Contralateral Isokinetic Training on Strength and Reaching Skill

Not Applicable

Completed

• Conditions: Hemiplegic Cerebral Palsy
• Interventions: Other: Physical therapy exercises; Other: Isokinetic training

• Registration Number: NCT05718388
• Lead Sponsor: Delta University for Science and Technology

Brief Summary

The study aimed to ascertain how cross-education affected the activity of the paretic muscles in the upper limb and how that affected function in children with spastic hemiplegia and cerebral palsy. Additionally, it sought to determine how unilateral isokinetic resistance training affected children with spastic hemiplegia of the contralateral limb in terms of strength development.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-05-01
• Primary Completion: 2023-01-20
• Study Completion: 2023-01-20
• Study First Submitted: 2023-01-21
• Status Verified: 2023-02
• Study First Submitted QC: 2023-02-06
• Last Update Submitted: 2023-02-06
• Study First Posted: 2023-02-08
• Last Update Posted: 2023-02-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• hemiplegic CP children from both genders with age ranged from five to seven year
• had mild to moderate spasticity according to the Modified Ashworth Scale
• able to follow verbal instructions
• able to stand unassisted and ambulate with abnormal pattern

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Exclusion Criteria

• children who had any visual or auditory problems, fixed deformities in upper limb that interfere with fine motor functions, with history of any surgical interference in upper limbs for less than one year, and un-cooperative children were excluded.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control group (A)	Physical therapy exercises	They received a physiotherapy program
study Group (B)	Isokinetic training	They received the same program given to control group (A) in addition to isokinetic resistance training of the less affected upper limb for shoulder abductors in concentric mode at the angular velocity of 180 degree/ second

Primary Outcome Measures

Name	Time	Method
Concentric isokinetic shoulder abductors peak torque in Newton- meters and average power.	Change from Baseline Isokinetic dynamometer parameters at 2 months	Isokinetic dynamometer was used to measure the concentric isokinetic shoulder abductors peak torque in Newton- meters and average power at an angular velocity of 180 degrees per second in concentric mode with gravity adjustment

Secondary Outcome Measures

Name	Time	Method
Modified functional scale for reaching	Change from Baseline Modified functional scale for reaching at 2 months	It was used to measure the ability of the child to perform the reaching skills. It was used to determine the level of performance and functional improvement in reaching skills. Each child was seated in front of a table, in a chair adjustable to his or her height. They were appropriately fitted and supported to avoid any substitution movement from the child's trunk. The target was positioned on the top of the table, beside the child. The child's elbow was passively placed at full extension and the writ in natural position. Each trail of the reaching task was begun with the child's arm straight and parallel to the patient's trunk. The child was asked to make accurate reaching to touch the target by the affected arm when the examiner gives the command.

Trial Locations

Locations (1)

Amira Hussin Mohammed; 🇪🇬 Gamasa, Egypt