Effects of CIMT With and Without MIT on Upper Limb of Children With Hemiparetic CP

Not Applicable

Completed

Interventions: Device: Modified Constraint Induced Movement Therapy
Other: Motor Imagery Technique

Brief Summary: Cerebral Palsy (CP) is a major cause of motor disability in children. Among these CP children, approximately one third have hemiparetic cerebral palsy. Hemiparetic cerebral palsy is more impairment of one side of the body as a result of non-progressive disturbances in premature brain.To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.

Detailed Description: To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.The term Modified constraint-induced movement therapy is a form of rehabilitation therapy that limits the less paretic side, and through repeated and concentrated training improve the upper limb function of the paretic side. Motor imagery is a cognitive process in which a subject imagines that he or she performs a movement without actually performing the movement and without even tensing the muscles. Modified Constraint induced movement therapy can be utilized in both the lower and upper extremities with the motor imagery technique for psychological or occupational therapy and in affecting which one is better for speedy recovery.

Recruitment & Eligibility

Inclusion Criteria

Age 6 to 14 years were included.
Diagnosed of hemiparetic cerebral palsy and typically developing controls.
Both gender is included i-e, male and female.
Children included having motor impairments of upper limb.
All children had normal or corrected vision and the ability to discriminate between right and left.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Modified Constraint Induced Movement Therapy	Modified Constraint Induced Movement Therapy	Group that will be provided with Modified Constraint Induced Movement Therapy. A protocol of 10 minutes of MCIMT therapy will be given including constraints.
Motor Imagery Technique	Motor Imagery Technique	Group that will be provided with Motor Imagery Technique by grasping an object and placing it into a container, or in imagining to perform the same action.

Primary Outcome Measures

Name	Time	Method
QUEST (Quality of Upper Extremity Skills Test)	8 weeks	Item The Quality of Upper Extremity Skills Test is an outcome measure designed to evaluate movement patterns and hand function in children with cerebral palsy. The QUEST is both reliable and valid. The purpose of the QUEST is to evaluate quality of upper extremity function in four domains: dissociated movement,grasp,protective extension, and weight bearing. Scores of 1 or 2, determined by quality of assessed position or movement; 1 if movement quality is not achieved, 2 if movement quality is achieved. Item scores are summed; formulas are used to calculate percentages for each domain. Domain percentages are summed and divided by number of domains to obtain total score. Minimum score = 0, Maximum score = 100.

Secondary Outcome Measures

Name	Time	Method
Box and Block Test (BBT)	8 weeks	The Box and Block Test (BBT) measures unilateral gross manual dexterity. It is a quick, simple and inexpensive test. It can be used with a wide range of populations. Clients are scored based on the number of blocks transferred from one compartment to the other compartment in 60 seconds. Score each hand separately. Higher scores are indicative of better manual dexterity. During the performance of the BBT, the evaluator should be aware of whether the client's fingertips are crossing the partition. Blocks should be counted only when this condition is respected. Furthermore, if two blocks are transferred at once, only one block will be counted. Blocks that fall outside the box, after trespassing the partition, even if they don't make it to the other compartment, should be counted.