A Pilot Study of Hand Function in Children With Cerebral Palsy Undergoing Intensive Neurophysiological Rehabilitation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- International Clinic of Rehabilitation, Ukraine
- Enrollment
- 44
- Locations
- 1
- Primary Endpoint
- Jebsen Taylor Hand Function Test for Dominant Hand
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of the study is to observe the effects of Intensive Neurophysiological Rehabilitation System on hand function in children with spastic cerebral palsy.
Detailed Description
Intensive Neurophysiological Rehabilitation System is a novel multimodal rehabilitation approach that combines different treatment modalities. The treatment course lasts for 2 weeks with daily therapy up to 4 hours. Main treatment programs include biomechanical correction of the spine, extremity joint mobilization, physical and occupational therapy, reflexotherapy, special massage system, rhythmical group exercises, mechanotherapy and computer games therapy and some other. Preliminary observational studies indicate an improvement of gross and fine motor functions in children with Cerebral Palsy after the treatment course. The aim of the study is to observe the effects of Intensive Neurophysiological Rehabilitation System on hand function in children with spastic cerebral palsy. About 50 patients with spastic forms of cerebral palsy with mild to moderate impairment of hand function (Level I to III according to Manual Abilities Classification System) would be evaluated before and after the two-week treatment course. This study may help to generate the hypothesis of the effects of the Intensive treatment course on hand function abilities and to prepare a future randomized controlled trial.
Investigators
Oleh Kachmar
Head of Innovative Technologies Department
International Clinic of Rehabilitation, Ukraine
Eligibility Criteria
Inclusion Criteria
- •Spastic cerebral palsy: uni- and bilateral
- •Age: 6-15
- •Level I-III according to Manual Ability Classification System (MACS)
Exclusion Criteria
- •Ataxic or dyskinetic cerebral palsy
- •Non-cooperative behavior
- •Moderate to severe mental deficit
- •Severe contractures of upper extremity joints
- •Upper extremities trauma within 6 months prior to the study
- •Previous hand surgery
- •Epilepsy with frequent seizures
Outcomes
Primary Outcomes
Jebsen Taylor Hand Function Test for Dominant Hand
Time Frame: Baseline and post intervention (after the two-week treatment course)
The Jebsen Hand Function Test for Dominant Hand assesses hand function activities during performance of activities of daily living of the dominant hand. Test quantifies the time it takes for the subject to do the following standardized functional tasks with one hand: turning over cards, picking up small items, simulating feeding, stacking checkers, picking up light cans, and picking up heavy cans.Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance.
Jebsen Taylor Hand Function Test for Non-Dominant Hand
Time Frame: Baseline and post intervention (after the two-week treatment course)
The Jebsen Hand Function Test for Non-Dominant Hand assesses hand function activities during performance of activities of daily living of the non-dominant hand. Test quantifies the time it takes for the subject to do the following standardized functional tasks with one hand: turning over cards, picking up small items, simulating feeding, stacking checkers, picking up light cans, and picking up heavy cans.Total score is the sum of time taken for each sub-test, which are rounded to the nearest second. Shorter times indicate better performance.
Secondary Outcomes
- Box and Blocks Test for Non-Dominant Hand(Baseline and post intervention (after the two-week treatment course))
- ABILHAND-Kids Test Score(Baseline and post intervention (after the two-week treatment course))
- Box and Blocks Test for Dominant Hand(Baseline and post intervention (after the two-week treatment course))
- Maximum Grip Force of the Dominant Hand(Baseline and post intervention (after the two-week treatment course))
- Maximum Grip Force of the Non-Dominant Hand(Baseline and post intervention (after the two-week treatment course))