Effect of Mechanical Vestibular Stimulation On Hand Function In Hemiparetic Children

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: The design exercise program; Other: mechanical vestibular stimulation

• Registration Number: NCT05782413
• Lead Sponsor: Ahmed Mohamed Abd El Haleem Ghoniem

Brief Summary

The current study will be directed to determine the effect of mechanical vestibular stimulation on fine motor skills and pinch strength in children with hemiparesis. Hemiplegic cerebral palsy causes problems with contraction, sensation, and muscular strength in the upper limbs, and its effective use of muscles for reaching, grasping, releasing, and manipulating objects is often compromised

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-02-24
• Study First Submitted QC: 2023-03-13
• Study First Posted: 2023-03-23
• Study Start: 2023-12-03
• Primary Completion: 2024-03-21
• Study Completion: 2024-03-31
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-27
• Last Update Posted: 2024-04-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Children will be included in the study if they fulfil the following criteria:

  1. Diagnosed with hemiparetic cerebral palsy.
  2. Age ranged from 4 to 6 years.
  3. Children with spasticity grades ranged from 1 to 1+ according to Modified Ashworth Scale
  4. Both genders will be included.
  5. The child will be able to follow verbal commands and instructions.

Exclusion Criteria

• Children will be excluded from the study if:

  1. Any congenital or developmental disorders in addition to hemiplegia cerebral palsy.
  2. Current hospitalization for urgent medical reasons.
  3. Severe mental retardation.
  4. Children having visual or auditory defects.
  5. Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to the wrist and hand.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	The design exercise program	The child will receive a design exercise program. The therapy was based on the principles of NDTBobath neurodevelopmental therapy.
Group B	mechanical vestibular stimulation	The child will receive a design exercise program for 45 min then mechanical vestibular exercise for 15 mins.
Group B	The design exercise program	The child will receive a design exercise program for 45 min then mechanical vestibular exercise for 15 mins.

Primary Outcome Measures

Name	Time	Method
fine motor skills	3 month	We will use Peabody Developmental Motor Scale (PDMS-2) to measure visual motor integration, grasp and fine motor.
pinch strength	3 month	We will use Hand Dynamometer to measure pinch strength.

Trial Locations

Locations (1)

Physical Therapy; 🇪🇬 Kafr Ash Shaykh, Kafrelsheikh, Egypt