Home Based Adaptive Arm Training for Children With Hemiplegia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemiplegia
- Sponsor
- NYU Langone Health
- Enrollment
- 4
- Locations
- 1
- Primary Endpoint
- Change From Baseline in Timed Performance of Standardized Manual Activities Measured by Hand Assessment Test
- Status
- Terminated
- Last Updated
- 4 years ago
Overview
Brief Summary
Twenty pediatric patients aged 5-17 years with Acquired Brain Injuries (ABI) will be randomized to receive either a bimanual-to-unimanual device home training program (10 subjects) or a conventional non-device home training program (10 subjects) for a period of 6 weeks.
The specific aims of this proposal are to:
Aim 1: Introduce home-based targeted upper limb training in children with hemiplegia from ABI (Acquired Brain Injuries) using a bimanual-to-unimanual training approach It is hypothesized that child-friendly home-based upper limb bimanual-to-unimanual training will lead to greater compliance and improved motor outcome on the Fugl Myer Scale compared to a conventional home training program.
Aim 2: Improve the understanding of the pattern of recovery of isolated joint movements in the pediatric population with hemiplegia following ABI.
It is hypothesized that individuals receiving device-based bimanual-to-unimanual training will show improvement in active range of motion across upper limb joints compared with a conventional home training program.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Acquired Brain Injury at least 3 months prior to enrollment.
- •Unilateral hemiparesis
- •History of compliance with home exercise programs in the past.
Exclusion Criteria
- •Any social or medical problem that precludes compliance with the protocol
- •Comorbid seizure disorder or other neurological disease
- •Treatment with botulinum toxin or intrathecal baclofen in the 3 months preceding enrollment
- •Implanted neuromodulatory or electronic device or other complicating illness
- •Lack of capacity to consent
Outcomes
Primary Outcomes
Change From Baseline in Timed Performance of Standardized Manual Activities Measured by Hand Assessment Test
Time Frame: 6 Weeks
Change From Baseline in Quality of Bimanual Hand Measured by Fugl-Meyer Scale
Time Frame: 6 Weeks
Measure of impairments in motor functioning and recovery in children post hemiplegia.