Upper Limbs Assessment in Children With Cerebral Palsy

Cerebral Palsy Clinical Trial

Official title:

Manual Dexterity and Upper Limbs Functionality Assessment in School Children With Cerebral Palsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01988844
• Other study ID #: DF0042UG
• Status: Completed
• Phase: N/A
• First received: November 13, 2013
• Last updated: November 1, 2016
• Start date: November 2013
• Est. completion date: October 2016

Study information

• Verified date: November 2016
• Source: Universidad de Granada
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Comité Ético de Investigación Clínica
• Study type: Observational

Clinical Trial Summary

Cerebral palsy is the leading cause of physical disability among children. Manual dexterity and upper limbs functionality is limited between these children. The purpose of this study is to stablish a specific profile of school children with cerebral palsy based on the upper limbs assessment.

Description:

While the rates of perinatal and infant mortality have declined toward the end of the last century,the rate of cerebral palsy has remained at 2 to 2.5 per 1,000 live births. A high percentage of children with cerebral palsy have difficulty keeping up with the handwriting demands at school. The neurological impairments in children with cerebral palsy frequently limit the functionality of these children taken in to account the upper limbs variables. It should be interesting to describe a clinical profile based on this assessment.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 31
• Est. completion date: October 2016
• Est. primary completion date: September 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 6 Years to 10 Years

Eligibility

Inclusion Criteria:

• Cerebral palsy diagnosis.

• Aged between 6 and 10 years old.

• Children attending a school.

Exclusion Criteria:

• Severe cognitive impairment.

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Cerebral Palsy
• Children
• Paralysis

Intervention

Other:
• Assessment
The children with cerebral palsy were assessed. Different measures evaluating the upper limbs functionality are used.

Locations

Country	Name	City	State
Spain	Department of Physical Therapy	Granada

Sponsors (1)

Lead Sponsor	Collaborator
Universidad de Granada

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pediatric Evaluation of Disability Inventory (PEDI)	This inventory assess the key functional capabilities and performance in children between six months to seven years old. Three subscales are observed: self-care, mobility and social function. It helps you to identify areas of new functional intervention. Also, it is used to identify functional deficits.	baseline	Yes
Primary	Upper limbs functionality	The functionality is measured using the Abilhand-kids questionnaire. This questionnaire was designed to cover the widest range of children's manual activities including both unimanual and bimanual activities. For each question, the children and their parents were asked to provide their perceived difficulty to perform the activity on a three-level scale: impossible (0), difficult (1), or easy (2).	baseline	Yes
Secondary	Manual dexterity	Manual dexterity is measured using the 9-hole peg test. This is a brief, standardized, quantitative test of upper extremity function. Both the dominant and non-dominant hands are tested twice. The patient is seated at a table with a small container holding nine pegs. The patient picks up the nine pegs one at a time as quickly as possible, puts them in the nine holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The time is recorded.	baseline	Yes
Secondary	Executive function	The executive function is measured using the Porteus Maze Test. It consists of a series of mazes graded in difficulty and standardized for application to children from three years old.	baseline	Yes
Secondary	Handwriting assessment	The handwriting ability is measured with the Handwriting without tears method. It is used to assess memory, letter size,space and movement control.	baseline	Yes
Secondary	Range of motion	The range of motion in upper limbs is measured with a standard goniometer at different levels: elbow, wrist and fingers.	baseline	Yes
Secondary	Upper limbs strength	The strength is evaluated using a digital dynamometer. The strength is measured in Newtons.	baseline	Yes