Cerebral Palsy Clinical Trial
Official title:
Effectiveness of Interactive Computerized Handwriting Training Program on Handwriting Performance in Children With Cerebral Palsy
Verified date | May 2011 |
Source | Chang Gung Memorial Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | Taiwan: Institutional Review Board |
Study type | Interventional |
Visual perception impairment and upper limb disability will affect the handwriting
performance. Children with cerebral palsy (CP) who have good function on upper extremity may
associated with visual perception impairment, which will impact the handwriting performance.
However, there were few studies to investigate the handwriting problems in children with CP
who have good upper limb functions. To date, there are no studies to investigate the
effectiveness of computerized handwriting training programs on handwriting performance in
children with CP. The aims of this study were to establish the relationships of visual
perception, visual motor integration, and motor coordination of handwriting performance in
children with typical development (TD) in Taiwan, to establish the norms of handwriting
performance in children with TD in Taiwan, to compare handwriting performance in children
with CP and children with TD, to clarify the relationship of visual perception function and
handwriting performance in children with CP, and to examine the effectiveness of interactive
computerized handwriting training program (ICHTP) on handwriting performance in children
with CP.
The investigators will collect 90 children with TD and 48 children with CP in the 1st phase.
All children will receive clinical and Chinese handwriting assessment tool (CHAT)
assessments. The CHAT and ICHTP will be modified as Taiwan-version handwriting assessment
tool and training programs for children in Taiwan, respectively. Clinical assessments
include the visual perception, visual motor integration, fine motor skill, and handwriting
performance. The CHAT assessed the handwriting legibility, accuracy, pen pressure and
writing speed. In the 2nd phase, the investigators will collect 48 children with CP, who
were randomly classified into ICHTP group and Traditional Handwriting Training Program
(THTP). All children with CP will receive clinical and CHAT assessments before and after
interventions.
The expected results of this study are the visual perception function is related to
handwriting performance in children with CP, and the improvements in the handwriting
legibility, accuracy, pen pressure and writing speed of ICHTP training group are greater
than THTP training group.
Status | Completed |
Enrollment | 20 |
Est. completion date | February 2015 |
Est. primary completion date | March 2012 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 6 Years to 12 Years |
Eligibility |
Inclusion Criteria: - ability to follow instructions and complete the assessment - agreement to join this study. - CP with hemiplegia and diplegia - Manual Ability Classification System (MACS) of dominant hand: levels 1-2 Exclusion Criteria: - psychosocial, behavioral and emotional problems, such as ADHD, and autism. - physical dysfunction, such as neuromuscular disorders. - significant hearing or visual impairment - significant sensory impairment. - Learning disability - Test of Nonverbal Intelligence( TONI-2) less than two standard deviation, - unstable medical situation (ex: seizure). |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Taiwan | Chang Gung Memorial Hospital | Taoyuan |
Lead Sponsor | Collaborator |
---|---|
Chang Gung Memorial Hospital |
Taiwan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Body function and structure | pre-treatment, post-treatment, 3 months, 6 months, 12 months Body function and structure: TVPS, Reading and handwriting tests, SP, etc. | pre-treatment, post-treatment, 3 months, 6 months, 12 months | No |
Secondary | Activities and participation | pre-treatment, post-treatment, 3 months, 6 months, 12 months Activities and participation: SFA,CAPE, PAC, etc. |
pre-treatment, post-treatment, 3 months, 6 months, 12 months | No |
Secondary | Quality of life | pre-treatment, post-treatment, 3 months, 6 months, 12 months HRQOL: CPQOL, etc. | pre-treatment, post-treatment, 3 months, 6 months, 12 months | No |
Secondary | Computer Analysis for Chinese Handwriting(CACH) | pre-treatment, post-treatment, 3 months, 6 months, 12 months Computer Analysis for Chinese Handwriting(CACH) |
pre-treatment, post-treatment, 3 months, 6 months, 12 months | No |
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