Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

Sponsor

Omnya Samy Abdallah Ghoneim (Other)

Overall Status

Recruiting

CT.gov ID

NCT05596513

Collaborator

(none)

Enrollment

Location

Arms

Anticipated Duration (Months)

13.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.

Condition or Disease	Intervention/Treatment	Phase
Hemiplegia Spastic	Other: motor learning and occupational therapy Other: Motor Learning Approaches From Working on a Vertical Surface	N/A

Detailed Description

Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion.

A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint.

Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles.

Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

40 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

received the intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) of the control group but from a vertical surfacereceived the intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) of the control group but from a vertical surface

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

Effectiveness of Intensive Motor Learning Approaches From Working on a Vertical Surface on Hemiplegic Children's Upper Limb Motor Skills

Actual Study Start Date :

Sep 12, 2022

Anticipated Primary Completion Date :

Dec 12, 2022

Anticipated Study Completion Date :

Dec 12, 2022

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: control group received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).	Other: motor learning and occupational therapy Constraint-induced movement therapy (CIMT) Hand-arm bimanual intensive training (HABIT)
Experimental: study group received the intensive motor-learning approaches of the control group but from a vertical surface	Other: Motor Learning Approaches From Working on a Vertical Surface Ball on wall, kneel to stand Kneel walk cross over Vertical playground puzzles and games Color on big boxes Fridge magnets Erasing a whiteboard or chalkboard Tactile feedback from textured walls

Arm

Intervention/Treatment

Active Comparator: control group

received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).

Other: motor learning and occupational therapy

Constraint-induced movement therapy (CIMT) Hand-arm bimanual intensive training (HABIT)

Experimental: study group

received the intensive motor-learning approaches of the control group but from a vertical surface

Other: Motor Learning Approaches From Working on a Vertical Surface

Ball on wall, kneel to stand Kneel walk cross over Vertical playground puzzles and games Color on big boxes Fridge magnets Erasing a whiteboard or chalkboard Tactile feedback from textured walls

Outcome Measures

Primary Outcome Measures

QUEST [3 month]
quality of upper extremity skills test (Only dissociated movement, grasp and weight bearing domains QUEST will be assessed).

Eligibility Criteria

Criteria

Ages Eligible for Study:

5 Years to 9 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Children diagnosed with spastic hemiplegic cerebral palsy
Age 5 to 9 years
Manual Ability Classification System (MACS)19 scores I, II.
Children who can understand and cooperate with researcher's instructions
Children with no visual or hearing impairment

Exclusion Criteria:

Children with any surgical interference in the upper limb.
Intellectual disability such that simple tasks could not be understood or executed.
Inability to combine the study protocol with the regular school program

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Badr University	Badr	Cairo	Egypt

Sponsors and Collaborators

Omnya Samy Abdallah Ghoneim

Investigators

Principal Investigator: Omnya samy, PHD, lecturer

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Omnya Samy Abdallah Ghoneim, Lecturer, Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt., Badr University

ClinicalTrials.gov Identifier:

NCT05596513

Other Study ID Numbers:

P.T.REC/012/003981

First Posted:

Oct 27, 2022

Last Update Posted:

Nov 4, 2022

Last Verified:

Nov 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Omnya Samy Abdallah Ghoneim, Lecturer, Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt., Badr University

Additional relevant MeSH terms:

Hemiplegia

Study Results

No Results Posted as of Nov 4, 2022