The study aims to determine the effects of upper limb sensorimotor training as compared to task oriented raining in subjects with cerebral palsy. The study will target the upperlimb functions using multiple outcomes and will find the changes in subjects undergoing sensorimotor or task oriented training.
The stduy will include subjects fulfilling the inclusion criteria, will be divided into 2 groups; interventional and control. The interventional group will be recieving sensorimotor training comprising of sensory activities and motor activities. The control group will be having motor activities in the form of task oriented training. The duration of intervention would be 40 minutes in each group, 3 days a week, for 8 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
44
sensory training includes superficial sensory and deep sensory activities i.e. play with dough, painting with finger, recognizing objects with blocked vision, recognizing the drawn figure on palm, oint compression, bearing the weight on the paretic hand, leaning on the paretic side, walking with hand, rolling the heavy objects, dough squeezing etc.
Motor training would involve activitoes such as throwing and catching a ball, targeted ball throwing, hand in hand ball transferring, ball rolling, hitting a ball to ground and wall, hand roller etc.
stretching exercises, muscle strengthening exercises, static weight bearing exercises, positioning
Alfarabi Special Education Centre/ Physical Health Centre
Islamabad, Islamabad, Pakistan
Modified Ashworth Scale (MAS)
Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion
Time frame: Baseline
Modified Ashworth Scale (MAS)
Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion
Time frame: After 4 weeks
Modified Ashworth Scale (MAS)
Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion
Time frame: After 8 weeks
Finger Joint Position Sense
Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.
Time frame: Baseline
Finger Joint Position Sense
Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.
Time frame: After 4 weeks
Finger Joint Position Sense
Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.
Time frame: After 8 weeks
Manual ability classification system
Manual ability classification system is used to determine daily use hand activities
Time frame: Baseline
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Manual ability classification system
Manual ability classification system is used to determine daily use hand activities
Time frame: After 4 weeks
Manual ability classification system
Manual ability classification system is used to determine daily use hand activities
Time frame: After 8 weeks
Manual Muscle Testing
Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance
Time frame: Baseline
Manual Muscle Testing
Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance
Time frame: After 4 weeks
Manual Muscle Testing
Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance
Time frame: After 8 weeks
Abilities of Hand (ABILHAND-KIDS)
This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.
Time frame: Baseline
Abilities of Hand (ABILHAND-KIDS)
This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.
Time frame: After 4 weeks
Abilities of Hand (ABILHAND-KIDS)
This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.
Time frame: After 8 weeks
Pediatric Arm Function Test
This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.
Time frame: Baseline
Pediatric Arm Function Test
This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.
Time frame: After 4 weeks
Pediatric Arm Function Test
This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.
Time frame: After 8 weeks