Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral Palsy

Cerebral Palsy Clinical Trial

Official title:

Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06203366
• Other study ID #: MURA2023/780
• Status: Not yet recruiting
• Phase: N/A
• Start date: January 15, 2024
• Est. completion date: March 31, 2026

Study information

• Verified date: January 2024
• Source: Mahidol University
• Contact: Sivaporn Vongpipatana, MD.
• Phone: 022011154
• Email: sivaporn.vop[@]mahidol.ac.th
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this pilot study is to study the effect of Vojta therpy on upper extremity function in children with cerebral palsy. The main questions are:

• to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of range of motion and function

• to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of motion analysis while perform function

Description:

Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 20
• Est. completion date: March 31, 2026
• Est. primary completion date: March 31, 2026
• Accepts healthy volunteers: No
• Gender: All
• Age group: 7 Years to 12 Years

Eligibility

Inclusion Criteria:

• spastic diplegia (MACS II-III)

• can pick box and block test at least 1 block

• has good trunk stability while sitting

• can follow command

• participant and guardian consent to the study

Exclusion Criteria:

• no Vojta therapy in last 2 months

• no history of anti-spastic injection in last 6 months

• do not receive prednisolone nor adrenocorticotropic hormone (ACTH)

• cannot control seizure

• got the specific disease such as osteogenesis imperecta, cardiac disease

• Participant and guardians do not consent to the study.

Related Conditions & MeSH terms

• Cerebral Palsy
• Upper Extremity
• Vojta Therapy

Intervention

Procedure:
• Vojta therapy
Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.

Locations

Country	Name	City	State
Thailand	Srisangwan School Foundation for the Welfare of the Crippled under Royal Patronage of Her Royal Highness the Princess Mother	Nonthaburi

Sponsors (2)

Lead Sponsor	Collaborator
Mahidol University	Srisangwan School

Country where clinical trial is conducted

Thailand, 

References & Publications (10)

Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D; Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005 Aug;47(8):571-6. doi: 10.1017/s001216220500112x. — View Citation

Kara OK, Yardimci BN, Sahin S, Orhan C, Livanelioglu A, Soylu AR. Combined Effects of Mirror Therapy and Exercises on the Upper Extremities in Children with Unilateral Cerebral Palsy: A Randomized Controlled Trial. Dev Neurorehabil. 2020 May;23(4):253-264. doi: 10.1080/17518423.2019.1662853. Epub 2019 Sep 13. — View Citation

Khiewcham P., Vongpipatana S., Wongphaet P., Thipsook K. Effect of Vojta Therapy on Gait of Children with Cerebral Palsy. J Thai Rehabil Med 2016; 26(3): 91-97

Lim H, Kim T. Effects of vojta therapy on gait of children with spastic diplegia. J Phys Ther Sci. 2013 Dec;25(12):1605-8. doi: 10.1589/jpts.25.1605. Epub 2014 Jan 8. — View Citation

Matic-Tec.de, S.R.| Therapie, Vojta. Available at: https://www.vojta.com/de/vojta-prinzip/vojtatherapie (Accessed: February 15, 2023).

Peeters LHC, de Groot IJM, Geurts ACH. Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk - A review. Gait Posture. 2018 May;62:46-55. doi: 10.1016/j.gaitpost.2018.02.028. Epub 2018 Mar 6. — View Citation

Prusmetikul S, Vongpipatana S, Woratanarat P, Tuntiyatorn P, Tamonsawatruk T. Correlation of range of motion and functional performance of upper extremities in children with cerebral palsy. J Med Assoc Thai 2018;101;Suppl.3

Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020 Jun 12;16:1505-1518. doi: 10.2147/NDT.S235165. eCollection 2020. — View Citation

Sirindhorn National Medical Rehabilitation Centre. Vojta therapy in childhood. Bangkok: Department of Medical Services, Ministry of Public Health; October 2556.

Sung YH, Ha SY. The Vojta approach changes thicknesses of abdominal muscles and gait in children with spastic cerebral palsy: A randomized controlled trial, pilot study. Technol Health Care. 2020;28(3):293-301. doi: 10.3233/THC-191726. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Box and block test	the children have to pick the 1"*1" cube blocks from one side of the box to the other side in 1 minute	Baseline (before) and within 1 week after the final treatment
Secondary	active range of motion of upper extremity	the children was asked to active move their shoulder, elbow and wrist for measurement	Baseline (before) and within 1 week after the final treatment
Secondary	Nine hole peg test	the children have to pick 9 pegs from the container to insert into the providing holes and record the time	Baseline (before) and within 1 week after the final treatment
Secondary	3D motion analysis of upper extremity	the markers were attached at back, sternum, both shoulders, elbows and wrists. Then, children were to forward rech the object on the table. The camera and mrakers will record and analyz the motion of both upper extremities. This measurement will be done only in children who was treated with Vojta therapy group only. This measurement will report in distance of maximum reaching, velocity and angle velocitym of shoulder, elbow, wrist with forearm pronation/supination. The other parameters are movement duration, peak velocity, time to peak velocity and trajectory straigthness.	Baseline (before) and within 1 week after the final treatment
Secondary	Video recording	The camera video will record the distance of maximum reaching in forward reaching and lateral reaching.	Baseline (before) and within 1 week after the final treatment