Effects of Upperlimb Sensorimotor Training in Hemiplegic Cerebral Palsy

Cerebral Palsy Clinical Trial

Official title:

Effects of Upperlimb Sensorimotor Training in Hemiplegic Cerebral Palsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06011616
• Other study ID #: RIPHAH/FR&AHS/Letter-014194
• Status: Completed
• Phase: N/A
• Start date: September 20, 2023
• Est. completion date: January 25, 2024

Study information

• Verified date: January 2024
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 44
• Est. completion date: January 25, 2024
• Est. primary completion date: January 20, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 8 Years to 12 Years

Eligibility

Inclusion Criteria:

• Hemiplegic cerebral palsy Modified Ashworth scale score 2 and 3

Exclusion Criteria:

• Other neurological disorders Previous upper limb surgeries Botox injection in last 1 year

Related Conditions & MeSH terms

• Cerebral Palsy

Intervention

Other:
• Sensory training
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
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.
• Conventional exercises
stretching exercises, muscle strengthening exercises, static weight bearing exercises, positioning

Locations

Country	Name	City	State
Pakistan	Alfarabi Special Education Centre/ Physical Health Centre	Islamabad	Islamabad Capital Territory

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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	Baseline
Primary	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	After 4 weeks
Primary	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	After 8 weeks
Primary	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.	Baseline
Primary	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.	After 4 weeks
Primary	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.	After 8 weeks
Primary	Manual ability classification system	Manual ability classification system is used to determine daily use hand activities	Baseline
Primary	Manual ability classification system	Manual ability classification system is used to determine daily use hand activities	After 4 weeks
Primary	Manual ability classification system	Manual ability classification system is used to determine daily use hand activities	After 8 weeks
Primary	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	Baseline
Primary	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	After 4 weeks
Primary	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	After 8 weeks
Primary	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.	Baseline
Primary	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.	After 4 weeks
Primary	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.	After 8 weeks
Primary	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.	Baseline
Primary	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.	After 4 weeks
Primary	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.	After 8 weeks