Motivation's Effect on Home Exercise in Children With OBPP

Not Applicable

Completed

• Conditions: Obstetric Paralyses
• Interventions: Other: Motivation

• Registration Number: NCT04132752
• Lead Sponsor: Hacettepe University

Brief Summary

The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Detailed Description

Home exercise program is widely used for treatment of OBPP children. The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Study Timeline

• Study Start: 2016-05-10
• Primary Completion: 2018-05-01
• Study Completion: 2018-05-01
• Status Verified: 2019-10
• Study First Submitted: 2019-10-16
• Study First Submitted QC: 2019-10-17
• Last Update Submitted: 2019-10-18
• Study First Posted: 2019-10-21
• Last Update Posted: 2019-10-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 33

Inclusion Criteria

• Being classified as Narakas type 2a or 2b
• Being aged between 0 - 18 months
• Not having regular physiotherapy and rehabilitation program

Exclusion Criteria

• Having a clinical condition such as upper motor neuron lesion that may affect child's affected arm or whole body,
• Having secondary surgery for orthopedic problems within last 6 months.
• Mother having an unidentified cognitive problem,
• Parents having another child with a disability,
• Parents not willing to participate.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Motivation	Parents were informed about obstetric brachial plexus palsy, given home exercise program and exercise diary.

Primary Outcome Measures

Name	Time	Method
Scoring general arm function	From baseline to 12th week	Active Movement Scale was used for scoring arm function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status.
Scoring shoulder function	From baseline to 12th week	Gilbert and Raimondi's scale was used for scoring shoulder function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status.
Motivation change	From baseline to 12th week	Intrinsic motivation scale measurement: has 21 questions with likert scale rating 1 to 7. Lowest score 21; meaning not motivated at all, 84 means neutral and 147 means fully motivated.

Secondary Outcome Measures

Name	Time	Method
Scoring hand function	From baseline to 12th week	Raimondi's scale was used for scoring hand function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status.
Scoring elbow function	From baseline to 12th week	Gilbert scale was used for scoring elbow function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status.