the Effectiveness of Task-oriented Training With Pretend Play in CP Children

Cerebral Palsy Clinical Trial

Official title:

Therapeutic Outcomes of Task-oriented Training With Pretend Play in Children With Cerebral Palsy.

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05972499
• Other study ID #: 012004082
• Status: Not yet recruiting
• Phase: N/A
• Start date: August 1, 2023
• Est. completion date: April 1, 2024

Study information

• Verified date: February 2023
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

the effectiveness of task - oriented training with pretend play on gross motor function, functional capacity and cognitive function in children with hemiplegic cerebral palsy.

Description:

PURPOSE: This study aims to investigate the effectiveness of task-oriented training with pretend play on: gross motor function, functional capacity and cognitive function in children with hemiplegic CP. BACKGROUND: Children with HCP experience difficulty with the motor function of the affected lower extremity. The majority of children with hemiplegia are able to walk without restrictions but more advanced gross motor skills are often affected. Task-Oriented Training is a contemporary neurological rehabilitation technique that has the prospects of improving the quality of life of children with CP. It is a function-based, goal directed intervention that requires active involvement of the patient in a therapy that is task and context-specific, which focused on the accomplishment of functional activities and participation. Pretend play is defined as play in which the child acts with intent that is representational. pretend play helps children learn how to express themselves, explore social interactions, and understand things and people within a real-world context. HYPOTHESES: There is effect of task-oriented training with pretend play on gross motor function, functional capacity and cognitive function in children with hemiplegic CP. . ………………… RESEARCH QUESTION: Does task-oriented training with pretend play has an effect on gross motor function, functional capacity and cognitive function in children with hemiplegic CP?

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 40
• Est. completion date: April 1, 2024
• Est. primary completion date: February 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Years to 8 Years

Eligibility

Inclusion Criteria:

• Hemiplegic CP children of both genders.
• Their age range will be from 6 up to 8 years.
• They will be have spasticity will range from 1+ and 2, spasticity will be diagnosed based on the modified Ashworth scale.
• They will be have gross motor function at levels II and III, gross motor function will be diagnosed based on Gross Motor Function Classification System Expanded and Revised.
• They will be able to understand and follow direction.

Exclusion Criteria:

• Any visual or auditory impairments.
• Epilepsy.
• Any cognitive disorder.
• Any fracture or orthopedic surgery in the last 6 months.

Related Conditions & MeSH terms

• Cerebral Palsy

Intervention

Other:
• task-oriented training with pretend play
Pretend play: Children engage in pretend play by acting out themes, taking on roles, assigning attributes to inanimate objects, and using objects as if they were something else Props will be added to hold the child interest. Role play costumes, or occupation props (police officer's suit), stimulate pretending elements. Task-oriented training: It is involving the active, repetitive practice of functional activities to learn or relearn a motor skill. Training implies that the behavioral experiences are not just repetition of the same sensorimotor skill but involves progressive challenges to a participant's capabilities and involves tasks that are meaningful to the participant. It is based on the following principles: functional goal-directed training focus on practicing specific activities of importance to the child during daily activities; planning activity-focused interventions by adapting knowledge of motor learning ; and allowing for the interest and participation of the children.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	change from baseline in cognitive function on Wechsler intelligence scale for children (WISC-IV) at week13	WISC-IV is a valid instrument assessing cognitive function. It consists of 10 core subtests and 5 supplementary subtests. it provides four index scores, The Full-Scale Intelligent Quotient can be obtained from the sum of the 10 core sub test scores.; change= (Week 13 score - Baseline score).	Baseline and week 13
Primary	change from baseline in functional capacity on six minutes walk test at week 13	six minutes walk test is a validated instrument assessing functional capacity. For the 6 - minute walking test during overground walking, the children will be encouraged to walk on 30 meters hard and even surface corridor for 6- minutes .; Change = (week 13 score -Baseline score).	Baseline and week 13
Primary	change from baseline in gross motor function on Gross Motor Function Measure (GMFM) at week 13	Gross Motor Function Measure is a valid, and reliable standardized assessment tool that measures change in gross motor function. It consists of 88 items grouped into five functional dimensions. Score of each item has four points ranging from 0 to 3; where 0 indicates that the child does not initiate the task; 3 indicates that the child completes the task (100%).; change = (week 13 score -Baseline score).	Baseline and week 13