Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

Hemiplegia Clinical Trial

Official title:

Effectiveness of Intensive Motor Learning Approaches From Working on a Vertical Surface on Hemiplegic Children's Upper Limb Motor Skills

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05596513
• Other study ID #: P.T.REC/012/003981
• Status: Completed
• Phase: N/A
• Start date: October 30, 2022
• Est. completion date: February 28, 2023

Study information

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

Clinical Trial Summary

Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.

Description:

Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion.

A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint.

Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles.

Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: February 28, 2023
• Est. primary completion date: January 17, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 5 Years to 9 Years

Eligibility

Inclusion Criteria:

1. Children diagnosed with spastic hemiplegic cerebral palsy

2. Age 5 to 9 years

3. Manual Ability Classification System (MACS)19 scores I, II.

4. Children who can understand and cooperate with researcher's instructions

5. Children with no visual or hearing impairment

Exclusion Criteria:

1. Children with any surgical interference in the upper limb.

2. Intellectual disability such that simple tasks could not be understood or executed.

3. Inability to combine the study protocol with the regular school program

Related Conditions & MeSH terms

• Hemiplegia
• Spastic

Intervention

Other:
• motor learning and occupational therapy
Constraint-induced movement therapy (CIMT) Hand-arm bimanual intensive training (HABIT)
• Motor Learning Approaches From Working on a Vertical Surface
Ball on wall, kneel to stand Kneel walk cross over Vertical playground puzzles and games Color on big boxes Fridge magnets Erasing a whiteboard or chalkboard Tactile feedback from textured walls

Locations

Country	Name	City	State
Egypt	Badr University	Badr	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Omnya Samy Abdallah Ghoneim

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	QUEST	quality of upper extremity skills test (Only dissociated movement, grasp and weight bearing domains QUEST will be assessed).	3 month