Selective Motor Control and Upper Extremity Functions in Children With Hemiparetic Cerebral Palsy

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: Test of Arm Selective Control; Other: Hand Held Dynamometer; Other: Quality of Upper Extremity Skill Test

• Registration Number: NCT04695639
• Lead Sponsor: Cairo University

Brief Summary

Identification of musculoskeletal and neuromuscular factors that affect the integrity and functional performance in children with cerebral palsy is very essential as it enables multidisciplinary rehabilitation team to design the proper intervention to improve functional performance and independence for those children.

Detailed Description

Limited literature is available regarding the relation between selective voluntary motor control and motor functions in children with cerebral palsy. Up to our knowledge this is the first study intending to investigate the influence of selective voluntary motor control on upper extremity function in children with spastic cerebral palsy. Therefore, the current study will be conducted to investigate the correlation between selective voluntary motor control and upper extremity functions in children with spastic hemiparetic cerebral palsy.

It is hypothesized that:-

1. There is no relation between SVMC and upper limb function in children with spastic hemiparetic CP.

2. There is no relation between upper extremity SVMC and hand grip strength in children with spastic hemiparetic CP.

Study Timeline

• Study First Submitted: 2021-01-03
• Study First Submitted QC: 2021-01-03
• Study First Posted: 2021-01-05
• Study Start: 2021-02-01
• Primary Completion: 2021-04-30
• Status Verified: 2021-05
• Study Completion: 2021-05-05
• Last Update Submitted: 2021-05-08
• Last Update Posted: 2021-05-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 46

Inclusion Criteria

• Age ranges from 4 to 8 years.
• Both genders.
• Diagnosis of spastic hemiparetic cerebral palsy.
• Level I-IV on Manual Ability Classification System.
• Spasticity grade 1 to 2 on Modified Ashworth Scale.
• Level I-III on Gross Motor Classification System .

Exclusion Criteria

• Significant mental or psychological problems.
• Significant visual/auditory problem.
• Botox injection and/or surgery of the upper limb in the past 12 months.
• Fixed deformities in the affected upper extremity.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
cohort group	Quality of Upper Extremity Skill Test	A convenient sample of children with spastic hemiparetic CP of both genders will participate in this study. To avoid type II error, sample size calculation was performed prior to the study, based on data of pilot study, using G\*POWER statistical software (version 3.1.9.2; Franz Faul, Universitat Kiel, Germany) \[Exact tests- correlational study, α=0.05, β=0.2, and effect size = 0.4\] and revealed that the appropriate sample size for this study is N=46.
cohort group	Test of Arm Selective Control	A convenient sample of children with spastic hemiparetic CP of both genders will participate in this study. To avoid type II error, sample size calculation was performed prior to the study, based on data of pilot study, using G\*POWER statistical software (version 3.1.9.2; Franz Faul, Universitat Kiel, Germany) \[Exact tests- correlational study, α=0.05, β=0.2, and effect size = 0.4\] and revealed that the appropriate sample size for this study is N=46.
cohort group	Hand Held Dynamometer	A convenient sample of children with spastic hemiparetic CP of both genders will participate in this study. To avoid type II error, sample size calculation was performed prior to the study, based on data of pilot study, using G\*POWER statistical software (version 3.1.9.2; Franz Faul, Universitat Kiel, Germany) \[Exact tests- correlational study, α=0.05, β=0.2, and effect size = 0.4\] and revealed that the appropriate sample size for this study is N=46.

Primary Outcome Measures

Name	Time	Method
Test of Arm Selective Control	1/2/2021 to 30/4/2021	The goal of the assessment is to systematically evaluate a person's ability to move the upper extremity with selective voluntary motor control by observing movement control, coordination, fluency, mirroring, and speed at each joint, and then assigning a grade. Each joint is scored as a 0, 1, or 2. The joints of the affected limb are summed for a limb score for a total score. The maximum score is 16 per side, or 32 points in total (in hemiplegia assess the affected side only) with higher score indicates better performance. Admiration of the teat items and scoring will be conducted according to the scale user instructions.

Secondary Outcome Measures

Name	Time	Method
Hand Held Dynamometer	1/2/2021 to 30/4/2021	to evaluate hand grip strength
Quality of Upper Extremity Skill Test	1/2/2021 to 30/4/2021	to assess upper limb function

Trial Locations

Locations (1)

faculty of physical therapy, Cairo university; 🇪🇬 Giza, Egypt