Strength and Dexterity of Less Affected Hand of Hemiparetic Cerebral Palsy Children
Study Details
Study Description
Brief Summary
The contralateral hand deficits are often masked by the complex clinical presentation of the more affected hand in children with spastic hemiparesis. Thus, intervention targeting the contralateral hand is not often a component of the child's rehabilitation plan of care. The presence of bilateral hand deficits, even if subtle in the contralateral hand, may limit the transfer of unimanual gains following rehabilitation to bimanual activities of daily living tasks. However, conservation of upper-limb function of the less-affected side is highly important for individuals with hemiparesis, because this side is often employed as a compensatory 'tool' in performing activities of daily living . Therefore, the current study will be conducted to determine and compare the motor abilities of the less affected hand of children with hemiparesis.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Hemiparetic group This group will contains 50 children with hemiparesis |
Other: Assessment of hand grip strength
Assessment of hand grip strength
Other: Assessment of pinch strength
Assessment of pinch strength
Other: Assessment of upper limb dexterity
Assessment of upper limb dexterity
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Normal group This group will contains 50 children with normal children |
Other: Assessment of hand grip strength
Assessment of hand grip strength
Other: Assessment of pinch strength
Assessment of pinch strength
Other: Assessment of upper limb dexterity
Assessment of upper limb dexterity
|
Outcome Measures
Primary Outcome Measures
- Hand grip strength [from October 2022 to march 2023]
By using of Pneumatic squeeze bulb dynamometer. It is a reliable tool to measure grip and pinch strength by measuring the amount of pressure applied to the compressible bulb-shaped rubber handle (Innes, 1999).The child sit in chair with armrest, suitable back support, feet flat on the floor, shoulder adducted to side, elbow flexed to 90 degree and forearm in neutral position then teach the child how to apply pressure on bulb through grip or pinch pressure for 3 times and their mean was calculated.
- Hand pinch strength [from October 2022 to march 2023]
By using of Pneumatic squeeze bulb dynamometer. It is a reliable tool to measure grip and pinch strength by measuring the amount of pressure applied to the compressible bulb-shaped rubber handle (Innes, 1999).The child sit in chair with armrest, suitable back support, feet flat on the floor, shoulder adducted to side, elbow flexed to 90 degree and forearm in neutral position then teach the child how to apply pressure on bulb through grip or pinch pressure for 3 times and their mean was calculated.
- upper limb dexterity [from October 2022 to march 2023]
Functional dexterity test will be used for assessment of fine motor dexterity. it is a timed pegboard test that provides objective assessment of in-hand manipulation and tripod pinch, a pattern of hand use that typically develops by 3 years of age .It consists of 16 cylindrical pegs arranged on a peg board in 4 rows of 4 pegs. Participants are instructed to pick up each peg, turn it over in their hand while refraining from supinating or touching the table with the peg, and re-insert it into the pegboard as quickly as possible, beginning with the top row and proceeding in a zigzag fashion through all 4 rows. One complete practice trial is performed to allow the child to learn the task, and the second trial is timed. The time taken to complete the test is measured with a stopwatch; results are recorded as number of pegs completed divided by time elapsed (seconds). This calculation (pegs per second) provides a measure of speed.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children will be recruited according to the following criteria:
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Age range between 6 and 10 years.
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Both sexes
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The degree of spasticity rang from grade 1 to 1+ according to Modified Ashworth scale (Appendix II).
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They can follow the order during the testing.
Exclusion Criteria:Children will be excluded from the study if they had any of the following criteria;
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Significant visual or auditory defect that may affect their performance.
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Previous orthopedic surgery for upper extremity.
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Injection with Botulinium toxin in the last 6 months.
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Structural deformities in any joint or bone of the upper limbs.
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Practicing any form of sports.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Faculty of Physical Therapy, Cairo University | Giza | Egypt | 12662 |
Sponsors and Collaborators
- Cairo University
Investigators
- Study Chair: Emam EL-Negamy, PhD, Cairo University
- Study Director: Amira Mahmoud, PhD, Cairo University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- No: p.T. R E C /012 /003789