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Идёт набор NCT07673289

Comparative Effect of CIMT and PNFTechnique on Hands Dexterity in Cerebral Palsy

Без фазы С лечением Cerebral Palsy

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Constraint-Induced Movement Therapy, Proprioceptive Neuromuscular Facilitation Therapy.
Кому может быть актуально
Состояния в реестре: Cerebral Palsy. Базовые параметры: 8 лет — 13 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Пакистан
Следующий шаг
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Официальное название

Comparative Effect of Constraint Induced Movement Therapy and Proprioceptive Neuromuscular Facilitation Technique on Hands Dexterity in Cerebral Palsy

Обзор

Cerebral Palsy (CP) is a group of permanent disorders of the development of movement and posture, causing activity limitations that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain. The primary motor impairments in CP often include issues with muscle tone, reflexes, and coordination. Among the various motor disorders associated with CP, impairment of the upper extremities is particularly common and functionally debilitating. Specifically, reduced hand dexterity the ability to perform coordinated, fine motor tasks significantly impacts a child's independence in daily activities such as feeding, dressing, and school-related tasks like writing. Therefore, improving hand function is a critical goal in physiotherapy for this population The objective of this study was to compare the effectiveness of a constraint induced movement therapy ( CIMT ) and Proprioceptive neuromuscular facilitation technique on dexterous movement of hands in cerebral palsy .The study design will be Randomized Controlled Trail. The study setting will be Pediatric Rehabilitation Center or Physiotherapy Department. The duration of study will be 10 months after approval of synopsis. The sample size will be 20 which is calculated by epitools. The sampling technique will be Non-probability convenient sampling . Children who are diagnosed with cerebral palsy will be included. Children with other musculoskeletal and neurological issues will be excluded. Data Collection Tools will be Box and Block test and Pediatric Evaluation of Disability Inventory.. The data will be analyzed using SPSS 23. Keyword Cerebral Palsy, Constraint induced movement therapy (CIMT), dexterous movement, Proprioceptive neuromuscular facilitation

Вмешательства

  • Поведенческое Constraint-Induced Movement Therapy
    In Group A, participants underwent Constraint-Induced Movement Therapy (CIMT) alongside conventional physical therapy, conducted five days a week for two hours daily (excluding weekends). This therapy encouraged the active use of the affected upper limb while immobilizing the unaffected limb with a mitt or sling. The aim was to improve motor recovery by combating "learned non-use." Participants engaged in repetitive, task-oriented activities tailored to their skills, such as reaching, grabbing,
  • Поведенческое Proprioceptive Neuromuscular Facilitation Therapy
    Group B received Proprioceptive Neuromuscular Facilitation (PNF) therapy, each session lasting 1.5 hours per day. The PNF approach aimed to enhance functional motor abilities,reduce stiffness, and activate neuromuscular responses. Treatment included diagonal and spiral movement patterns involving the wrist, elbow, and shoulder joints, adhering to a "stretch, contract, and relax" protocol. This protocol involved passively stretching the limb, followed by isometric contractions lasting 10 seconds.

Первичные конечные точки

  • Box and Block test [Срок оценки: 6 weeks]
  • Action Research Arm Test [Срок оценки: 6 weeks]

Критерии участия

Критерии включения

  • 8 to 13 years of age
  • Both male and female
  • Children with moderate level of mental retardation who are able to follow commands

Критерии исключения

  • Children with other musculoskeletal and neurological issues.
  • Children who have complications such as epilepsy, congenital heart condition

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
Простое слепое
Основная цель
Лечение

Центры проведения

Пакистан · 1 центр
  • Baloch Hospital — Lalian

Идентификаторы

NCT: NCT07673289 · REC/RCR & AHS/25/0222

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗