Effectiveness of wrist activation exercises and oral health education among individuals with Cerebral Palsy: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 42
- 试验地点
- 1
研究概览
简要总结
Cerebral palsy is a neurodevelopmental disorder characterized by impaired motor function and poor manual dexterity which affects the ability to maintain oral hygiene. Children with cerebral palsy are at higher risk of dental diseases due to difficulty in performing effective tooth brushing. This randomized controlled trial aims to evaluate the effectiveness of wrist activation exercises combined with oral health education in improving oral hygiene among individuals with spastic cerebral palsy aged 6 to 15 years. Eligible participants will be randomly allocated into two groups. The intervention group will receive supervised wrist activation exercises along with structured oral health education for 12 weeks. The control group will receive oral health education alone. Oral hygiene status will be assessed using Oral Hygiene Index Simplified and Modified Gingival Index. Wrist range of motion will be measured using a goniometer. Assessments will be done at baseline and at 1 week 4 weeks 8 weeks and 12 weeks. The study aims to determine whether wrist activation exercises improve hand coordination and thereby enhance oral hygiene in children with cerebral palsy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 6.00 Year(s) 至 15.00 Year(s)（—）
- 性别
- All
入选标准
- •Individuals diagnosed with spastic cerebral palsy.
- •Age between 6 to 15 years.
- •Classified under Manual Ability Classification System (MACS) Levels II and III: Level II – Handles most objects with reduced quality or speed.
- •Level III – Handles objects with difficulty; requires assistance to prepare or modify activities.
- •Classified under Modified Ashworth Scale (MAS) Grade 1 and Grade 1+: Grade 1 – Slight increase in muscle tone with minimal resistance at end range of motion.
- •Grade 1+ – Slight increase in muscle tone with minimal resistance through less than half of range of motion.
- •Able to understand and respond to simple commands, either independently or with caregiver assistance.
排除标准
- •Individuals with severe cognitive impairment preventing understanding or response to simple commands, even with caregiver assistance.
- •Individuals who have undergone orthopedic surgery or received botulinum toxin (Botox) injection within the past 6 months.
- •Individuals with additional disabilities such as hearing or visual impairment.
- •Individuals with systemic illnesses such as epilepsy.
研究者
Dr Sharmila Arockia Mary S
Indira Gandhi Institute of Dental Sciences