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Improving the upper extremity use in children with Neurological problems

Not Applicable
Conditions
Health Condition 1: G802- Spastic hemiplegic cerebral palsy
Registration Number
CTRI/2023/03/050287
Lead Sponsor
Smt Kashibai Navale College of Physiotherapy
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Children with hemiplegic cerebral palsy.

2.Age group 3-12 years.

3.Children with score III or less on MACS(Manual Ability Classification System)

MACS Level I- Objects are handled easily and successfully.

MACS Level II- Handles most objects but with some reduced quality and/or speed.

MACS Level III- Handles objects with difficulty – the child will need help to prepare

And /or modify activities.

4.Ability to achieve minimum of 10 degrees of active wrist extension, 10 degrees finger extension ( Criteria for CIMT)

5.GMFCS (Gross Motor Function Classification System) level I, II and III

LEVEL I -Walks without Limitations

LEVEL II - Walks with Limitations

LEVEL III – Walks using a Hand-Held Mobility Device

(GMFCS - E & R- CanChild Centre for Childhood Disability Research, McMaster University)

6.Spasticity Grade 0, 1 and 1+ according to Modified Ashworth scale.

7.Able to understand and follow commands.

Exclusion Criteria

1.Visual or auditory impairments.

2.Previous orthopedic surgery in affected upper limb.

3.Fixed upper limb deformities.

4.Botulinum toxin injections in upper limb within last 6 months.

5.Neurological or orthopedic conditions unrelated to cerebral palsy.

6.Epilepsy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
QUEST ( Quality of Upper Extremity Skills Test)Timepoint: Baseline <br/ ><br>At the end of 2 weeks <br/ ><br>At the end of 4 weeks
Secondary Outcome Measures
NameTimeMethod
ATimepoint: NA
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