Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic CP

Riphah International University24 enrolled

Overview

The aim of the work was to find out the effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy.

The significance of this study is that there was paucity of literature in finding the comparative effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy. The aim is to find out the effects of sensorimotor training on motor functioning of the upper extremity in comparison of constraint induced movement therapy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Hemiplegic Cerebral Palsy

Interventions

sensorimotor trainingOTHER

sensorimotor training include activities like play with dough, peg games, puzzles for 5 days a week for 4 week.

constraint induced movement therapyOTHER

constraint induced movement therapy in which arm was constraint for 6 hours a day for 5 days a week for 4 week.

Eligibility

Sex: ALLMin age: 8 YearsMax age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * subjects who were fully oriented * children diagnosed with hemiplegic cerebral palsy * no history of intramuscular botulinum injections past one year Exclusion Criteria: * children with epilepsy * gross deformity of upper limb * children with contractures

Locations (1)

Rising Sun Institute

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

nine hole peg test

nine hole peg test to check hand dexterity and grip. The patient is seated at a table with a container holding nine pegs and a wood/plastic block containing nine empty holes and asked to put the nine pegs in nine holes in a block one by one and then remove the pegs one at a time from the holes and the time is recorded. patient should do the test with both hands independently.

Time frame: 4 weeks

Secondary Outcomes

manual ability classification system

it describes how CP child uses his or her hands to handle objects in daily activities with qualitative analysis by care taker, it has five levels. in level 1 child holds objects easily and succesfully. in level 2 child handles most object but with some reduced quality or speed. in level 3 the objects are handled with difficulty and child needs help to prepare or modify activities. in level 4 child handles a limited selection of easily managed objects and always requires some help from others. in level 5 child is not able to handle objects or to complete even simple actions with their hands.

Time frame: 4 weeks

Data from ClinicalTrials.gov

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