Effects of CIMT With and Without MIT on Upper Limb of Children With Hemiparetic CP

Cerebral Palsy Clinical Trial

Official title:

Effects of Constraint Induced Movement Therapy With and Without Motor Imagery Technique on Upper Limb of Children With Hemiparetic Cerebral Palsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06240988
• Other study ID #: REC/RCR&AHS/23/0743
• Status: Completed
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: February 15, 2024

Study information

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

Clinical Trial Summary

Cerebral Palsy (CP) is a major cause of motor disability in children. Among these CP children, approximately one third have hemiparetic cerebral palsy. Hemiparetic cerebral palsy is more impairment of one side of the body as a result of non-progressive disturbances in premature brain.To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.

Description:

To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.The term Modified constraint-induced movement therapy is a form of rehabilitation therapy that limits the less paretic side, and through repeated and concentrated training improve the upper limb function of the paretic side. Motor imagery is a cognitive process in which a subject imagines that he or she performs a movement without actually performing the movement and without even tensing the muscles. Modified Constraint induced movement therapy can be utilized in both the lower and upper extremities with the motor imagery technique for psychological or occupational therapy and in affecting which one is better for speedy recovery.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 22
• Est. completion date: February 15, 2024
• Est. primary completion date: February 15, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Years to 14 Years

Eligibility

Inclusion Criteria:

• Age 6 to 14 years were included.
• Diagnosed of hemiparetic cerebral palsy and typically developing controls.
• Both gender is included i-e, male and female.
• Children included having motor impairments of upper limb.
• All children had normal or corrected vision and the ability to discriminate between right and left.

Exclusion Criteria:

• History of neurosensory and neuropsychiatric impairments.
• Presence of contractures in the affected upper limb.
• Surgery in the previous six months.
• Uncontrolled epilepsy

Related Conditions & MeSH terms

• Cerebral Palsy

Intervention

Device:
• Modified Constraint Induced Movement Therapy
Modified Constraint Induced Movement Therapy

Other:
• Motor Imagery Technique
Motor Imagery Technique

Locations

Country	Name	City	State
Pakistan	Riphah International University	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (2)

Humphreys P, Whiting S, Pham B. Hemiparetic cerebral palsy: clinical pattern and imaging in prediction of outcome. Can J Neurol Sci. 2000 Aug;27(3):210-9. — View Citation

Steenbergen B, Gordon AM. Activity limitation in hemiplegic cerebral palsy: evidence for disorders in motor planning. Dev Med Child Neurol. 2006 Sep;48(9):780-3. doi: 10.1017/S0012162206001666. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	QUEST (Quality of Upper Extremity Skills Test)	Item The Quality of Upper Extremity Skills Test is an outcome measure designed to evaluate movement patterns and hand function in children with cerebral palsy. The QUEST is both reliable and valid. The purpose of the QUEST is to evaluate quality of upper extremity function in four domains: dissociated movement,grasp,protective extension, and weight bearing. Scores of 1 or 2, determined by quality of assessed position or movement; 1 if movement quality is not achieved, 2 if movement quality is achieved. Item scores are summed; formulas are used to calculate percentages for each domain. Domain percentages are summed and divided by number of domains to obtain total score. Minimum score = 0, Maximum score = 100.	8 weeks
Secondary	Box and Block Test (BBT)	The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations. Clients are scored based on the number of blocks transferred from one compartment to the other compartment in 60 seconds. Score each hand separately. Higher scores are indicative of better manual dexterity. During the performance of the BBT, the evaluator should be aware of whether the client's fingertips are crossing the partition. Blocks should be counted only when this condition is respected. Furthermore, if two blocks are transferred at once, only one block will be counted. Blocks that fall outside the box, after trespassing the partition, even if they don't make it to the other compartment, should be counted.	8 weeks