The Effect of Tactile Deficit on Motor Function in Unilateral Cerebral Palsy

Completed

• Conditions: Cerebral Palsy; Tactile Perception; Rehabilitation
• Interventions: Diagnostic Test: Semmes-Weinstein monofilament test; Diagnostic Test: Box and Block Test; Diagnostic Test: 9-Hole Peg Test; Diagnostic Test: Duruöz Hand Index (DHI); Diagnostic Test: Jamar hand dynamometer; Diagnostic Test: Hydraulic pinch gauge

• Registration Number: NCT05013814
• Lead Sponsor: Marmara University

Brief Summary

Cerebral palsy(CP) is the most common cause of disability in childhood. The motor spectrum of disorders is characterized by abnormal muscle tone, posture, and movement. The motor disorders of CP are often accompanied by disturbances of sensation, perception, cognition and behavior. Besides classical appearance of symptomatology, tactile impairment takes an important place to be evaluated. Assessment of the integrity of tactile function composes of two main steps: tactile registration and tactile perception. Our main goal is the define the effect of tactile impairment on hand motor function with the usage of identical assessment tools in patients with unilateral cerebral palsy (UCP) and typically developed children (TDC).

Detailed Description

Not available

Study Timeline

• Study Start: 2017-09-01
• Primary Completion: 2019-01-20
• Study Completion: 2020-01-01
• Status Verified: 2021-08
• Study First Submitted: 2021-08-12
• Study First Submitted QC: 2021-08-18
• Last Update Submitted: 2021-08-18
• Study First Posted: 2021-08-19
• Last Update Posted: 2021-08-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Ages between 5-15 years
• Being evaluated as Class I-II-III in Gross Motor Function Classification System
• Being evaluated as Class I-II-III in Manual Ability Classification System

Exclusion Criteria

• Inability to understand and/or follow test instructions due to intellectual or behavioral difficulties
• History of upper extremity botulinum toxin type A injection in the last three months,
• Previous upper extremity orthopedic surgery
• History of major trauma, and visual impairment

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Children with unilateral cerebral palsy	Duruöz Hand Index (DHI)	-
Children with unilateral cerebral palsy	Box and Block Test	-
Children with unilateral cerebral palsy	Hydraulic pinch gauge	-
Typically developed children	Box and Block Test	-
Typically developed children	Hydraulic pinch gauge	-
Children with unilateral cerebral palsy	Jamar hand dynamometer	-
Typically developed children	9-Hole Peg Test	-
Typically developed children	Duruöz Hand Index (DHI)	-
Children with unilateral cerebral palsy	Semmes-Weinstein monofilament test	-
Children with unilateral cerebral palsy	9-Hole Peg Test	-
Typically developed children	Semmes-Weinstein monofilament test	-
Typically developed children	Jamar hand dynamometer	-

Primary Outcome Measures

Name	Time	Method
Number of participants with tactile dysfunction in both groups	1 day (Single time point)	Comparison of the number of patients with tactile dysfunction according to the Semmes-Weinstein monofilament test scores.
Mean score of hand grip strength test in all participants	1 day (Single time point)	Mean score of Jamar dynamometer measures was used to compare hand grip strength in both groups
Mean score of hand function test in all participants	1 day (Single time point)	Mean score of Duruöz Hand Index was used to compare hand function in both groups
Mean score of gross manual dexterity assessment test in all participants	1 day (Single time point)	Mean score of Box-Block Test was used to compare gross manual dexterity assessment in both groups
Mean score of finger grip strength test in all participants	1 day (Single time point)	Mean score of pinch gauge measures was used to compare finger grip strength in both groups
Mean score of finger dexterity assessment test in all participants	1 day (Single time point)	Mean score of 9-Hole Peg Test was used to compare finger dexterity assessment in both groups

Secondary Outcome Measures

Name	Time	Method
Mean score of hand grip strength test according to the tactile function	1 day (Single time point)	Tactile function was determined by the Semmes-Weinstein monofilament score. The Jamar dynamometer scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group.
Mean score of finger grip strength test according to the tactile function	1 day (Single time point)	Tactile function was determined by the Semmes-Weinstein monofilament score. The pinch gauge scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group.
Mean score of hand function test according to the tactile function	1 day (Single time point)	Tactile function was determined by the Semmes-Weinstein monofilament score. The Duruöz Hand Index scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group.
Mean score of finger dexterity assessment test according to the tactile function	1 day (Single time point)	Tactile function was determined by the Semmes-Weinstein monofilament score. The 9-Hole Peg Test scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group.
Mean score of gross manual dexterity assessment test according to the tactile function	1 day (Single time point)	Tactile function was determined by the Semmes-Weinstein monofilament score. The Box-Block Test scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group.

Trial Locations

Locations (1)

Marmara University Pendik Education and Research Hospital; 🇹🇷 Istanbul, Turkey