Modified Constraint Induced Movement Therapy in Children With Obstetric Brachial Plexus Injury

Riphah International University16 enrolled

Overview

The aim of this study was to increase and improve the use of affected extremity in obstetric brachial plexus palsy children while restricting the use of less affected arm and the purpose was to improve the function, Range of motion and disability in affected arm of children with brachial plexus injury.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Obstetric; Injury

Interventions

Conventional physical therapy treatmentOTHER

The control group (group A) will receive the exercise program which focused on improving the arm function as well as shoulder abduction and external rotation for 10 week. stretching Aeroplan positioning

Constraint induced movement therapyOTHER

The study group (group B) who will receive Modified constraint induced movement therapy for 3 hrs. a day 12 hrs. a week in addition to the same exercise program given to the control group for 10 weeks.

Eligibility

Sex: ALLMin age: 3 YearsMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 3 to 10 years * Both genders will be included * Deficiency of shoulder abduction and external rotation * Who can follows command Exclusion Criteria: * uncontrolled seizures * Orthopedic and/or neurological surgery. * A visual impairment interfering with treatment/testing. * Unable to actively engage in assessment process

Locations (1)

Bakhtawar Amin Trust Teaching Hospital

Multan Khurd, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Mallet grading system

The Mallet grading system is a commonly used functional scoring system to assess shoulder abduction/external rotation deficits in children with obstetric brachial plexus palsy. One feature of the Mallet score is that each grade is translated in to certain degree of deficiencies in both shoulder abduction and external rotation. A scale of 1 to 5 is used to evaluate shoulder abduction, global external rotation, and hand to neck, hand to back, and hand to mouth positions.

Time frame: 4 weeks

Secondary Outcomes

goniometer

changes from the baseline ROM of shoulder abduction and external rotation as well as elbow ranges was measured by goniometer was measured by can evaluate both active as well as passive range of motion.

Time frame: 4th week

Upper extremity function index

It is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. The questionnaire lists 20 activities and the patient gives a score to each based on the difficulty they have completing that activity. It is evaluated on a 5-point scale that refers to the perceived difficulty in performing the mentioned action: * Extreme difficulty or unable to perform activity (0 points); * Quite a bit of difficulty (1 point); * Moderate difficulty (2 points); * A little bit of difficulty (3 points); * No difficulty (4 points). The overall Upper extremity function index (UEFI) result ranges between 0 and 80, where 0 indicates most severe limitation and 80 suggests least limitation. Changes from baseline function of affected extremity was given by this tool.

Time frame: 4th week

Data from ClinicalTrials.gov

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