Strength and Dexterity of Less Affected Hand of Hemiparetic Cerebral Palsy Children

Sponsor

Cairo University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05546164

Collaborator

(none)

100

Enrollment

Location

5.9

Anticipated Duration (Months)

16.9

Patients Per Site Per Month

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
Cerebral Palsy	Other: Assessment of hand grip strength Other: Assessment of pinch strength Other: Assessment of upper limb dexterity

Study Design

Study Type:

Observational

Anticipated Enrollment :

100 participants

Observational Model:

Other

Time Perspective:

Prospective

Official Title:

Strength and Dexterity of Less Affected Hand of Hemiparetic Cerebral Palsy Children: A Comparison Study With Normal Peers

Anticipated Study Start Date :

Oct 1, 2022

Anticipated Primary Completion Date :

Mar 30, 2023

Anticipated Study Completion Date :

Mar 30, 2023

Arms and Interventions

Arm	Intervention/Treatment
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
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

Arm

Intervention/Treatment

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

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

Ages Eligible for Study:

6 Years to 10 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Children will be recruited according to the following criteria:
Age range between 6 and 10 years.
Both sexes
The degree of spasticity rang from grade 1 to 1+ according to Modified Ashworth scale (Appendix II).
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;