Horizontal Versus Vertical Upper Extremity Function in Bilateral Cerebral Palsy

Официальное название

HORIZONTAL VERSUS VERTICAL UPPER EXTREMITY PERFORMANCE ON HAND SKILLS AND TRUNK CONTROL IN BILATERAL CEREBRAL PALSY

Обзор

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.

Подробное описание

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.

Вмешательства

• Процедура 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.
• Процедура 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.

Первичные конечные точки

• Change in Fine motor proficiency [Срок оценки: Before and after the three months of treatment]
• Change in upper extremity function [Срок оценки: Before and after the three months of treatment]
• Change in trunk stability from sitting [Срок оценки: Before and after the three months of treatment]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• 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.

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

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Faculty of physical therapy — Cairo

Идентификаторы

NCT: NCT07367477 · P.T.REC/012/004404

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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