40 children with hemiplegia cerebral palsy from both sex will be recruited from outpatient clinic of abo resh hospital ,their age ranged from 5-10 years
40 children with hemiplegia cerebral palsy from both sex will be recruited ,their age ranged from 5-10 years, treatment includes functional electrical nerve stimulation and biofeedback to assess their combined effect on upper limb function
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
biofeedback therapy and FES at anti spastic muscles(shoulders flexors, elbow and wrist extensors) while doing specific exercises (including basic reaching, grasping, carrying, release
Flexibility exercises for shorted muscles and spastic muscles, Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles, Postural control exercise in different positions and different surfaces, General endurance training, Exercises to facilitate hand function, Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand
Cairo University
Giza, Egypt
RECRUITINGhand function in children with CP
hand function in children with CP will be assessed by The Quality of Upper Extremity Skills Test
Time frame: pre intervention and re assessed after 3 months of treatment
Range of motion
Range of motion will be assessed using Electronic goniometer
Time frame: pre intervention and re assessed after 3 months of treatment
muscle grip strength
muscle grip strength will be assessed using Hand held dynamometer
Time frame: pre intervention and re assessed after 3 months of treatment
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