Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic CP
Study Details
Study Description
Brief Summary
The aim of the work was to find out the effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The significance of this study is that there was paucity of literature in finding the comparative effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy. The aim is to find out the effects of sensorimotor training on motor functioning of the upper extremity in comparison of constraint induced movement therapy.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: sensorimotor training sensorimotor training group did sensorimotor activities e.g play with dough,peg games 5 days a week for 4 weeks. |
Other: sensorimotor training
sensorimotor training include activities like play with dough, peg games, puzzles for 5 days a week for 4 week.
|
| Experimental: constraint induced movement therapy constraint induced movement therapy group in which affected arm was constraint for 6 hours a day for 5 days a week for 4 weeks. |
Other: constraint induced movement therapy
constraint induced movement therapy in which arm was constraint for 6 hours a day for 5 days a week for 4 week.
|
Outcome Measures
Primary Outcome Measures
- nine hole peg test [4 weeks]
nine hole peg test to check hand dexterity and grip. The patient is seated at a table with a container holding nine pegs and a wood/plastic block containing nine empty holes and asked to put the nine pegs in nine holes in a block one by one and then remove the pegs one at a time from the holes and the time is recorded. patient should do the test with both hands independently.
Secondary Outcome Measures
- manual ability classification system [4 weeks]
it describes how CP child uses his or her hands to handle objects in daily activities with qualitative analysis by care taker, it has five levels. in level 1 child holds objects easily and succesfully. in level 2 child handles most object but with some reduced quality or speed. in level 3 the objects are handled with difficulty and child needs help to prepare or modify activities. in level 4 child handles a limited selection of easily managed objects and always requires some help from others. in level 5 child is not able to handle objects or to complete even simple actions with their hands.
Other Outcome Measures
- two point discrimination [4 weeks]
two point discrimination to discern that the two nearby objects touching the skin are truly two distant points. it is tested with a sharp object caliper is applied to the exposed skin and response and time are recorded. it is used for tactile perception. the normal minimal distance for the hands is 3cm and 0.6 cm for the fingers tips.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
subjects who were fully oriented
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children diagnosed with hemiplegic cerebral palsy
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no history of intramuscular botulinum injections past one year
Exclusion Criteria:
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children with epilepsy
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gross deformity of upper limb
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children with contractures
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Rising Sun Institute | Lahore | Punjab | Pakistan | 40050 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Wajiha Shahid, PhD, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
- Hoare BJ, Wallen MA, Thorley MN, Jackman ML, Carey LM, Imms C. Constraint-induced movement therapy in children with unilateral cerebral palsy. Cochrane Database Syst Rev. 2019 Apr 1;4:CD004149. doi: 10.1002/14651858.CD004149.pub3.
- Samaei A, Mirshoja MS, Khalili MA. Comparison of Sensorimotor Retraining Methods by Movement Therapy Based on Limitations in Upper Extremity Function in Patients with Chronic Stroke. INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH AND ALLIED SCIENCES. 2016;5(2):510-+.
- Santana CAS, Tudella E, Rocha NACF, de Campos AC. Lower Limb Sensorimotor Training (LoSenseT) for Children and Adolescents with Cerebral Palsy: A Brief Report of a Feasibility Randomized Protocol. Dev Neurorehabil. 2021 May;24(4):276-286. doi: 10.1080/17518423.2020.1858458. Epub 2021 Jan 3.
- REC/RCR & AHS/22/0718