Virtual Reality With Mirror Therapy on Upper Limb Function

Официальное название

Effect Of Virtual Reality With Mirror Therapy on Upper Limb Functions in Children With Hemiplegic Cerebral Palsy

Обзор

The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age . The main question of the study is Are there any significant differences between the effects of virtual reality , mirror therapy and the combined effect of both techniques and on upper limb function in hemiplegic CP children? Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program

Подробное описание

The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age

. The main question of the study is Are there any significant differences between the effects of virtual reality (VR), mirror therapy (MR) and the combined effect of both techniques (VR) and (MR) on upper limb function in hemiplegic CP children?

Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program

Вмешательства

• Устройство virtual reality
  In Xbox, we will choose suitable games that aim to improve upper limb function like boxing, Darts, tennis, goalkeeping, basketball, disc throwing, balling, and volleyball. The Kinect sensor has the advantage of auto adjustment of its camera according to the child's position and height that's to say the child can perform the game in sitting or standing according to their abilities. They will receive 30 minutes of VR intervention in addition to the time required for the designed physical therapy
• Другое mirror therapy
  Mirror Therapy A mirror of 30 × 20 inches was used for the MT, which was large enough to cover the entire affected limb while still allowing the reflection of the non-affected limb to be seen. The child was seated in a chair with the forearms resting on the table. In the mid-sagittal plane, the mirror box was positioned at an angle of 70° to 80° to the trunk. The affected limb was placed behind the mirror. The child was asked to perform the exercises bilaterally and symmetrically as much as poss
• Другое virtual reality with mirror therapy
  group C will receive combined effect of both techniques (virtual reality and mirror therapy)

Первичные конечные точки

• changes in upper limb functions [Срок оценки: after 12 weeks of intervention]
• changes in power grip strength [Срок оценки: after 12 weeks of intervention]
• changes in range of motion (ROM) [Срок оценки: after 12 weeks of intervention]

Вторичные конечные точки (1)

• changes in activity of daily living (ADL) [Срок оценки: after 12 weeks of intervention]

Критерии участия

Критерии включения

• Children will be included in the study if they fulfil the following criteria:

• A medical diagnosis of spastic hemiplegic CP made by pediatric neurologists.
• Children with spasticity grades ranged from 1 to 1+ according to MAS.
• Their age range from 4 to 10 years.
• Children level 1 and level 2 in gross motor functional classification (GMFC 1\&2)

Критерии исключения

• Children will be excluded from the study if:

• They had a permanent deformity (bony or soft tissue contractures).
• Children having visual or auditory defects.
• Children who can not understand verbal commands
• Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to wrist and hand.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Тройное слепое

Основная цель

Другое

Центры проведения

Египет · 1 центр

• faculty of physical therapy Kafrelshiekh university — Kafr ash Shaykh

Публикации

• Atasavun Uysal S, Baltaci G. Effects of Nintendo Wii Training on Occupational Performance, Balance, and Daily Living Activities in Children with Spastic Hemiplegic Cerebral Palsy: A Single-Blind and Randomized Trial. Games Health J. 2016 Oct;5(5):311-317. doi: 10.1089/g4h.2015.0102. Epub 2016 Oct 5. PMID 27705006

Идентификаторы

NCT: NCT06728475 · KFSIRB200-254

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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