Effects of Trunk Stability Exercises on Hand Function in Children With Cerebral Palsy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Riphah International University
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Trunk Control Meaurment Scale
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Rationale of this research is to evaluate the outcome of trunk stabilizing exercises on the fine motor skills of subjects with hemiplegic CP. The significance of this study is to identify how much core stability exercises improve hand function. This study will help gather evidence on the practice of core stabilizing exercises to improve hand function so that it can help both physicians and patients.
Detailed Description
Cerebral palsy is a permanent damage in early brain in fetus which leads to movement disorder. The most frequent reason of bodily incapacity is cerebral palsy in pediatric population. CP children have difficulty maintaining dynamic and static trunk stability, which leads to affect sitting, standing, reaching and walking. Hemiplegic Cerebral palsy patients are challenged by fine motor skills, like gripping or object handling, which are essential for activities of daily life.the purpose of the study was to evaluate the effects of trunk stability exercises on hand function in children with cerebral palsy.It was a randomized, controlled trial, conducted among hemiplegic cerebral palsy patients. Sample size was 26 by using Epitool software. Participants were randomly assigned to the intervention or control group after a baseline assessment with a lottery ticket and an opaque envelope. All participants in both groups were evaluated on three occasions: (i) baseline (ii) post-intervention and (iii) after 4 weeks follow to assess long term effects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Both male and female were included
- •Age group 6 to 18 years.
- •Medical diagnosis of hemiplegic cerebral palsy assured.
- •Unilateral Movement deficit (less than 2.5) on amount of use scale on MAL (motor activity log).
- •Level 1 to 3 on manual ability classification system (MACS).
- •Mild to moderate spasticity of upper extremity (MAS grade 1 to 2.)
- •GMCS level I-II.
- •Subjects were cognitively capable and competent to follow the instructions
Exclusion Criteria
- •Patients with altered conscious level.
- •Previous surgery or pain in upper limbs.
- •Rigid contracture and fixed deformities in the spine
- •Auditory / vision problem.
- •Previous Botulinum Toxin-A injections in upper limb.
- •Cardio-respiratory problem
Outcomes
Primary Outcomes
Trunk Control Meaurment Scale
Time Frame: 12 week
The trunk control measurement scale measures two mechanism of trunk control throughout functional activities. First level begins with smooth base of support and it ends on dynamic service to assess balance of body.15 items performed with the sub scales that consist of 5, 7 and 3 activities respectively. Total score ranges from 0 to 58 on scale.
ABILHAND-kids (Manual Ability Measure)
Time Frame: 12 week
ABILHAND-Kids questionnaire is valuable tool to assess a child's unimanual and bimanual upper limb activities. This 21 items hand use scale with total 63 score prestents low to high performance of fine motor .
CHEQ (Children's hand-use experience's questionnaire)
Time Frame: 12 weeks
Children's Hand-use Experience Questionnaire has been developed to capture kid's perceived quality of performance when using the affected hand in these situations. CHEQ is an internet based questionnaire containing 29 items with (bimanual activities) presented one by one in random order .score ranges from 0 to 100 representing better function with higher score .
Secondary Outcomes
- Modified ash worth scale (MAS)(12 weeks)
- UE MAL(12 weeks)
- Manual ability classification system(12 weeks)