Effect of Robotic Assisted Therapy on Hand Functions, Grip Strength and Proprioception in Children With Hemiplegia
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- hand grip strength by hand held dynamometer
研究概览
简要总结
Statement of the problem:
Does robotic assisted therapy have an effect on hand functions, grip strength and proprioception in children with hemiplegic cerebral palsy?
Significance of the study:
New technologies allow and promote active involvement, leading directly to functional changes that are far beyond those obtained with conventional therapy. Many features of robotic therapy may contribute to enhanced recovery of upper limb motor function. These include task-specific practice, intensity of repetition, robotic assistance, enhanced sensory feedback, continual motivation (because every trial yields a degree of success, even if robot assistance is required).
The implementation of robotics with hemiplegic cerebral palsy focuses on functional motor performance by providing intensive repetitive training, sensorimotor integration and cognitive engagement through goal-directed tasks to address the underlying symptoms. Robotic technologies offer numerous potential advantages over conventional therapies, chief among these being the ability to provide high-intensity repetitive training. Robotic treatment is a novel approach that has demonstrated promise in enhancing motor function, enhancing the quality of life, and lessening the burden on caregivers.
详细描述
Thirty two children with hemiplegic cerebral palsy from both sexes according to G*power analysis (α= 0.05 , Power= 0.90 , effect size = 0.89) Their ages range from 6- 9 years. Mild to moderate degree of spasticity, according to modified Ashworth scale (grade 1 to 2).
Motor function level will be I and II according to gross motor function classification system.
Assessment will be conducted using Bruininks Oseretsky test of motor proficiency scale 2nd edition (BOT-2) for assessment of fine motor control , handheld dynamometer will be used for measuring hand grip strength and digital goniometer for measuring wrist joint sense of position.
Children in the study group will receive robotic assisted therapy.
Null Hypothesis:
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
- Single (Participant)
入排标准
- 年龄范围
- 6 Years 至 9 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Their ages range from 6-9 years
- •They have mild to moderate spasticity (grade 1- 2) according to Modified Ashworth Scale
- •Their motor function will be at level I and II according to Gross Motor Function Classification System GMFCS
- •Their manual abilities will be at level II and Level III according to Manual Ability classification system
- •They will be able to understand and follow instructions
排除标准
- •Fixed deformity in any joints of the upper limb.
- •Previous history of surgical intervention in the upper limb.
- •Auditory, visual and cognitive problems.
- •Botulinum Toxin injection in last 6 months.
研究组 & 干预措施
Robotic assisted therapy
robotic hand assisted therapy using robotic gloves for 8 weeks 3seesions / week each session lasts 30 minutes including passive , active assisted, active resisted, mirroring and gaming mode
干预措施: Hand rehabilitation robotic gloves (Device)
Robotic assisted therapy
robotic hand assisted therapy using robotic gloves for 8 weeks 3seesions / week each session lasts 30 minutes including passive , active assisted, active resisted, mirroring and gaming mode
干预措施: occupational therapy (Other)
Traditional occupational therapy
3 sessions/ week for 8 weeks and each session lasts 30 minutes using scissors - Knocking peg board with hammer- Building towers with rings-- Cubes insertion into wide muzzle jars- Playing with clays and form small balls and rolls
干预措施: occupational therapy (Other)
结局指标
主要结局
hand grip strength by hand held dynamometer
时间窗: 8 weeks
the hand grip strength will be measured by hand held dynamometer
hand functions ( fine motor precision and integration measured by Bruininks-Oseretsky Test of Motor Proficiency
时间窗: 8 weeks
hand functions will be measured by Bruininks-Oseretsky Test of Motor Proficiency
wrist joint proprioception by digital goniometer
时间窗: 8 weeks
wrist joint position sense will be measured by digital goniometer
次要结局
未报告次要终点
研究者
Samah Attia El Shemy
professor and chairman of department of physical therapy for pediatrics
Cairo University