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Effect of Using Adaptive Seating Equipment on Hand Function

Not Applicable
Completed
Conditions
Cerebral Palsy
Interventions
Other: Adaptive seating equipment group
Other: Traditional seat group
Registration Number
NCT04651283
Lead Sponsor
Cairo University
Brief Summary

Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into control and study groups of equal numbers each consisted of fifteen children (n=15). Methods: Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment (3 sessions per week), to assess 2 subtests (the grasping skills and visual motor integration skills) for all children of both groups. Control group who received a specially selected physical therapy program for hand function on a standard chair seating. Study group who received the same selected program for hand function on adaptive swiss ball seating.

Detailed Description

The aim of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis.

In this study, a total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls) aged 3-6 years, they were selected from general hospitals and private centers in kafr El-Sheikh government, randomly assigned to either the control group (n=15), who received a specially selected physical therapy program for hand function on standard chair seating, or the study group (n=15), who received the same selected program for hand function but on adaptive Swiss ball seating. Both groups received 3 sessions per week for 3 successive months. Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment, to assess 2 subtests (grasping skills and visual motor integration skills).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Children with hemiparetic cerebral palsy.
  • The age of the selected children ranged from 3 to 6 years old.
  • Degree of spasticity ranged from 1 to 1+, according to Modified Ashworth' Scale (Bohannon and Smith, 1987)
  • They were able to follow instructions and understand commands included in both assessment and training procedures.
  • They were able to sit independent with trunk control.
Exclusion Criteria
  • Children exposed to orthopedic surgeries or potolinium toxins injection in the last 6 mounth before intervention.
  • Children with fixed upper limb deformities
  • Children with hearing or visual impairments.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Adaptive seating equipment groupAdaptive seating equipment groupStudy group who received the same selected program for hand function on adaptive swiss ball seating
Traditional seat groupTraditional seat groupControl group who received a specially selected physical therapy program for hand function on a standard chair seating.
Primary Outcome Measures
NameTimeMethod
change is being assessed in grasping scoreChange from Baseline grasping score assessed at 3 months

Assessment of grasping using Peabody Developmental Motor Scale 2 the higher score means a better outcome

change is being assessed in visual motor integration scoreChange from Baseline visual motor integration score assessed at 3 months

Assessment of visual motor integration using Peabody Developmental Motor Scale 2 the higher score means a better outcome

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Faculty of physical therapy, Cairo university

🇪🇬

Cairo, Egypt

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