This study aims to investigate the effectiveness of an intensive somatosensory intervention in the upper limb of children with hemiparesis regarding structure, function, activity and participation Hypothesis: Intensive somatosensory activity based intervention is effective in upper limb and hand ability in children with hemiparesis, specially regarding activity and participation
Feasibility and longitudinal study with blinding of the evaluator and the person analyzing the data. The study have 4 procedures: 1. \- Assessment pre-intervention 2. \- Intervention: three weeks 3. \- Assessment post-intervention 4. \- Follow-up assessment (three months after intervention).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
14
The intensive somato-sensory intervention will take place during 3 weeks, 5 days per week, for 2 hours per day (30 hours of practice). During the week-ends, some somato-sensory written activities will be explained and handed to each family (6 hours of practice) Therapy sessions will be carried out in groups and each child will have his or her own therapist in charge of his or her treatment along the whole intervention. A daily check-list, design for that purpose, will be used by the therapist in order to register the gradually increased complexity of the activities and individual progression. The principal investigator will supervise all the interventions in order to assure their uniformity, adjusting the somato-sensory training protocol to the individual needs of each subject.
Asociación para la Investigación en la Discapacidad Motriz (AIDIMO)
Zaragoza, Spain
Change in Canadian Occupational Performance Measure (COPM).
Participation measure (family aims).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Children´s hand-use Experience Questionnaire (CHEQ).
Activity Measure (bimanual performance).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT).
Activity measure (daily activities, mobility, social/cognitive and responsibility).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Jebsen Taylor Hand Function Test.
Activity Measure (unimanual capacity).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Box and Blocks Test.
Activity measure (unilateral gross manual dexterity).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Sensory Profile™ 2 family Questionnaire (Winnie Dunn)
Evaluate a child's sensory processing patterns in the context of home, school, and community-based activities.
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Kidscreen Questionnaire.
Participation measure (Quality of live).
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Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Somatosensory Battery Assessment.
Body structures and functions measure. Includes: registration (Semmes Weinstein monofilaments); Two points discrimination (Aesthesiometer); Single Point Location; double simultaneous, forms stereognosis (Manual Form Perception Test\_ SIPT), stereognosis of familiar objects, graphesthesia (SIPT), clinical observation of texture perception, clinical observation of proprioception, pain (algometer) and functional sensitivity (Box and Blocks without vision).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Dynamometer (grip strength)
Body structures and functions measure (grip strength).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).
Change in Pinch Gauge (pinch strength).
Body structures and functions measure (pinch strength).
Time frame: baseline, immediately after intervention and follow up (3 months after intervention).