Effectiveness of Unilateral Versus Bilateral Intensive Training in Children With Cerebral Palsy

National Taiwan University Hospital60 enrolled

Overview

This 3-year research project aims to investigate and compare the immediate and long-term treatment effectiveness as well as motor improving curve and potential predictors of the unimanual intensive training and bimanual intensive training protocols with an equivalent intervention period in children with hemiplegic CP and children with CP with apparently one side affected. In addition, based on the ICF-CY model, comprehensive outcome measures including motor functions as well as psychological functions will be included.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cerebral Palsy

Interventions

unilateral upper limbs intensive trainingOTHER

The unimanual intensive training group focuses on the training of the more affected arm and restraint the less affected arm.

bilateral upper limbs intensive trainingOTHER

The bimanual intensive training focuses activities that required the use of both hands.

Eligibility

Sex: ALLMin age: 3 YearsMax age: 16 Years

Medical Language ↔ Plain English

The inclusion criteria of this study are: 1. aged between 3 and 16 years 2. diagnosed with congenital hemiplegic or children with CP with one more affected side; (3) apparently disuse phenomenon of the more affected hand at spontaneous contexts Participants will be exclude for: 1. excessive muscle tone (Modified Ashworth Scale ≤ 2 at any joints of the upper limb) before beginning treatment (Bohannon \& Smith, 1987) 2. severe cognitive, visual, or auditory disorders according to medical documents, parental reports, and the examiner's clinical observation 3. injections of botulinum toxin type A or operations on the UE within 6 months

Locations (1)

National Taiwan University Hospital

Taipei, Zhongzheng District, Taiwan

RECRUITING

Outcomes

Primary Outcomes

Changes from Melbourne Assessment 2 (MA-2)

Time frame: baseline, week 4, week 8, week 24

Changes from Pediatric Motor Activity Log-Revised (PMAL-R)

Time frame: baseline, week 4, week 8, week 24

Changes from ABILHAND-Kids

Time frame: baseline, week 4, week 8, week 24

Changes from Test of Playfulness (ToP)

Time frame: week 1, week 4, week 5, week 8

Changes from Box and Block Test (BBT)

Time frame: weekly test (from baseline to week 8)

Changes from Engagement Questionnaire (EQ)

Time frame: weekly test (from week 1 to week 8)

Changes from Satisfactory Questionnaire (SQ)

Time frame: baseline, week 4, week 8, week 24

Changes from Building Tower Test (BTT)

Time frame: weekly test (from baseline to week 8)

Changes from String Beads Test (SBT)

Time frame: weekly test (from baseline to week 8)

Changes from Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2)

Time frame: baseline, week 4, week 8, week 24

Performance changes assessed by Kinematics Analysis

Kinematic Analysis including parameters of endpoint control, inter-joints coordination, and trunk involvement, we will analyse children's performance changes from performing reaching tasks

Central Contacts

Tien-Ni Wang

CONTACT

886-2-33668163 tnwang@ntu.edu.tw

Data from ClinicalTrials.gov

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Effectiveness of Unilateral Versus Bilateral Intensive Training in Children With Cerebral Palsy

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts

Secondary Outcomes