Investigating the Effectiveness of Graded Motor Imagery Training in Children With Obstetric Brachial Plexus Injury
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Conventional Physiotherapy, Graded Motor Imagery.
- Who it may be relevant to
- Registry conditions: Obstetric Brachial Plexus Injury. Basic parameters: 7 years — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Investigating the Effectiveness of Graded Motor Imagery Training on Upper Limb Function, Proprioception, Functional Mobility, Balance and Quality of Life in Children With Obstetric Brachial Plexus Injury
Overview
The aim of this study is to investigate the effect of graded motor imagery training on upper extremity motor function, proprioception, functional mobility, balance and quality of life in patients with obstetric brachial plexus injury in addition to conventional treatment. In this context, our aim is to identify new and potential physiotherapeutic approaches to address deficits in motor planning that have been shown to occur at the level of the central nervous system.
Detailed description
This study was planned as a randomized, controlled, single-blind study. The aim of this study was to investigate the effects of graded motor imagery (GMI) training, performed in addition to conventional treatment of patients with obstetric brachial plexus injury, on upper extremity motor function, proprioception, functional mobility and quality of life. In parallel to the initial assessment, a conventional physiotherapy program was created that is individualized according to the functional status and severity of the effects in the children. In the GMI program, in addition to this program, the components of GMI training are applied to sequentially activate the cortical motor networks and develop cortical organization. All assessments of the participants before and at the end of the treatment are carried out by a blind physiotherapist.
Interventions
- Other Conventional Physiotherapy
All subjects to be included in our study were evaluated before and after treatment by a physiotherapist acting as a blinded evaluator. In the treatment, conventional physiotherapy approaches are applied twice a week for 8 weeks by the physiotherapist conducting the thesis study. In parallel with the initial evaluation, an individualized conventional physiotherapy program is created according to the functional status of the children and the severity and type of the affected area. The main topics - Other Graded Motor Imagery
All approaches applied to the conventional physiotherapy group are applied to this group in the same manner and duration (8 weeks-twice a week). However, in addition to conventional physiotherapy, progressive motor imagery (AMI) training program is being applied twice a week for 8 weeks. In the GMI program, in addition to this program, components of GMI training will be applied to sequentially activate cortical motor networks and improve cortical organization. These are; * Laterality training
Primary outcome measures
- The Modified Mallet Classification System [Time frame: 8 weeks]
- Active Movement Scale [Time frame: 8 weeks]
- The Quality of Upper Extremity Skills Test (QUEST) [Time frame: 8 Weeks]
- Range of Motion Measurement [Time frame: 8 Weeks]
Secondary outcome measures (6)
- Box and Block Test [Time frame: 8 Weeks]
- Proprioception Assessment [Time frame: 8 Weeks]
- Timed Up and Go Test [Time frame: 8 Weeks]
- Timed Stair Climb Test [Time frame: 8 Weeks]
- Functional Reach Test [Time frame: 8 Weeks]
- Quality of Life Assesment [Time frame: 8 Weeks]
Eligibility criteria
Inclusion criteria
- Obtaining family consent and the child's willingness
- Being between the ages of 7-18
- Being diagnosed with obstetric brachial plexus injury
- Not having received physical therapy in the last 6 months
Exclusion criteria
- Having a traumatic (postnatal) brachial plexus injury
- Having undergone surgery for complications related to brachial plexus injury within the last six months (release, tendon transfer, osteotomy, etc.)
- Having another neurological, neuromuscular, musculoskeletal or cardiopulmonary system disease in addition to OBPI
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Izmir Bakircay University Physiotherapy and Rehabilitation Application and Research Center — Izmir
Identifiers
NCT: NCT06966544 · BakircayU-FTR-HM-01