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Upper Extremity Function In Cerebral Palsy And Its Association With Balance And Trunk Control

Sponsor
Gazi University (Other)
Overall Status
Completed
CT.gov ID
NCT03179124
Collaborator
(none)
62
Enrollment
11
Actual Duration (Months)

Study Details

Study Description

Brief Summary

Children with cerebral palsy (CP) have postural control problems due to the lack of motor and sensory development. Trunk control which has an important role in ensuring postural control, is the basis for sitting, mobility, development of the upper extremity, pulmonary function and activities of daily living. Poor postural control restricts upper extremity functions which also affects the quality of movements. For this reason, it is important to assess the relationship between trunk control and upper extremity functions. This study is planned to investigate the effect of balance and trunk control on upper extremity functions in children with CP.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    30 hemiparetic and 32 diparetic CP, in total 62 children, aged between 5-12 years, were included in this study. Trunk Control Measurement Scale (TCMS) was used to assess trunk control, Pediatric Balance Scale (PBS) was used to assess balance, and Quality of Upper Extremity Skills Test was used to assess upper extremity functions (QUEST).

    Study Design

    Study Type:
    Observational [Patient Registry]
    Actual Enrollment :
    62 participants
    Observational Model:
    Case-Control
    Time Perspective:
    Prospective
    Official Title:
    Upper Extremity Function In Cerebral Palsy And Its Association With Balance And Trunk Control
    Actual Study Start Date :
    Jun 20, 2016
    Actual Primary Completion Date :
    Apr 20, 2017
    Actual Study Completion Date :
    May 20, 2017

    Arms and Interventions

    Arm Intervention/Treatment
    Hemiparetic cerebral palsy

    Unilateral paresis in which upper extremities are more severely affected than lower extremities.
    Diparetic cerebral palsy

    Lower extremities were more affected than upper extremities

    Outcome Measures

    Primary Outcome Measures

    1. Quality of Upper Extremity Skills Test [30 minutes]

      QUEST is a reliable tool for children with CP aged 2-12 years.The QUEST groups upper limb movement into four domains. Each domain focuses on areas of difficulty typically seen in children with spastic cerebral palsy: (a) Dissociated Movements, (ability to voluntarily isolate movement at the shoulder, elbow, wrist and fingers); (b) Grasps (which also rates sitting postures during grasps of 1 inch cube, cereal, pencil or crayon); (c) Weight Bearing (ability to lean on the arms in prone or 4-point kneeling, sitting and while reaching); and (d) Protective Extension (using the arms to stop oneself from falling forward, backward and to the side). In addition to the four domains of movement the QUEST also has three scales: Hand Function, Spasticity and Co-operativeness.

    Secondary Outcome Measures

    1. Pediatric Balance Scale [20 minutes]

      The PBS measure can be performed without specialized equipment and is quickly and easily administered. The PBS has been used to measure the balance functions for school-age children with mild-to-moderate motor impairments

    2. Trunk Control Measurement Scale [20 minutes]

      This scale consists of 15 items measuring two main components of trunk control: (a) a stable base of support (static sitting balance), and (b) an actively moving body segment (dynamic sitting balance). The subscale static sitting balance (items 1-5) evaluates the ability of the child to maintain a stable trunk posture during movements of upper and lower limbs. The section dynamic sitting balance is further divided into two subscales: selective movement control and dynamic reaching. The subscale selective movement control (items 6-12) measures selective trunk movements in the sagittal (flexion/extension), frontal (lateral flexion) and transverse (rotation) plane within the base of support. The subscale dynamic reaching (items 13-15) evaluates the performance of three reaching tasks, requiring active trunk movements beyond the base of support

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    5 Years to 12 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    • spastic hemiparetic and / or diparetic CP

    • co-operative enough to understand test directives

    • between 5 and 12 years of age

    • Having spasticity of 0-2 according to the modified wax and / or modified Ashworth Scale (MAS)

    • GMFCS I, II and III

    Exclusion Criteria:

    Have had previous orthopedic surgery to the upper extremity

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Gazi University

    Investigators

    • Study Chair: Bülent Elbasan, study chair

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Ayse Simsek, Research assistant, Gazi University
    ClinicalTrials.gov Identifier:
    NCT03179124
    Other Study ID Numbers:
    • 214
    First Posted:
    Jun 7, 2017
    Last Update Posted:
    Jun 7, 2017
    Last Verified:
    Jun 1, 2017
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Ayse Simsek, Research assistant, Gazi University
    cerebral palsy
    trunk control
    upper extremity
    Additional relevant MeSH terms:
    Paralysis
    Cerebral Palsy

    Study Results

    No Results Posted as of Jun 7, 2017