplegic Spastic Encephalitis Children Age should be between 2 year to 15 years Spasticity of grade 1 to 3 through Modified Ashworth Scale Written Informed Consent. Chronic Encephalitis children 5 years 15 years Both Spasticity because of any other disease e.g. CP and stroke etc Children having fits and tremors and any red flag sign Children taking any other physical therapy treatment during this study Severe Mental Retardation, Contractures, Decrease Tone Tumor, fractures and any other severe infections Red flag signs that may indicate cauda equina syndrome, such as bladder and bowel Dysfunction and saddle anesthesia History of spinal surgery G04.90 Encephalitis and encephalomyelitis, unspecified Rehabilitation Rehabilitation Intervention group 1:Rood Inhibitory Approach will be receive of group 1 in alternatives days for 4 month duration after the approval of synopsis.•After allocation to treatment Group A and B, level of spasticity will be recorded using modified Ashworth Scale.•GMFM-88 and GMFM-66 scale will also be used to record the improvement of Gross Motor Functional Movements.•Measurement will also be recorded pretreatment.•First reading will be taken on baseline before treatment session•Each reading was taken after the treatment session of 15 days •Data will be collected before treatment and after 2, 4 and 6 weeks of intervention.•Infrared: On baseline for 15 min.•Rood (Inhibitory): Group 1 will be receiving Rolling, Shaking, Slow joint compression, Maintain stretch for 30 mints in alternative days. .Rood inhibitory approach basically is generally accepted.This approach is used to homogenize the muscle tone,correcting the body postures,positioning and improve gross motor functions. Basically its a stretching and specialized method of handling. Intervention group 2: Bobath reflex inhibiting patterns technique will be apply in group 2 patients in alternatives days for 4 month duration after the approval of synopsis.•After allocation to treatment Group A and B, level of spasticity will recorded using modified Ashworth Scale.•GMFM-88 and GMFM-66 scale will also be used to record the improvement of Gross Motor Functional Movements.•Measurement will also be recorded pretreatment.•First reading will taken on baseline before treatment session•Each reading will taken after the treatment session of 15 days• Data will be collected before treatment and after 2, 4 and 6 weeks of intervention.Group 2 will be received infrared on baseline for 15 minutes and bobath reflex inhibiting pattern in which traction and light joint compression will be receive for 30 minutes in alternative days. Bobath reflex inhibiting pattern and posture also called tone influencing pattern and postures includes spasticity inhibiting position and postures so the person can move his body parts by his/her on wil. This make the person independent in his daily activities.When the stimulation is given in inhibitory postures than the chance in increase spasticity decrease rapidly. Gross motor functional scale will use to measure the Gross motor functions and it is a primary outcome measure scale. Timepoint: two times reading will be measure before treatment and after the treatment session in last follow up. Method of measurement: Gross motor functional scale will be utilized to asses the gross motor functional movements. Secondary outcome measure of this study will be Modified Ashworth scale.Modified ashworth scale will be used to measure the spasticity. Timepoint: Reading will be measure before treatment session and after 1st follow up,2nd follow up,3rd follow up,4th follow up and in last follow up each reading will be taken after 15 days of treatment in alternative days. Method of measurement: Modified Ashworth scale will be used to measure the spasticity. Self Financed Approved 2021-05-17 Ethical committee of the university of faisalabad Sargodha Rd,University Town,Faisalabad,Punjab 38000 Faisalabad punjab Pakistan