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Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral Palsy

Not Applicable
Not yet recruiting
Conditions
Cerebral Palsy
Vojta Therapy
Upper Extremity
Interventions
Procedure: Vojta therapy
Registration Number
NCT06203366
Lead Sponsor
Mahidol University
Brief Summary

The goal of this pilot study is to study the effect of Vojta therpy on upper extremity function in children with cerebral palsy. The main questions are:

* to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of range of motion and function

* to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of motion analysis while perform function

Detailed Description

Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  • spastic diplegia (MACS II-III)
  • can pick box and block test at least 1 block
  • has good trunk stability while sitting
  • can follow command
  • participant and guardian consent to the study
Exclusion Criteria
  • no Vojta therapy in last 2 months
  • no history of anti-spastic injection in last 6 months
  • do not receive prednisolone nor adrenocorticotropic hormone (ACTH)
  • cannot control seizure
  • got the specific disease such as osteogenesis imperecta, cardiac disease
  • Participant and guardians do not consent to the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental groupVojta therapy* got the Vojta treatment 30 minutes/session, 3 times/week for 8 weeks * got the ADL and kinetic activities training 30 minutes, 3 times/week for 8 weeks
Primary Outcome Measures
NameTimeMethod
Box and block testBaseline (before) and within 1 week after the final treatment

the children have to pick the 1"\*1" cube blocks from one side of the box to the other side in 1 minute

Secondary Outcome Measures
NameTimeMethod
active range of motion of upper extremityBaseline (before) and within 1 week after the final treatment

the children was asked to active move their shoulder, elbow and wrist for measurement

Nine hole peg testBaseline (before) and within 1 week after the final treatment

the children have to pick 9 pegs from the container to insert into the providing holes and record the time

3D motion analysis of upper extremityBaseline (before) and within 1 week after the final treatment

the markers were attached at back, sternum, both shoulders, elbows and wrists. Then, children were to forward rech the object on the table. The camera and mrakers will record and analyz the motion of both upper extremities. This measurement will be done only in children who was treated with Vojta therapy group only. This measurement will report in distance of maximum reaching, velocity and angle velocitym of shoulder, elbow, wrist with forearm pronation/supination. The other parameters are movement duration, peak velocity, time to peak velocity and trajectory straigthness.

Video recordingBaseline (before) and within 1 week after the final treatment

The camera video will record the distance of maximum reaching in forward reaching and lateral reaching during the 3D kinematics evaluation in the gait lab of both upper extremities movement. This outcome was done in only the intervention group who received Vojta treatment.

Trial Locations

Locations (1)

Srisangwan School Foundation for the Welfare of the Crippled under Royal Patronage of Her Royal Highness the Princess Mother

🇹🇭

Nonthaburi, Thailand

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