Evaluation of the Effects of Vibration and Kinesiology Tape Applications Applied to the Affected Side Forearm Extensor Muscles on Hand Skills in Children With Hemiplegic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Nine Hole Peg Test (DDPT)
研究概览
简要总结
The aim of this study was to evaluate the effects of vibration and kinesiology tape applications applied to the affected side forearm extensor muscles on dexterity in children with hemiplegic cerebral palsy.
详细描述
Upper extremity in children with hemiplegic cerebral palsy significantly more affected than the lower extremities. Child mostly does not use the affected side and activity and weight uses the solid side in the overlay. in the upper extremity One of the muscles most affected by spasticity is the wrist and wrist. finger flexors. Secondary in antagonist of these muscles weakness develops and posture disorders occur. In this study The kinesiology tape, which has been increasingly used in recent years, affected by the application and local vibration application. hand with application to the lateral forearm extensor muscle group comparing their effects on their skills with the control group. aimed to evaluate. As a result of the study, this diagnosis hand skills of which application in children who are studying has a greater effect on and in which rehabilitation that the application should be preferred more It will be a guide for physiotherapists.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 年龄范围
- 4 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosed with hemiplegic cerebral palsy,
- •No severe spasticity that prevents grasping and releasing an object (Modified which is at the level of 0, 1, 1+, 2 according to the Ashworth Scale),
- •According to the Hand Skills Classification System (EBSS) at 1, 2 and 3 levels with function,
- •Consisting of children between the ages of 4-18,
- •Being treated in a special education and rehabilitation center,
- •The family accepts the participation of their child in the study.
- •They are children who have the mental level to take basic commands.
排除标准
- •Having severe mental retardation that prevents communication and taking basic commands,
- •The family does not accept the child to work,
- •Severe spasticity that prevents grasping an object (Modified Ashworth 3 and 4 levels according to the scale),
- •Hand function at 4 and 5 levels according to the Hand Skills Classification System (EBSS) the one which,
- •Compliance and behavior during the application of the tests used to obtain the data are children with the disorder.
结局指标
主要结局
Nine Hole Peg Test (DDPT)
时间窗: 10 months
DDPT is a standard-sized nine-hole panel. Nine nails made of simple, performance-enhancing material is a time-tested test of fine upper motor function. To counter the learning effect, the child was allowed to experience this test. Before the start of the test, the test procedure is explained as quickly as possible. After inserting wooden nails into the holes in the same way and placing all 9 nails into the holes, the nails were asked to be removed without waiting. Test completion time recorded with the stopwatch. The stopwatch was stopped when the last nail was removed and placed in the side chamber, and the time displayed on the stopwatch was recorded. The completion time of the test gave information about the person's upper extremity performance.
Wooden Box and Block Test (TKBT)
时间窗: 10 months
CBCT is used to evaluate manual dexterity in patients with stroke, multiple sclerosis, traumatic brain injury, fibromyalgia, children with upper extremity involvement, and the elderly. While the test is seated in a chair with a backrest without armrests, supported by the feet, the affected side to be evaluated is conventionally positioned with the hand. It was performed before and after the application in addition to physiotherapy. First, a trial period of 15 seconds was given. Then, he was asked to fill 150 small wooden blocks one by one as fast as possible for 60 seconds from the box with the hand to be tested to the box next to it. If he throws it without raising his hand, it will not be counted, accidentally 2 It was stated that if he throws a wooden block, it will be counted as 1 wooden block. It was counted how many wooden blocks were thrown in 60 seconds and the result gave information about the upper extremity performance tested.
次要结局
- Manual Skills Classification System (EBSS)(10 months)
- Modified Ashworth Scale (MAS)(10 months)
- ABILHAND-Kids Manual Ability Scale(10 months)
研究者
Beyzanur Dikmen
physiotherapist
Kırıkkale University