Effect of Different Seat Cushions Adaptation on Upper Extremity Function in Children With Spastic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Angular kinematic changes in Upper extremity rang of motion in parallel to functional changes will be addressed while seat adaptations( flat and contoured cushions) will be applied for same participant.
研究概览
简要总结
As the seating adaptations, ranging from simple to complex, standard and customized may facilitate optimal health and maximize functional participation despite limited postural control; the study will be conducted for determine the effect of contoured cushions as a seat adaptation on upper extremity function in children with spastic cerebral palsy and compare between the effect of flat cushion and contoured cushion in adaptive seating system on upper extremity function in children with spastic cerebral palsy.
详细描述
As research continues to reveal the efficacy of ramped and contoured cushions on postural stability and alignment (Macdonald et al.,2015), it is likely that it will become accepted that such modifications will affect the UL functional level , mobility and rang of motion. Therefore, the purpose of this study was to examine the effect of contoured cushions as adaptive seating intervention on Upper extremity function in children with spastic cerebral palsy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 3 Years 至 6 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Their age ranged from three to six years old .
- •Spasticity ranged from 1+ to 2 grade according to Modified Ashwarth Scale .
- •All children should be able to sit on the adaptive seat while head is upright independently and hands are free; preliminary test by Gross Motor Functional Measurement (GMFM) scale ranged score from ( 21 to 25 ) in sitting domain.
排除标准
- •Any child with the following criteria will be directly excluded from the evaluation for the consistency of the sample and statistically obtained results:
- •Visual and/or auditory defects which interfere with upper extremity functions.
- •Fixed deformity of one or both upper limbs which limit passive ROM in shoulder and elbow.
- •Children with mixed type, dyskinetic or ataxic cerebral palsy are excluded.
- •surgical intervention in both upper limbs or botulinum toxin injection in the last 6 months before the time of assessment .
- •Any recent trauma of one or Both upper limbs.
结局指标
主要结局
Angular kinematic changes in Upper extremity rang of motion in parallel to functional changes will be addressed while seat adaptations( flat and contoured cushions) will be applied for same participant.
时间窗: within 30 to 60 minutes
angular kinematic changes ( by degrees) will be measured by kinovea 2D software
次要结局
未报告次要终点
研究者
Hamada Ahmed
lecture of physical therapy, Biomechanic department, Faculty of Physical Therapy , Cairo Uni
Cairo University