Combined Effect of Biofeedback and Functional Electrical Stimulation on Upper Limb Functions in Children With Hemiplegia
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- hand function in children with CP
研究概览
简要总结
40 children with hemiplegia cerebral palsy from both sex will be recruited from outpatient clinic of abo resh hospital ,their age ranged from 5-10 years
详细描述
40 children with hemiplegia cerebral palsy from both sex will be recruited ,their age ranged from 5-10 years, treatment includes functional electrical nerve stimulation and biofeedback to assess their combined effect on upper limb function
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Their age will range from 5 to 10 years.
- •Spasticity grade range from 1+ to 2, according to Modified Ashworth Scale (MAS) (Bohannon and Smith, 2011).
- •Their UL ability function will be at level II according to Manual Ability Classification System (MACS) (Penta et al., 2001).
- •They will be able to follow instructions.
排除标准
- •Loss of sensation
- •The presence of visual or auditory impairments.
- •Musculoskeletal problems or fixed deformities in the upper extremities.
- •Seizures.
- •Surgical interference in upper limbs.
- •Botulinum toxin injections in the last 6 months.
研究组 & 干预措施
Group A
Physical therapy program The exercise session for one hour for each child , conducted 3times/ week for 3 successive months.
- Flexibility exercises for shorted muscles and spastic muscles.
- Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles.
- Postural control exercise in different positions and different surfaces
- General endurance training
- Exercises to facilitate hand function
- Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand
干预措施: Physical therapy program (Procedure)
Group B
The exercise session for one hour for each child same as group A, conducted 3times/ week for 3 successive months plus the combined biofeedback therapy and FES at anti spastic muscles (shoulders flexors, elbow and wrist extensors
干预措施: Physical therapy program (Procedure)
Group B
The exercise session for one hour for each child same as group A, conducted 3times/ week for 3 successive months plus the combined biofeedback therapy and FES at anti spastic muscles (shoulders flexors, elbow and wrist extensors
干预措施: biofeedback (Device)
结局指标
主要结局
hand function in children with CP
时间窗: pre intervention and re assessed after 3 months of treatment
hand function in children with CP will be assessed by The Quality of Upper Extremity Skills Test
次要结局
- Range of motion(pre intervention and re assessed after 3 months of treatment)
- muscle grip strength(pre intervention and re assessed after 3 months of treatment)
研究者
Alaa Eldin Taha Ramadan
Assisstant lecturer
Cairo University