Effectiveness of Intensive Motor Learning Approaches From Working on a Vertical Surface on Hemiplegic Children's Upper Limb Motor Skills
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- QUEST
研究概览
简要总结
Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.
详细描述
Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion.
A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint.
Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles.
Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 5 Years 至 9 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children diagnosed with spastic hemiplegic cerebral palsy
- •Age 5 to 9 years
- •Manual Ability Classification System (MACS)19 scores I, II.
- •Children who can understand and cooperate with researcher's instructions
- •Children with no visual or hearing impairment
排除标准
- •Children with any surgical interference in the upper limb.
- •Intellectual disability such that simple tasks could not be understood or executed.
- •Inability to combine the study protocol with the regular school program
研究组 & 干预措施
control group
received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).
干预措施: motor learning and occupational therapy (Other)
study group
received the intensive motor-learning approaches of the control group but from a vertical surface
干预措施: Motor Learning Approaches From Working on a Vertical Surface (Other)
结局指标
主要结局
QUEST
时间窗: 3 month
quality of upper extremity skills test (Only dissociated movement, grasp and weight bearing domains QUEST will be assessed).
次要结局
未报告次要终点
研究者
Omnya Samy Abdallah Ghoneim
Lecturer, Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt.
Badr University