Cognitive Sensory Motor Training Therapy for Children With Cerebral Palsy

Official title

Effects of Cognitive Sensory Motor Training Therapy on Dexterity and Upper Limb Function in Children With Cerebral Palsy

Overview

The current study will be randomized controlled trial, data will be collected from Central Park Teaching Hospital. The study will include 32 participants equally divided into two groups and randomly allocated. Inclusion criteria for this study will be consist of diagnosis with cerebral palsy, age 6-12, ability to participate in cognitive sensory motor training therapy, stable medical condition, and informed consent from parents/guardians. Participants with severe cognitive impairments, unstable medical condition, history of spinal cord injury or deformity, diagnosis with other neurological conditions, and visual or hearing impairments will be excluded from the study.. The Experimental group will receive Cognitive Sensory Motor Training Therapy and Routine Physical Therapy, while the Control group will receive Routine Physical Therapy.Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Data collection will be done before and after the interventions.Outcome measures will include the dexterity, and upper limb function.Tools used for data collection will be Action Research Arm Test and Box and Block Test. Data analysis will utilize SPSS version 25.00.

Detailed description

Cerebral palsy defined as a neuro-impairment with motor disability caused by a non- progressive defect or lesion of the immature brain. Cerebral palsy (CP) impact approximately

1 in 500 children worldwide, affecting motor function, muscle tone, and coordination.

Children with CP will experience limitations in daily activities, social participation, and quality of life due to impaired upper limb function. To address this, rehabilitation strategies will focus on enhancing dexterity, and upper limb function. The aims of the study is to examine the effects of cognitive sensory motor training therapy on dexterity and upper limb function in children with CP. The current study will be randomized controlled trial, data will be collected from Central Park Teaching Hospital. The study will include 32 participants equally divided into two groups and randomly allocated. Inclusion criteria for this study will be consist of diagnosis with cerebral palsy, age 6-12, ability to participate in cognitive sensory motor training therapy, stable medical condition, and informed consent from parents/guardians. Participants with severe cognitive impairments, unstable medical condition, history of spinal cord injury or deformity, diagnosis with other neurological conditions, and visual or hearing impairments will be excluded from the study.. The Experimental group will receive Cognitive Sensory Motor Training Therapy and Routine Physical Therapy, while the Control group will receive Routine Physical Therapy.Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Data collection will be done before and after the interventions.Outcome measures will include the dexterity, and upper limb function.Tools used for data collection will be Action Research Arm Test and Box and Block Test. Data analysis will utilize SPSS version 25.00.

Interventions

• Other Cognitive Sensory Motor Training Therapy
  Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Cognitive exercise therapy combines spatial and tactile tasks to improve cognitive function, focusing on perception and sensory awareness. Participants completed 5 tasks, customized to their recovery progress.
• Other conventional occupational therapy
  Participants received conventional occupational therapy, consisting of many purposeful kinetic activities such as skateboard-supported arm-sliding exercises on a tabletop, picking up a ball and putting it into a basket, bi-manual placing cone, shoulder curved arch, double curved arch, arm bicycling, donut on base, putty kneading, block stacking, peg board exercise, graded pinch exercise and plastic cone stacking. Therapists could offer passive, active-assistive or active training, as deemed appr

Primary outcome measures

• Action Research Arm Test: [Time frame: The test can be completed in an average of 10 minutes but requires specific materials]
• Box and Block Test: [Time frame: The number moved in 60 seconds is the recorded score.]

Eligibility criteria

Inclusion criteria

• Children aged 6-12 years with cerebral palsy
• Diagnosis confirmed by pediatric neurologist or rehabilitation specialist
• Ability to follow simple instructions and participate in therapy sessions.
• Participants had to be able to focus attention on demonstrate level II and III on the Gross
• Motor Function Classification Scale (GMFCS)
• Level II or III on the Manual Ability Classification System (MACS)

Exclusion criteria

• Visual impairment or hearing defect
• Severe cognitive decline and aphasia
• Contractures that could limit the patient from maintaining the extended arm in a comfortable position,

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

Other

Study locations

Pakistan · 1 center

• Muhammad Asif Jvaed — Lahore

Publications

• Choi W. Effects of Cognitive Exercise Therapy on Upper Extremity Sensorimotor Function and Activities of Daily Living in Patients with Chronic Stroke: A Randomized Controlled Trial. Healthcare (Basel). 2022 Feb 24;10(3):429. doi: 10.3390/healthcare10030429. PMID 35326907

Identifiers

NCT: NCT07248566 · REC/RCR&AHS/SADIAJAVED

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗