Effect of Graded Motor Imagery with Conventional Occupational Therapy on Pain and Upper limb functionality in patients with Supracondylar humerus fracture.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 28
- 试验地点
- 1
- 主要终点
- 1 Pain on Visual Analogue Scale and
研究概览
简要总结
Supracondylar humerus fractures are common in children mainly between ages 5 to 6 years caused by fall on an outstretched hand
It leads to complications like pain swelling cubitus varus deformity limited range of motion
A newer top-down cortical reorganization approach involving Implicit Motor Imagery which includes laterality recognition Explicit Motor Imagery which is imagining movements and Mirror Therapy will be used in intervention
It aims to reduce pain and improve function
This research aims to evaluate if GMI combined with conventional Occupational Therapy is more effective than OT alone in improving Pain Elbow range of motion Grip strength Upper limb functionality
It is a comparative study conducted in a tertiary care hospital over a period of 1 year
28 children aged between 6 to17 years randomized via lottery will be enrolled for the study
They will be grouped in 2 groups Group A Conventional OT Group B GMI with Conventional OT
Test of Visual Perception skills 3rd edition and Vineland Social Maturity Scale will be used to screen children after being enrolled in interventional group
Outcome Measures like Pain ROM using Goniometer Grip Strength using Jamar Dynamometer and Functionality using Patient Rated Elbow Evaluation (PREE) will be assessed
Intervention will continue for a period of 8 weeks
The study objectives are to assess and compare pre and post values of pain ROM grip strength and function
It is used to examine effectiveness of GMI in children with SCH
Expected Outcome of this study will be that GMI with OT may reduce pain more effectively improve elbow ROM and grip strength enhance upper limb function motivate patients to continue therapy
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 6.00 Year(s) 至 17.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with right and left dominance All types of supracondylar fracture on gartland classification 1 week post conservative and surgical management Children scoring age appropriate on specific subtests of Test of Visual Perceptual skills 3rd edition Children having mental age as per their chronological age as measured on Vineland Social Maturity Scale Patients prescribed with and without splint.
排除标准
- •Nuerovascular complication Any neurological condition Visual impairment.
结局指标
主要结局
1 Pain on Visual Analogue Scale and
时间窗: Visual Analogue scale at baseline and at the end of 8 weeks | Patient Rated Elbow Evaluation at the end of 3 weeks and at the end of 8 weeks | Range of Motion of affected elbow will be measured using a goniometer at the end of 3 weeks and at the end of 8 weeks | Grasp strength of affected hand using Jamar dynamometer will be assessed at the baseline and at the end of 8 weeks
2 Upper limb functionality on Patient Rated Elbow Evaluation
时间窗: Visual Analogue scale at baseline and at the end of 8 weeks | Patient Rated Elbow Evaluation at the end of 3 weeks and at the end of 8 weeks | Range of Motion of affected elbow will be measured using a goniometer at the end of 3 weeks and at the end of 8 weeks | Grasp strength of affected hand using Jamar dynamometer will be assessed at the baseline and at the end of 8 weeks
3 Range of motion of affected Elbow on Goniometer
时间窗: Visual Analogue scale at baseline and at the end of 8 weeks | Patient Rated Elbow Evaluation at the end of 3 weeks and at the end of 8 weeks | Range of Motion of affected elbow will be measured using a goniometer at the end of 3 weeks and at the end of 8 weeks | Grasp strength of affected hand using Jamar dynamometer will be assessed at the baseline and at the end of 8 weeks
4 Grasp strength of affected hand on Jamar dynamometer
时间窗: Visual Analogue scale at baseline and at the end of 8 weeks | Patient Rated Elbow Evaluation at the end of 3 weeks and at the end of 8 weeks | Range of Motion of affected elbow will be measured using a goniometer at the end of 3 weeks and at the end of 8 weeks | Grasp strength of affected hand using Jamar dynamometer will be assessed at the baseline and at the end of 8 weeks
次要结局
未报告次要终点
研究者
Dr Prachi Mehta
OT Training School and Centre LTMMC and GH