Effect of Core Stability Exercises on Hand Functions in Children With Hemiparesis
Study Details
Study Description
Brief Summary
Background: Impaired upper extremity is the major disability facing the children with hemiplegia as the inability to use hands for reach; grasp and manipulation affect their daily life activities. little attention has been given to gain perspective about abnormal movements that are detectable in hemiplegic cerebral palsy that are related to one's level of core stability and how they affect their hand functions.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Background: Impaired upper extremity is the major disability facing the children with hemiplegia as the inability to use hands for reach; grasp and manipulation affect their daily life activities. little attention has been given to gain perspective about abnormal movements that are detectable in hemiplegic cerebral palsy that are related to one's level of core stability and how they affect their hand functions.
Objective: The purpose was to investigate the effectivness of core stability exercises on hand functions in hemiplegic cerebral palsy.
Methods: Thirty hemiparetic cerebral palsied children of both sexes, ranged in age from 6 to 8 years enrolled in this study. They randomly assigned into two groups of equal number. Group (A) received the selective physiotherapy exercises and group (B) received the same selective physiotherapy exercises program in addition to core stability exercises three times/week for 60 min for 12 weeks. Time motor performance, gross manual dexterity and skills of the upper extremity were assessed by using Jebsen Taylor Test (JTHFT), Box and Block Test (BBT) and Quality Upper Extremity Skill Test (QUEST) respectively before and after treatment.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: CONTROL GROUP received the selective physiotherapy exercises |
|
| Experimental: STUDY GROUP received the same selective physiotherapy exercises program in addition to core stability exercises three times/week for 60 min for 12 weeks |
Other: CORE STABILITY EXERCISES
SELECTED CORE EXERCISES
|
Outcome Measures
Primary Outcome Measures
- Jebsen Taylor Test [Jebsen Taylor Test used to assess gross manual dexterity before the intervention and after three months of the intervention . the loweest score indicate improvement]
scale used to asses gross manual dexterity
Secondary Outcome Measures
- Box and Block Test [Box and Block Test used to asses gross manual dexterity pre and after 3 months of intervension]
scale used to asses gross manual dexterity
- Quality Upper Extremity Skill Test [Quality Upper Extremity Skill Test scale used to asses skills of the upper extremity pre and after 3 months of intervension]
scale used to asses skills of the upper extremity
Eligibility Criteria
Criteria
Inclusion Criteria:
-
The level of gross motor function ranged from II to III, according to Gross Motor Function Classification System
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All participants are cognitively capable and competent of interpreting and following instructions
Exclusion Criteria:
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if they had fixed contractures or deformities of the spine, upper or lower extremities,
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visual or respiratory disorders, orthopedic surgery on their involved upper extremity;
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dorsal rhizotomy;
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botulinum toxin therapy in the upper extremity musculature during the past 6 months
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who wished to receive it within the period of study
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Badr Univesity in Cairo (BUC) | Cairo | Egypt |
Sponsors and Collaborators
- hanaa mohsen
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Hana 2