The Effect of Fine Motor Skills Training Through Telerehabilitation in Children With Diplegic Cerebral Palsy
- Conditions
- Diplegia, Spastic
- Interventions
- Other: Written Home ProgramOther: Telerehabilitation Program
- Registration Number
- NCT05169294
- Lead Sponsor
- Ekin Akpınar
- Brief Summary
The aim of this study is to compare the effect of occupational therapy intervention through two-way video call, versus occupational therapy home program in written form; on handwriting skills, occupational performance, fine motor and hand skills in children with diplegic cerebral palsy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Being diagnosed with diplegic cerebral palsy
- Being between the ages of 7-12
- Being able to read and write
- To be at level I-III in the Manual Ability Classification System (MACS)
- To have the necessary devices (phone, tablet or computer) for video calling
- Not being able to come to the faculty to conduct the first evaluation face to face
- Not receiving occupational therapy in any special education center
- Presence of another neurological and/or psychiatric disease
- Not giving consent to the study Individuals included in the study will be randomly assigned to the intervention and control groups. It is planned to keep the number of individuals in the intervention and control groups equal.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Written Home Program - Intervention Telerehabilitation Program - Intervention Written Home Program -
- Primary Outcome Measures
Name Time Method Assessment of Children's Hand Skills (ACHS) 8 weeks ACHS is an observational assessment that measures the effectiveness of manual dexterity in children aged 2-12 years when participating in meaningful activities. Scoring items are categorized as: manual gestures, body-related dexterity, arm-hand use, adaptive dexterity hand use, general quality, and bimanual skills. A six-level Likert scale is used to score all skill items (Chien, Brown, \& McDonald, 2010; Chien et al, 2011; Chien \& Brown, 2012). The application of this test takes about 10 minutes.
Canadian Occupational Performance Measure 8 weeks COPM is a client-centered assessment tool used in occupational therapy (Carswell, McColl, Baptiste et al, 2004; Harris \& Eng, 2004; Parker \& Sykes, 2006; Enemark Larsen, Jessen Winge, \& Christensen, 2019) The COPM assessment helps individuals to identify, prioritize and evaluate their occupational performance difficulties (Law, Baptiste, Carswell et al, 2015; Enemark Larsen et al, 2019). The Turkish adaptation, validity and reliability of the COPM were made by Torpil et al. (Torpil, Ekici, \& Bumin, 2017). This assessment will take approximately 20 minutes.
Minnesota Handwriting Assessment 8 weeks The Minnesota Handwriting Assessment is a writing quality assessment that includes copying seven words containing all the letters of the alphabet (Guzman Pasculli, Hiraga, \& Pellegrini, 2017). Evaluation scores six components of the text: speed, legibility, form, alignment, size and spacing (Alhussaini. Meram \& Buragada, 2016). The Turkish adaptation, validity and reliability of the Minnesota Handwriting Assessment was performed by Kavak and Bumin (Kavak \& Bumin, 2006). This assessment takes less than 5 minutes to apply.
Shriners Hospital Upper Extremity Evaluation (SHUEE) 8 weeks SHUEE is an assessment developed to measure upper extremity function in children with hemiplegic cerebral palsy. SHUEE is a video-based assessment administered by an occupational therapist using standardized objects and tasks. The evaluation takes about 15 minutes and is then scored by the occupational therapist (Davids, Piece, Wagner et al, 2006). Turkish validity and reliability of SHUEE was done by Bumin et al. (Bumin, Özsezen, \& Yıldız, 2018).
Bruininks-Oseretsky Test of Motor Proficency 2- Short Form (BOT-2 SF) 8 weeks BOT-2 is a tool that is frequently used in the evaluation of psychomotor characteristics in individuals aged 4-21 years (Jirovec, Musalek, \& Mess, 2019).
It is available in two versions, full form and short form. Four areas of psychomotor characteristics can be measured with BOT-2: (1) fine manual control, (2) accuracy and integrity, (3) manual coordination, and (4) physical coordination (Jirovec et al, 2019).
In our study:
* Item 2 of the bilateral coordination subtest,
* Item 3, 4, 5 and 8 of the visual motor control subtest
* Item 7 of the upper extremity speed and motion accuracy subtest, will be applied and scored.
The application of these substances takes approximately 5 minutes. Since BOT-2 is a motor assessment test, there is no need for a Turkish validity and reliability study to be performed.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Hacettepe University
🇹🇷Ankara, Turkey