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Effect of Task-Specific Training in an Augmented Reality Context on Upper Limb Function and Activities in Children With Spastic Cerebral Palsy

Not Applicable
Recruiting
Conditions
Cerebral Palsy, Spastic
Registration Number
NCT06571929
Lead Sponsor
Universidade Federal de Sao Carlos
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
34
Inclusion Criteria

Inclusion Criteria:<br><br> - In the experimental and control groups, children who have been medically diagnosed<br> with cerebral palsy, either unilateral or bilateral, with spasticity classification,<br> will be included.<br><br> - Participants must be classified at GMFCS levels I and II, meaning they are capable<br> of walking independently.<br><br> - The MACS (Manual Ability Classification System) should be between levels I<br> (manipulates objects easily), II (manipulates most objects with reduced quality and<br> speed), and III (manipulates objects with difficulty).<br><br> - The modified Ashworth score should be between 0 and 2.<br><br> - Ability to understand verbal commands and good comprehension of the proposed games.<br><br>Exclusion Criteria:<br><br> - Children with dystonic tone classification (identified by the Hypertonia Assessment<br> Tool (HAT)), athetoid, or ataxic.<br><br> - GMFCS levels III, IV, and V.<br><br> - MACS levels IV and V.<br><br> - Modified Ashworth score of 3 to 4.<br><br> - Undergoing orthopedic surgical procedures within the past year.<br><br> - Receiving chemical blocks within the last 6 months.<br><br> - Deformities (muscle shortening and/or loss of joint mobility in the upper limbs)<br> that prevent or compromise the ability to reach the midline.<br><br> - Presence of visual and/or auditory sensory deficits not corrected with devices.<br><br> - Use of medications that may alter muscle strength or tone.<br><br> - Cardiovascular limitations of any intensity, such as excessive fatigue, low exercise<br> tolerance.<br><br> - Children who have undergone other intensive therapies within the past 6 months.<br><br> - Children with cognitive impairment indicated by caregivers or perceived by<br> researchers due to difficulties in understanding verbal commands and virtual reality<br> games.<br><br> - Children who do not accept playing augmented reality games.

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Kinematic assessment of manual reach;Disabilities of the Arm, Shoulder and Hand (DASH);Assessment of postural sway during the sit-to-stand movement and during functional reach in standing position
Secondary Outcome Measures
NameTimeMethod
Challenge Test;Dimensions of Mastery Questionnaire (DMQ);The Canadian Occupational Performance Measure (COPM);Goal Attainment Scaling (GAS);Pediatric Evaluation of Disability Inventory (PEDI - CAT)
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