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The Influence of MCIMT (Modified Constrained Induced Movement Therapy), Bilateral Intensive Treatment, and NDT Approach on the UL Function in Children With Hemiplegic Cerebral Palsy

Sponsor
Sheba Medical Center (Other)
Overall Status
Completed
CT.gov ID
NCT00619853
Collaborator
(none)
1
Location
4
Duration (Months)

Study Details

Study Description

Brief Summary

The purpose of this pilot study was to compare unimanual training (CIMT) and bimanual training (HABIT) protocols aimed to improve ability of the involved hand in children with hemiplegia. Both protocols were conducted in an educational setting for 2 hours a day for 2 months, one-hour group session and one-hour individual therapy session conducted by occupational therapists or assistants.

The children in the CIMT group practiced various tasks using their involved hand with the contralateral hand constrained with a mitt. The children at the HABIT group practiced various bimanual tasks without constraint.

Twelve children (2 - 6.5 yrs.) participated in this study. The inclusion criterion included minimal extension movement of the involved wrist, and for the CIMT group, the ability to of tolerates the mitt. The children were matched in relation to cognitive level and MACS score and randomly divided into the two intervention groups.

Each child's assessment included the Quality of Upper Extremity Skills Test (QUEST), the Assisting Hand Assessment (AHA), and the Blocks and Box for children above age 5 yrs old. Range of motion (ROM) was assessed using an electronic gonimeter, and muscle tone was recorded using surface EMG and the Tardiue scale. The Child Health Questioner (CHQ) was completed by the parents before, and 6 months after, the intervention. Children were assessed starting two month before, and two month after, the intervention.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: treatment approach - CIMT
  • Behavioral: treatment approach - HABIT
 Phase 2

Study Design

Study Type:
Interventional
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Outcomes Assessor)
Primary Purpose:
Treatment
Study Start Date :
Jun 1, 2007
Study Completion Date :
Oct 1, 2007

Outcome Measures

Primary Outcome Measures

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Months and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Children with Hemiplegia
    Exclusion Criteria:
    • No ability for a minimal extension movement in the wrist

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 MESHI kindergarten Jerusalem Israel

    Sponsors and Collaborators

    • Sheba Medical Center

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT00619853
    Other Study ID Numbers:
    • SHEBA-07-4624-AB-CTIL
    First Posted:
    Feb 21, 2008
    Last Update Posted:
    Feb 21, 2008
    Last Verified:
    Feb 1, 2008
    Keywords provided by , ,
    Improving the assisting hand function in children with Hemiplegic Cerebral palsy
    Additional relevant MeSH terms:
    Cerebral Palsy

    Study Results

    No Results Posted as of Feb 21, 2008