Camp High 5: Evaluation of the Effect on Upper Limb Function

NYU Langone Health10 enrolled

Overview

Randomized control trial to evaluate uni-manual and bimanual upper limb function as well as compare outcomes of varied cast wear in children with hemiplegic cerebral palsy (CP) following a hybrid camp model of modified constraint induced movement therapy (mCIMT) and hand-arm bimanual intensive training (HABIT).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Neurological Injury Hemiplegia

Interventions

Constraint induced movement therapy (CIMT)BEHAVIORAL

Involves forcing use of ones affected upper extremity (UE) by physically restraining the less affected upper extremity

Hand-arm bimanual intensive training (HABIT)BEHAVIORAL

Facilitates the translation of gains to improve goal-directed bimanual performance.

Eligibility

Sex: ALLMin age: 2 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Participants will range from 2 years to 11 years 11 months of age at time of enrollment. Children under 5 years of age will attend a morning session and children 6 years and older will attend an -Diagnosis: hemiplegia resulting from a neurological Injury * Manual Ability Classification System or Mini Manual Ability Classification System classification I-III Exclusion Criteria: * Botox injection within past 6 months or planned for within 6 months post camp * Inability to follow commands * Family unable to commit to daily sessions for 4 weeks * Unable to tolerate assigned casting protocol (3-24 hours) daily for 4 weeks

Locations (1)

New York University School of Medicine

New York, New York, United States

Outcomes

Primary Outcomes

Pediatric Motor Activity Log

parent questionnaire to determine how well and how often the family perceives the child Spontaneously uses their affected Upper Extremity throughout the day at home. This assessment is scored by adding up the parental score and getting an average score.

Time frame: 6 Months

Assisting Hand Assessment

Test of hand function in children with difficulties using one of their hands. The AHA measures how effectively the affected hand and arm is used in bimanual performance.

Time frame: 6 Months

Melbourne-2

Test of unilateral upper limb function is a validated and reliable tool for evaluating quality of upper limb movement in children with neurological conditions aged 2.5 to 15 years.

Time frame: 6 Months

Data from ClinicalTrials.gov

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