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Effects of Upperlimb Sensorimotor Training in Hemiplegic Cerebral Palsy

Not Applicable
Completed
Conditions
Cerebral Palsy
Interventions
Other: Sensory training
Other: Motor training
Other: Conventional exercises
Registration Number
NCT06011616
Lead Sponsor
Riphah International University
Brief Summary

The study aims to determine the effects of upper limb sensorimotor training as compared to task oriented raining in subjects with cerebral palsy. The study will target the upperlimb functions using multiple outcomes and will find the changes in subjects undergoing sensorimotor or task oriented training.

Detailed Description

The stduy will include subjects fulfilling the inclusion criteria, will be divided into 2 groups; interventional and control. The interventional group will be recieving sensorimotor training comprising of sensory activities and motor activities. The control group will be having motor activities in the form of task oriented training. The duration of intervention would be 40 minutes in each group, 3 days a week, for 8 weeks.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
44
Inclusion Criteria
  • Hemiplegic cerebral palsy Modified Ashworth scale score 2 and 3
Exclusion Criteria
  • Other neurological disorders Previous upper limb surgeries Botox injection in last 1 year

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
interventional groupMotor trainingSuperficial and Deep Sensory training: 5 sets of 9 min, 3 times a week for 8 weeks. Motor training: 5 sets of 9 min, 3 times a week for 8 weeks. Conventional therapy: 30 min, 3 days for 8 weeks
interventional groupSensory trainingSuperficial and Deep Sensory training: 5 sets of 9 min, 3 times a week for 8 weeks. Motor training: 5 sets of 9 min, 3 times a week for 8 weeks. Conventional therapy: 30 min, 3 days for 8 weeks
control groupConventional exercisesMotor training: 5 sets of 9 min, 3 times a week for 8 weeks. Conventional therapy: 30 min, 3 days for 8 weeks
interventional groupConventional exercisesSuperficial and Deep Sensory training: 5 sets of 9 min, 3 times a week for 8 weeks. Motor training: 5 sets of 9 min, 3 times a week for 8 weeks. Conventional therapy: 30 min, 3 days for 8 weeks
control groupMotor trainingMotor training: 5 sets of 9 min, 3 times a week for 8 weeks. Conventional therapy: 30 min, 3 days for 8 weeks
Primary Outcome Measures
NameTimeMethod
Modified Ashworth Scale (MAS)After 8 weeks

Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion

Manual ability classification systemAfter 8 weeks

Manual ability classification system is used to determine daily use hand activities

Abilities of Hand (ABILHAND-KIDS)After 8 weeks

This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.

Finger Joint Position SenseAfter 8 weeks

Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.

Pediatric Arm Function TestAfter 8 weeks

This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.

Manual Muscle TestingAfter 8 weeks

Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Alfarabi Special Education Centre/ Physical Health Centre

🇵🇰

Islamabad, Islamabad Capital Territory, Pakistan

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