The Hand Functions In Cerebral Palsy

Uludag University45 enrolled

Overview

The hand motor functions are very important in the daily life activities, educational, and social participation of children. Losing The hand motor functions limit these activities and participation. Constraint-induced movement therapy (CIMT) or virtual reality (VR) therapy has often been preferred to improve the hand's motor functions.

CIMT and VR are used to improve the motor functions of the hand in cerebral palsy (CP). The aim of this study was to compare the effects of CIMT-VR use and only CIMT use on hand functions in children with hemiparetic cerebral palsy. Hand function and performance were evaluated with the Jebsen-Taylor and Moberg pick-up tests. All evaluations were made twice; before the first therapy and after six weeks. Children with hemiparetic CP were divided into three groups randomly (Traditional techniques (TT), TT+CIMT, and TT+CIMT+VR).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cerebral Palsy Hand Functions

Interventions

TT+CIMT+VROTHER

TT: Traditional Techniques CIMT: constraint-induced movement therapy VR: virtual reality

TT+CIMTOTHER

TT: Traditional Techniques CIMT: constraint-induced movement therapy

TTOTHER

TT: Traditional Techniques

Eligibility

Sex: ALLMin age: 8 YearsMax age: 18 Years

Medical Language ↔ Plain English

The inclusion criteria of the study were determined to be * aged 8 to 18 years, * diagnosed with hemiparetic CP, * being level 2 or 3 according to the gross motor function measurement scale and the manual ability classification system. The exclusion criteria of the study were, * severe cognitive dysfunction that rendered them unable to perform simple tasks (e.g., reaching, grasping), * having pharmacologic medicine for spasticity, * having botulinum toxin A injections in the last 6 months, * having upper extremity surgery, * having visual and/or auditory problems which affect therapy or evaluation.

Locations (1)

Uskudar Universty

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

The Jebsen-Taylor Test

The Jebsen-Taylor Test is a reliable tool that evaluates the hand function of children with CP. The test includes seven items. These items are; writing a 24-letter sentence, turning over five cards, picking up small objects (two pieces of pennies/bottle caps/paperclips), simulated feeding (using a teaspoon and five kidney beans), stacking four checkers, picking up and moving five large empty tin boxes and then five large full boxes. During the assessment, the child with CP was seated in front of a table and test was performed by hemiparetic hand. Time was recorded on each item by stopwatch. The total score was calculated by collecting all items' time.

Time frame: this evaluation was done twice; before the first therapy and after six weeks by the same physiotherapist.

Moberg pick-up test

To evaluate the functional performance of the hemiparetic hand Moberg pick-up test (MPUT) was used. MPUT consists of twelve items which are a wing nut, screw, key, nail, ₺1 coin, 50 kurus coin, washer, safety pin, paper clip, large and medium-sized hexagonal nut, and small square nut. The plastic container (60x30 cm) was placed lengthwise about 15 cm from the edge of the table on the opposite side of the items. The child was seated in a chair. The hemiparetic hand of children with CP was put on the same side as the 12 items which were randomly placed on the table. Children with CP were ordered to pick up the items one at a time and place them into the plastic container as fast as possible. The time was recorded with a stopwatch.

Time frame: this evaluation was done twice; before the first therapy and after six weeks by the same physiotherapist.

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.