The Effect of Task-oriented Electromyography-triggered Electrical Stimulation on Upper Limb Motor Function in Hemiplegic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Action Research Arm Test (ARAT)
研究概览
简要总结
The purpose of our study; to investigate the effects of EMG-induced ES treatment on hand functions, muscle strength, and quality of life in patients with hemiplegic CP.
详细描述
Upper limb spasticity greatly affects the hand functions of patients with cerebral palsy (CP) and impairs quality of life. The most important goal in rehabilitation; despite the existing deficiencies, the highest level of functional independence of the patient is to increase the quality of life. EMG-triggered biofeedback electrical stimulation (EMG-triggered-BF-ES) increases the patient's active participation and motivation in rehabilitation, creates visual or auditory BF, provides muscle reeducation, decreases spasticity, prevents atrophies and increases joint mobility and increases muscle functionality by increasing the patient's functionality. There are areas of use the EMG-triggered-BF-ES such as cerebrovascular disease (CVO), spinal cord injury, and CP. When the literature is examined; studies were found to be few, and no study evaluating the upper extremity was found in children with CP. The purpose of our study is the investigation of the effects of EMG-triggered-BF-ES treatment applied on hand functions, muscle strength, and quality of life in patients with CP.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 4 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •having a diagnosis of CP
- •age between 4 and 18 year
- •at least 10° of the active wrist and finger extension in the affected limb but less than normal
- •upper limb spasticity (shoulder, elbow, wrist, and fingers) less than or equal to grade 2 according to the modified Ashworth scale (MAS)
- •should be able to receive command
排除标准
- •Mental retardation
- •Passive range of motion (ROM) limitation in the upper extremity
- •Sensory impairment in the upper extremity
- •The visual and auditory deficit in the upper extremity
- •MAS is more than
- •Botulinum toxin application to the upper limb in the last 6 months
- •Any surgical application to the upper limb in the last 6 months
结局指标
主要结局
Action Research Arm Test (ARAT)
时间窗: within 3 months
The ARAT consists of four subscales: grasp, grip, pinch, and gross movement. It contains 19 tasks, and each task is scored on a four-point scale (0, can perform no part of the test; 1, performs test partially; 2, completes test but takes abnormally long time or has great difficulty; and 3, performs test normally).
The Cerebral Palsy Quality of Life Questionnaire (CPQoL)
时间窗: within 3 months
Health condition-specific questionnaire designed for measuring QOL in children with cerebral palsy (CP). It consists of a caregiver and a child survey. It is used for the evaluation of Sp cases between the ages of 4-12.
次要结局
- nine hole peg test (9-HPT)(at the beginning, at the 5th week, and at the 3rd-month visit.)
- hydraulic hand dynamometer(at the beginning, at the 5th week, and at the 3rd-month visit.)
研究者
nihal tezel
medical doctor
Diskapi Yildirim Beyazit Education and Research Hospital