Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic CP

Hemiplegic Cerebral Palsy Clinical Trial

Official title:

Comparison of Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic Cerebral Palsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05490758
• Other study ID #: REC/RCR & AHS/22/0718
• Status: Completed
• Phase: N/A
• Start date: May 18, 2022
• Est. completion date: June 28, 2022

Study information

• Verified date: August 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of the work was to find out the effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy.

Description:

The significance of this study is that there was paucity of literature in finding the comparative effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy. The aim is to find out the effects of sensorimotor training on motor functioning of the upper extremity in comparison of constraint induced movement therapy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: June 28, 2022
• Est. primary completion date: June 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 8 Years to 15 Years

Eligibility

Inclusion Criteria:

• subjects who were fully oriented
• children diagnosed with hemiplegic cerebral palsy
• no history of intramuscular botulinum injections past one year

Exclusion Criteria:

• children with epilepsy
• gross deformity of upper limb
• children with contractures

Related Conditions & MeSH terms

• Cerebral Palsy
• Hemiplegic Cerebral Palsy

Intervention

Other:
• sensorimotor training
sensorimotor training include activities like play with dough, peg games, puzzles for 5 days a week for 4 week.
• constraint induced movement therapy
constraint induced movement therapy in which arm was constraint for 6 hours a day for 5 days a week for 4 week.

Locations

Country	Name	City	State
Pakistan	Rising Sun Institute	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (3)

Hoare BJ, Wallen MA, Thorley MN, Jackman ML, Carey LM, Imms C. Constraint-induced movement therapy in children with unilateral cerebral palsy. Cochrane Database Syst Rev. 2019 Apr 1;4:CD004149. doi: 10.1002/14651858.CD004149.pub3. — View Citation

Samaei A, Mirshoja MS, Khalili MA. Comparison of Sensorimotor Retraining Methods by Movement Therapy Based on Limitations in Upper Extremity Function in Patients with Chronic Stroke. INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH AND ALLIED SCIENCES. 2016;5(2):510-+.

Santana CAS, Tudella E, Rocha NACF, de Campos AC. Lower Limb Sensorimotor Training (LoSenseT) for Children and Adolescents with Cerebral Palsy: A Brief Report of a Feasibility Randomized Protocol. Dev Neurorehabil. 2021 May;24(4):276-286. doi: 10.1080/17518423.2020.1858458. Epub 2021 Jan 3. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	two point discrimination	two point discrimination to discern that the two nearby objects touching the skin are truly two distant points. it is tested with a sharp object caliper is applied to the exposed skin and response and time are recorded. it is used for tactile perception. the normal minimal distance for the hands is 3cm and 0.6 cm for the fingers tips.	4 weeks
Primary	nine hole peg test	nine hole peg test to check hand dexterity and grip. The patient is seated at a table with a container holding nine pegs and a wood/plastic block containing nine empty holes and asked to put the nine pegs in nine holes in a block one by one and then remove the pegs one at a time from the holes and the time is recorded. patient should do the test with both hands independently.	4 weeks
Secondary	manual ability classification system	it describes how CP child uses his or her hands to handle objects in daily activities with qualitative analysis by care taker, it has five levels. in level 1 child holds objects easily and succesfully. in level 2 child handles most object but with some reduced quality or speed. in level 3 the objects are handled with difficulty and child needs help to prepare or modify activities. in level 4 child handles a limited selection of easily managed objects and always requires some help from others. in level 5 child is not able to handle objects or to complete even simple actions with their hands.	4 weeks