Effectiveness of Motion Minder Therapy (MoMT) on Fine Motor Skills Among Children with Spastic Hemiplegia
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Shriners Hospital Upper Extremity Evaluation (SHUEE), Nine Hole Peg Test
研究概览
简要总结
Motion Minder Therapy (MoMT) is a targeted intervention for fine motor skill challenges in spastic hemiplegic cerebral palsy children, emphasizing affordability, particularly in middle-income countries like India. Diverging from previous models requiring extensive daily supervision of 5 to 6 hours , MoMT optimizes resources by utilizing smartwatches for a focused 1-hour intervention. The study employs a Pilot (Phase I) with 5 children and an Experimental (Phase II) design with 20 participants, comparing MoMT with Hand-Arm Bimanual Intensive Therapy. Materials range from smart watch to sensory tools, offering a comprehensive approach. Primary and secondary outcomes, assessed through the Assisting Hand Assessment and ABILHAND Kids questionnaire, contribute to a thorough evaluation. Statistical analysis, incorporating inferential and descriptive statistics with a paired t-test, aims to underscore MoMT’s effectiveness in addressing the complex challenges of fine motor skill enhancement in spastic hemiplegic cerebral palsy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 5.00 Year(s) 至 12.00 Year(s)（—）
- 性别
- All
入选标准
- •Age Eligibility: Children within the age bracket of 5 to 12 years.
- •Manual Ability Classification System: Individuals falling into MACS categories I to III.
- •Bimanual Fine Motor Function (BFMF): Participants falling within the BFMF spectrum of levels I to III.
- •Modified Ashworth Scale (MAS): Participants falling within the MAS grade of I to III in upper extremity.
- •Communication Functional Classification System (CFCS): Individuals with a CFCS classification ranging from I to III.
- •Mini-Mental State Examination for Children (MMC): Individuals with MMC score of
- •Grasping and Releasing Proficiency: Proficiency in grasping and releasing lightweight objects, with a minimum extension of 20° in the wrist and 10° in all Five MCP joints in the affected hand.
排除标准
- •Presence of visual or auditory disorders.
- •History of Seizure, respiratory issues and presence of hand deformities.
- •Children who have undergone Botulinum neurotoxin injections or surgical interventions in the 6-month before study.
结局指标
主要结局
Shriners Hospital Upper Extremity Evaluation (SHUEE), Nine Hole Peg Test
时间窗: Following the baseline pre-test assessment, a post-test assessment will be conducted after 4 weeks.
次要结局
- ABILHAND-KIDS questionnaire(Baseline pre-test assessment continued by after 4 weeks of post-test assessment)
研究者
Jeevarathinam Thirumalai
Saveetha College of Physiotherapy