Sensory Motor Integration Versus Bobath Approach on Hand Functions in Hemiplegia Cerebral Palsy Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Hand functions
研究概览
简要总结
Hand skills do not develop in isolation; it is the result of neurologic development, physiologic maturation and adaptation, and functional development of learned patterns of motion and motor learning Hand skills in HCP are very complex and sensitive as it considered the main issue in playing and achieving milestones, so identification of this problem and its solution is very essential and play a miserable rule in adaptive response which is a basis of child's occupation. so, the current study is conducting to investigate the difference between sensory motor integration approach and bobath technique on hand function as manual dexterity, fine motor precision and fine motor integration on children with hemiplegic cerebral palsy
详细描述
Sensory integration therapy is the therapeutic mechanism of pediatrics through sensory augmentation which involves the child in enriched playful tasks, promoting a meaningful motor response. The sensory integration theories assume that an affected sensory reception would result in a defect or delay in the development of milestones among children with motor disorders.
The bobath approach provided a new reference aimed to normalize tone and facilitate volitional and automatic movement which tailors based on the patient's individual problems and situational context to manage problems with movement against gravity and postural control Participants will be assigned randomly into two groups of equal number (study group 1 and study group 2 )25 child in each group
- Study group "1" will receive regular physical therapy in addition to sensory motor integration for 45 minutes/time ,3 days per week for 3 months Treatment program included two parts: tactile sensation and proprioception stimulation programs. Each of them accounted half of the session
- Study group"2" will receive regular physical therapy in addition to bobath therapy for 45 minutes/time 3 days per week for 3 months in the form of:
- Preparation phase
- Intervention program (Movement facilitation &Functional training) base line assessment and after three months re assessment will be taken for both groups using surface electromyography and Bruininks-Oseretsky Test of Motor Proficiency 2nd Edition
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranges from 6 to 12 years.
- •Both genders.
- •Diagnosis of hemiplegia.
- •Level II-III on Manual Ability Classification System (MACS)
- •Spasticity grade 1to 1+ on Modified Ashworth Scale (MAS)
- •Level II-III on Gross Motor Classification System (GMCS)
排除标准
- •Significant mental or psychological problems.
- •Significant visual/auditory problem.
- •Botox injection and/or surgery of the affected upper limb in the past 12 months.
- •Surgical procedures of the affected upper limb.
- •Fixed deformities in the affected upper limb.
- •Comorbid physical diseases such as myopathy, neuropathy, and other central and peripheral nervous system disorders.
研究组 & 干预措施
Subjects will be randomly allocated in to equal two study groups: - Study group "1" will receiv
Subjects will be randomly allocated in to equal two study groups 25 in each group
- Study group "1" will receive regular physical therapy for 45 minutes/time in addition to sensory motor integration for 45 minutes/time 3 days per week for 3 months
干预措施: sensory motor integration (Other)
- Study group "2" will receive regular physical therapy for 45 minutes/time in addition to bobath
干预措施: bobath technique (Other)
结局指标
主要结局
Hand functions
时间窗: 45-60 minutes
Hand functions as manual dexterity, fine motor precision and fine motor integration will be assessed using Bruininks-Oseretsky Test of Motor Proficiency 2nd Edition
次要结局
- Spasticity(10 minutes)
研究者
Radwa Gomaa Abd El aziz Said
physiotherapist
Cairo University