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CompletedNCT05912959Updated May 10, 2024

Photo Biostimulation and Spasticity in Cerebral Palsy

An interventional study of photo biostimulation in Cerebral Palsy and Cerebral Palsy, Spastic, sponsored by University of Hail. Completed at 1 site in Saudi Arabia. Open to participants aged 8 Years to 14 Years. Per ClinicalTrials.gov, last updated 2024-05-10.

Sponsored by University of Hail · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
8 Years to 14 Years
Sex
All
01

Study summary

the current study will address the spasticity in calf muscle secondary to cerebral palsy in children. As the spasticity can inversely affect muscle contraction, joint function, and consequently the function and quality of life, the current study will investigate the effect of adding photobiostimulation therapy to standard physiotherapy on muscle tone, ankle range of motion, gross motor function, plantar surface of the affected foot, and quality of life in patients with spastic cerebral palsy

Read the detailed description

spasticity is one of the common complications associated with upper motor neuron injuries such as cerebral palsy. it can affect the normal developmental process of the child as it restricts muscle performance, limit range of motion, decrease function, and affect the ability to engage in daily activities.

the current study will include 2 groups of children having spastic cerebral palsy. these groups will be randomly distributed to the experimental group (receive standard physiotherapy treatment plus photo biostimulation therapy on related acupuncture points) and the control group will receive a standard physiotherapy program.

the duration of the intervention will be 1 month, 3 sessions per week. the outcome measures will be assessed at baseline, at the end of the intervention ( after 4 weeks of treatment), and at 3 months follow-up.

02

Conditions studied

  • Cerebral Palsy
  • Cerebral Palsy, Spastic
03

In context

Muscle Spasticity

704 studies on the registry are indexed under Muscle Spasticity; 149 are open to participants now.

This study's enrollment of 54 is above the median of 36 across 525 interventional studies indexed under Muscle Spasticity.

Browse Muscle Spasticity studies →

Lead sponsor

University of Hail is the lead sponsor of 23 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • age between 8 and 14 years,
  • who had a diagnosis of spastic cerebral palsy by a pediatrician, with at least one spastic - muscle in the extremities,
  • grades 1 -4 on Gross Motor Function Classification System
  • score 1 on the Modified Ashworth Scale (MAS)
  • the ability to walk alone or with assistance
  • whose parents/guardians sign the informed consent form,
  • who were willing to complete the study.

Exclusion criteria

Exclusion Criteria:

  • patients with anatomical disorders,
  • patients who received a botulinum toxin injection in the calf muscle during the last six months
  • surgery in the lower extremity during the previous year
  • severe associated neurological diseases such as epilepsy
  • poor nutritional status,
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    photo biostimulation group

    * this group will receive a photo bio stimulation (LASER) session consisting of 3 sessions using the LASER device (VECTRA GENISYS, INTELLECT LEGEND XT, Chattanooga, USA). The following parameters will be used; Power output: 300 mv, Wavelength: 820 nm, Contact area: 0.495; Powr density: 0.606 mW/ cm2, Treatment time per point: 13 seconds, Number of points are three: (GB34, LR3, LIV 3). * in addition to the LASER, this group will receive a standard physiotherapy program designed by an experienced pediatric physical therapist

    Other: photo biostimulation

  • Active comparator
    standard physiotherapy group

    This group will receive a standard physiotherapy program designed by an experienced pediatric physical therapist

    Other: photo biostimulation

Interventions

  • Otherphoto biostimulation

    the intervention is a type of wavelength around 820 nm. this method of treatment is totally safe. yet, it has many therapeutic effects on the cellular level as well as tissue and organ level. during treatment with laser, the patient does not feel any specific sensation.

    Also known as: (Low Level Therapeutic LASER), LASER

06

What researchers measure

Primary outcomes

  1. Modified Ashworth scale for muscle tone assessment

    this scale is a simple clinical scale used to assess muscle tone ans spasticity level. it ranges from 1 to 4 where the lowest value indicate normal muscle tone and the largest value indicate high miscle tone

    Time frame: at baseline

  2. Modified Ashworth scale for muscle tone assessment

    this scale is a simple clinical scale used to assess muscle tone ans spasticity level. it ranges from 1 to 4 where the lowest value indicate normal muscle tone and the largest value indicate high miscle tone

    Time frame: after the end of the treatment (after 4 weeks)

  3. Modified Ashworth scale for muscle tone assessment

    this scale is a simple clinical scale used to assess muscle tone ans spasticity level. it ranges from 1 to 4 where the lowest value indicate normal muscle tone and the largest value indicate high miscle tone

    Time frame: at 4 weeks after the end of the treatment (follow-up)

  4. plantar surface area

    A footscan plantar pressure detection system will be used to determine the plantar support area and plantar pressure. This device consists of a force plate (FAS system 1.0 ACP Light, Buratto Advanced Technology, Treviso, Italy), with an active surface (47.5 × 43.0 cm) equipped with 2544 optical sensors distributed along the perimetrical border. it can assess the plantar surface area and the peak pressure in each part of the plantar surface

    Time frame: at baseline

  5. plantar surface area

    A footscan plantar pressure detection system will be used to determine the plantar support area and plantar pressure. This device consists of a force plate (FAS system 1.0 ACP Light, Buratto Advanced Technology, Treviso, Italy), with an active surface (47.5 × 43.0 cm) equipped with 2544 optical sensors distributed along the perimetrical border. it can assess the plantar surface area and the peak pressure in each part of the plantar surface

    Time frame: at 4 weeks

  6. plantar surface area

    A footscan plantar pressure detection system will be used to determine the plantar support area and plantar pressure. This device consists of a force plate (FAS system 1.0 ACP Light, Buratto Advanced Technology, Treviso, Italy), with an active surface (47.5 × 43.0 cm) equipped with 2544 optical sensors distributed along the perimetrical border. it can assess the plantar surface area and the peak pressure in each part of the plantar surface

    Time frame: at 4 weeks after the end of the treatment (follow-up)

  7. Gross Motor Function Measure (GMFM) (88 items)

    Gross Motor Function Measure (GMFM) (88 items) is a tool used to assess changes in gross motor function in cerebral palsy patients. this clinical scale is easy to use and categorize children according to their abilities. where the lower scale mean better gross motor function and higher value means more limitations in gross motor scale

    Time frame: at baseline

  8. Gross Motor Function Measure (GMFM) (88 items)

    Gross Motor Function Measure (GMFM) (88 items) is a tool used to assess changes in gross motor function in cerebral palsy patients. this clinical scale is easy to use and categorize children according to their abilities. where the lower scale mean better gross motor function and higher value means more limitations in gross motor scale

    Time frame: at 4 weeks

  9. Gross Motor Function Measure (GMFM) (88 items)

    Gross Motor Function Measure (GMFM) (88 items) is a tool used to assess changes in gross motor function in cerebral palsy patients. this clinical scale is easy to use and categorize children according to their abilities. where the lower scale mean better gross motor function and higher value means more limitations in gross motor scale

    Time frame: at 4 weeks after the end of treatment (follow-up)

  10. The pediatric quality of life questionnaire for cerebral palsy

    it is a validated tools with strong psychometric properties and clinical utility. The parent proxy's form (parents of children aged 4-12 years) comprises 66 items and the child self-report form (9-12 years) comprises 52 items. Both the child's and the parent proxy's forms have demonstrated good psychometric properties including internal consistency, test-retest reliability, and construct validity. The higher the score, the better the quality of life is represented

    Time frame: at baseline

  11. The pediatric quality of life questionnaire for cerebral palsy

    it is a validated tools with strong psychometric properties and clinical utility. The parent proxy's form (parents of children aged 4-12 years) comprises 66 items and the child self-report form (9-12 years) comprises 52 items. Both the child's and the parent proxy's forms have demonstrated good psychometric properties including internal consistency, test-retest reliability, and construct validity. The higher the score, the better the quality of life is represented

    Time frame: at 4 weeks

  12. The pediatric quality of life questionnaire for cerebral palsy

    it is a validated tools with strong psychometric properties and clinical utility. The parent proxy's form (parents of children aged 4-12 years) comprises 66 items and the child self-report form (9-12 years) comprises 52 items. Both the child's and the parent proxy's forms have demonstrated good psychometric properties including internal consistency, test-retest reliability, and construct validity. The higher the score, the better the quality of life is represented

    Time frame: at 4 weeks after the end of treatment (follow-up)

07

Study locations

1 site
  • University of Hail
    Hail, 3994, Saudi Arabia
08

References and documents

Individual participant data

Plan to share: Undecided — this will be discussed with the project funders

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05912959
Lead sponsor
University of Hail
Responsible party
Hisham Mohamed Hussein (principal investigator, University of Hail) — Principal investigator
First posted
Jun 22, 2023
Start date
Aug 15, 2023
Primary completion
Jan 1, 2024
Completion
Jan 22, 2024
Last update
May 10, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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