Camp High 5: Evaluation of the Effect on Upper Limb Function
Study Details
Study Description
Brief Summary
Randomized control trial to evaluate uni-manual and bimanual upper limb function as well as compare outcomes of varied cast wear in children with hemiplegic cerebral palsy (CP) following a hybrid camp model of modified constraint induced movement therapy (mCIMT) and hand-arm bimanual intensive training (HABIT).
Condition or Disease | Intervention/Treatment | Phase |
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|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Continued Casting Participants with 24 hour cast wear (continued casting) for the entire duration of the constraint portion of camp (2 initial weeks). |
Behavioral: Constraint induced movement therapy (CIMT)
Involves forcing use of ones affected upper extremity (UE) by physically restraining the less affected upper extremity
Behavioral: Hand-arm bimanual intensive training (HABIT)
Facilitates the translation of gains to improve goal-directed bimanual performance.
|
Active Comparator: Intermittent Casting Participants who wear a univalve cast for 3 hours of constraint camp with home exercise program of 2 hours cast wear on the weekends (intermittent casting). |
Behavioral: Constraint induced movement therapy (CIMT)
Involves forcing use of ones affected upper extremity (UE) by physically restraining the less affected upper extremity
Behavioral: Hand-arm bimanual intensive training (HABIT)
Facilitates the translation of gains to improve goal-directed bimanual performance.
|
Outcome Measures
Primary Outcome Measures
- Pediatric Motor Activity Log [6 Months]
parent questionnaire to determine how well and how often the family perceives the child Spontaneously uses their affected Upper Extremity throughout the day at home. This assessment is scored by adding up the parental score and getting an average score.
- Assisting Hand Assessment [6 Months]
Test of hand function in children with difficulties using one of their hands. The AHA measures how effectively the affected hand and arm is used in bimanual performance.
- Melbourne-2 [6 Months]
Test of unilateral upper limb function is a validated and reliable tool for evaluating quality of upper limb movement in children with neurological conditions aged 2.5 to 15 years.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Participants will range from 2 years to 11 years 11 months of age at time of enrollment. Children under 5 years of age will attend a morning session and children 6 years and older will attend an -Diagnosis: hemiplegia resulting from a neurological Injury
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Manual Ability Classification System or Mini Manual Ability Classification System classification I-III
Exclusion Criteria:
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Botox injection within past 6 months or planned for within 6 months post camp
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Inability to follow commands
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Family unable to commit to daily sessions for 4 weeks
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Unable to tolerate assigned casting protocol (3-24 hours) daily for 4 weeks
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | New York University School of Medicine | New York | New York | United States | 10016 |
Sponsors and Collaborators
- NYU Langone Health
Investigators
- Principal Investigator: Renat Sukhov, MD, New York University Medical School
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 16-00990