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Tytuł pozycji:

A multicenter, randomized controlled trial of massage in children with pediatric cerebral palsy: Efficacy of pediatric massage for children with spastic cerebral palsy.

Tytuł:
A multicenter, randomized controlled trial of massage in children with pediatric cerebral palsy: Efficacy of pediatric massage for children with spastic cerebral palsy.
Autorzy:
Zhang C; First Clinical Medical College, Nanjing University of Chinese Medicine, 282 Hanzhong Road, Gulou, Nanjing, Jiangsu.; Medical ethics committee of the second affiliated hospital of Yunnan University of Chinese Medicine.
Xiong G; School of Basic Medicine, Yunnan University of Chinese Medicine, 1076 Yuhua Road, Chenggong District, Kunming, Yunnan, China.
Wang J; School of Basic Medicine, Yunnan University of Chinese Medicine, 1076 Yuhua Road, Chenggong District, Kunming, Yunnan, China.
Shi X; School of Basic Medicine, Yunnan University of Chinese Medicine, 1076 Yuhua Road, Chenggong District, Kunming, Yunnan, China.
Guo T; Medical ethics committee of the second affiliated hospital of Yunnan University of Chinese Medicine.
Jin Y; Medical ethics committee of the second affiliated hospital of Yunnan University of Chinese Medicine.
Zhao Y; Medical ethics committee of the second affiliated hospital of Yunnan University of Chinese Medicine.
Tai X; First Clinical Medical College, Nanjing University of Chinese Medicine, 282 Hanzhong Road, Gulou, Nanjing, Jiangsu.; Medical ethics committee of the second affiliated hospital of Yunnan University of Chinese Medicine.
Źródło:
Medicine [Medicine (Baltimore)] 2021 Feb 05; Vol. 100 (5), pp. e23469.
Typ publikacji:
Clinical Trial Protocol; Journal Article
Język:
English
Imprint Name(s):
Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
MeSH Terms:
Cerebral Palsy*/therapy
Massage*/adverse effects
Massage*/methods
Child, Preschool ; Female ; Humans ; Infant ; Male ; Health Status ; Intelligence Tests ; Severity of Illness Index ; Single-Blind Method ; Multicenter Studies as Topic ; Randomized Controlled Trials as Topic
References:
Rosen Baump, Paneth, Levitiona, et al. A report: the definition and classification of cerebral palsy April 2006[J]. Developmental Medicine and Child Neurology Supplement 2007;109:8–14.
Stavsky M, Mor O, Mastrolia SA, et al. Cerebral palsy trends in epidemiology and recent development inprenatal mechanisms of disease, treatment, and prevention. Front Pediatr 2017;5:21.
Li Xiaojie, Qiu Hongbin, Jiang Zhimei, et al. Epidemiological characteristics of cerebral palsy in twelve province in China. Chin J Pract Pediatr 2018;33:378–83.
Mu Xiaohong, Li Xiao Ye. Expert consensus on surgical treatment of spasmodic cerebral palsy. J Chin Orthop Traumatol 2020;28:77–81.
Verrotti A, Greco R, Spalice A, et al. Pharmacotherapy of spasticity in children with cerebral palsy. Pediatr Neurol 2006;34:1–6.
Baker R, Jasinski M, Maciag-Tymecka I, et al. Botulinum toxin treatment of spasticity in diplegic cerebral palsy: a randomized, double-blind, placebo-controlled, dose-ranging study[J]. Dev Med Child Neurol 2002;44:666–75.
Wei Min, Xiao Bo. Application progress of selective posterior rhizomatectomy for spastic cerebral palsy. Journal of Clinical Pediatric Surgery 2019;18:79–84.
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Feng Zhao-cai MA, Rong LI, Rui-shi. Clinical observation on the treatment of hip flexion in children with spastic cerebral palsy with six abdominal massage. J Sichuan Tradit Chin Med 2012;30:110–1.
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Wei SHI, LIAOYG, Hong YANG, et al. Applications of grossmotor function measure scale and peabody developmental measure Scale-GrossMotor in the evaluation of children with cerebral palsy [J]. Chin J Rehabil Theory Practice 2004;10:423–4.
Wei SHI, Su-juan WANG, Hong YANG, et al. Reliability and validity of the Chinese version of the cerebral palsy children's rough motor function classification system [J]. Chinese Journal of Evidence-based Pediatrics 2006;1:122–9.
Jiu-lai TANG, Jiong QIN, Li-ping ZOU, et al. Chinese guidelines for rehabilitation of cerebral palsy (2015):part I. Chinese Journal of Rehabilitation Medicine 2015;30:747–54.
Hu Luan, Tai Xiantao, Wang Chunlin. J Yunnan Univ Tradit Chin Med 2009;32:43–5.
Blackburn M, van Vliet P, Mockett SP. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of People with stroke. Phys Ther 2002;82:25–34.
Xu-peng WEI. Discussion on modified Ashworth scale. J Rehabil Med 2014;29:67–8.
Russell DJ, Rosen Baum Follow P, Wright M, et al. Gross motor function measure (GMFM-66 & GM FM-88) user's manual [M]. London, United Kingdom: Mac Keith Press.; 2002.
Chen Xiujie, Jiang Zhimei, Shi Wei, et al. Rehabilitation Guide for Cerebral Palsy in China (2015): Part IV, Chapter III assessment of cerebral palsy in children under the FRAMEWORK of ICF-CY. Chinese Journal of Rehabilitation Medicine 2015;2015:1082–90.
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Grant Information:
(Grant No.81860886) Innovative Research Group Project of the National Natural Science Foundation of China; 2018IC101 Yunnan Provincial Department of Science and Technology Liang fanrong expert workstation
Entry Date(s):
Date Created: 20210217 Date Completed: 20210303 Latest Revision: 20240315
Update Code:
20240316
PubMed Central ID:
PMC7870189
DOI:
10.1097/MD.0000000000023469
PMID:
33592825
Czasopismo naukowe
Background: Cerebral palsy is 1 of the diseases critically affecting the health of children. The spasmodic type is the most common, characterized by the increased muscular tension. It often leads to lifelong disability, bringing a heavy economic burden to families and society. As a key treatment in traditional Chinese medicine, pediatric massage has a significant clinical effect on cerebral palsy in children; however, high-quality randomized controlled studies are lacking. The main objective of this study was to evaluate the efficacy of pediatric massage for children with spastic cerebral palsy.
Methods/design: The study will be a multicenter, single-blinded, randomized-controlled pilot trial. During the period from June 2019 to December 2020, 182 children with spastic cerebral palsy will be randomly divided into experimental and control groups in a 1:1 ratio. The experimental group will undergo the modified selective spinal massage method combined with the basic rehabilitation treatment, while only the basic rehabilitation treatment would be performed for the control group. The intervention period of the study will last 12 weeks, 5 days weekly on weekdays. The primary outcomes include a modified Ashworth scale assessment and gross motor function test. The secondary outcomes include the 4-diagnostic scale of Chinese medicine and children's intelligence. The observation index will be measured during the complete 12 weeks duration after the treatment of the child, that is, before treatment, after 4 weeks of treatment, after 8 weeks, and after 12 weeks of treatment.
Discussion: This study aims to evaluate the efficacy of pediatric massage on children with spastic cerebral palsy; if the outcome is positive, it can provide a reference for the further promotion and application of pediatric massage in the treatment of spastic cerebral palsy.
Trial Registration: Chinese ClinicalTrials.gov, ID: ChiCTR1900021666. Acupuncture-Moxibustion Clinical Trial Registry, AMCTR: (AMCTR-IPR-19000260) Registered on 04 March 2019.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.)

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