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Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic CP

Not Applicable
Completed
Conditions
Hemiplegic Cerebral Palsy
Interventions
Other: sensorimotor training
Other: constraint induced movement therapy
Registration Number
NCT05490758
Lead Sponsor
Riphah International University
Brief Summary

The aim of the work was to find out the effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy.

Detailed Description

The significance of this study is that there was paucity of literature in finding the comparative effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy. The aim is to find out the effects of sensorimotor training on motor functioning of the upper extremity in comparison of constraint induced movement therapy.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • subjects who were fully oriented
  • children diagnosed with hemiplegic cerebral palsy
  • no history of intramuscular botulinum injections past one year
Exclusion Criteria
  • children with epilepsy
  • gross deformity of upper limb
  • children with contractures

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
sensorimotor trainingsensorimotor trainingsensorimotor training group did sensorimotor activities e.g play with dough,peg games 5 days a week for 4 weeks.
constraint induced movement therapyconstraint induced movement therapyconstraint induced movement therapy group in which affected arm was constraint for 6 hours a day for 5 days a week for 4 weeks.
Primary Outcome Measures
NameTimeMethod
nine hole peg test4 weeks

nine hole peg test to check hand dexterity and grip. The patient is seated at a table with a container holding nine pegs and a wood/plastic block containing nine empty holes and asked to put the nine pegs in nine holes in a block one by one and then remove the pegs one at a time from the holes and the time is recorded. patient should do the test with both hands independently.

Secondary Outcome Measures
NameTimeMethod
manual ability classification system4 weeks

it describes how CP child uses his or her hands to handle objects in daily activities with qualitative analysis by care taker, it has five levels. in level 1 child holds objects easily and succesfully. in level 2 child handles most object but with some reduced quality or speed. in level 3 the objects are handled with difficulty and child needs help to prepare or modify activities. in level 4 child handles a limited selection of easily managed objects and always requires some help from others. in level 5 child is not able to handle objects or to complete even simple actions with their hands.

Trial Locations

Locations (1)

Rising Sun Institute

🇵🇰

Lahore, Punjab, Pakistan

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