Modified Constraint Induced Movement Therapy in Children With Obstetric Brachial Plexus Injury

Not Applicable

Completed

• Conditions: Obstetric; Injury
• Interventions: Other: Constraint induced movement therapy; Other: Conventional physical therapy treatment

• Registration Number: NCT05411731
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this study was to increase and improve the use of affected extremity in obstetric brachial plexus palsy children while restricting the use of less affected arm and the purpose was to improve the function, Range of motion and disability in affected arm of children with brachial plexus injury.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-04-30
• Study First Submitted: 2022-06-06
• Study First Submitted QC: 2022-06-06
• Study First Posted: 2022-06-09
• Primary Completion: 2022-09-01
• Study Completion: 2022-09-01
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-15
• Last Update Posted: 2023-03-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 16

Inclusion Criteria

• 3 to 10 years
• Both genders will be included
• Deficiency of shoulder abduction and external rotation
• Who can follows command

Exclusion Criteria

• uncontrolled seizures
• Orthopedic and/or neurological surgery.
• A visual impairment interfering with treatment/testing.
• Unable to actively engage in assessment process

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Constraint induced movement therapy	Constraint induced movement therapy	patients of this group will receive the same treatment along with constraint induced movement therapy
Conventional physical therapy treatment	Conventional physical therapy treatment	Patients in this group will receive conventional physical therapy i.e. stretching, strengthening exercises, Aeroplan positioning

Primary Outcome Measures

Name	Time	Method
Mallet grading system	4 weeks	The Mallet grading system is a commonly used functional scoring system to assess shoulder abduction/external rotation deficits in children with obstetric brachial plexus palsy. One feature of the Mallet score is that each grade is translated in to certain degree of deficiencies in both shoulder abduction and external rotation. A scale of 1 to 5 is used to evaluate shoulder abduction, global external rotation, and hand to neck, hand to back, and hand to mouth positions.

Secondary Outcome Measures

Name	Time	Method
Upper extremity function index	4th week	It is a self-administered questionnaire which measures disability in people with upper extremity orthopaedic conditions. The questionnaire lists 20 activities and the patient gives a score to each based on the difficulty they have completing that activity. It is evaluated on a 5-point scale that refers to the perceived difficulty in performing the mentioned action: * Extreme difficulty or unable to perform activity (0 points); * Quite a bit of difficulty (1 point); * Moderate difficulty (2 points); * A little bit of difficulty (3 points); * No difficulty (4 points).; The overall Upper extremity function index (UEFI) result ranges between 0 and 80, where 0 indicates most severe limitation and 80 suggests least limitation. Changes from baseline function of affected extremity was given by this tool.
goniometer	4th week	changes from the baseline ROM of shoulder abduction and external rotation as well as elbow ranges was measured by goniometer was measured by can evaluate both active as well as passive range of motion.

Trial Locations

Locations (1)

Bakhtawar Amin Trust Teaching Hospital; 🇵🇰 Multān, Punjab, Pakistan