Horizontal Versus Vertical Upper Extremity Function in Bilateral Cerebral Palsy
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: a designed occupational therapy program to improvement hand skills conducted on a vertical surface., a designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface..
- Who it may be relevant to
- Registry conditions: Bilateral Cerebral Palsy. Basic parameters: 5 years — 8 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
- Egypt
- 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
HORIZONTAL VERSUS VERTICAL UPPER EXTREMITY PERFORMANCE ON HAND SKILLS AND TRUNK CONTROL IN BILATERAL CEREBRAL PALSY
Overview
The goal of this quasi-experimental study is to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy; could include any of the following: both gender, age ranged from 5 years to 8 years. The main question it aims to answer \[is/are\]: There will be no significant difference effect between horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy.
Detailed description
This study aims to investigate the effects of to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy. The research will evaluate fine motor proficiency, upper extremity function and trunk stability from sitting through a controlled and structured intervention program.
Participants will undergo designed Occupational Therapy program will be applied for 90 minutes, three days per week for successive three months for the both groups by the researcher The study adopts a quasi-experimental design, with thirty participants allocated into two groups of an equal number, twenty children for each group. Two group will be identified as group (A) and group (B).
Data will be analyzed using paired t-test will be used for within group comparison before and after the intervention, for each variable and independent t-test was used to compare the demographic data and the baseline characteristics of both groups for all measured variables, pre and post treatments, with a significance level set at p \< 0.05.
Interventions
- Procedure a designed occupational therapy program to improvement hand skills conducted on a vertical surface.
The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a vertical surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months. - Procedure a designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface.
The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a horizontal surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.
Primary outcome measures
- Change in Fine motor proficiency [Time frame: Before and after the three months of treatment]
- Change in upper extremity function [Time frame: Before and after the three months of treatment]
- Change in trunk stability from sitting [Time frame: Before and after the three months of treatment]
Eligibility criteria
Inclusion criteria
- Children with BSCP, their chronological age will be ranged from 5 years to 8 years.
- Their level of motor function will be I or II according to Gross Motor Function Classification System - Expanded and Revised.
- The degree of spasticity for these children will ranged from grade 1 to 1⁺ according to Modified Ashworth Scale.
- Their level of fine motor function will be I or II according to The Bimanual Fine Motor Function.
- All children's level of segmental trunk control will be level 7 (full trunk control) according to Segmental Assessment of Trunk Control.
- They will be able to follow instructions during evaluation and treatment.
Exclusion criteria
- Surgical interference in upper limbs and/or spine that may restrain the child performance during activities.
- Orthopedic problems or fixed deformities in the vertebral column and/or upper extremities.
- Uncontrolled seizures.
- Visual or hearing impairment.
- Receiving special medication affecting muscle and /or mental function.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Faculty of physical therapy — Cairo
Identifiers
NCT: NCT07367477 · P.T.REC/012/004404