Effectiveness of Handwriting Training Program on Handwriting Performance in Cerebral Palsy

NCT01378455 | Completed DMC

• 1 other identifier: 98-3193B
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Visual perception impairment and upper limb disability will affect the handwriting performance. Children with cerebral palsy (CP) who have good function on upper extremity may associated with visual perception impairment, which will impact the handwriting performance. However, there were few studies to investigate the handwriting problems in children with CP who have good upper limb functions. To date, there are no studies to investigate the effectiveness of computerized handwriting training programs on handwriting performance in children with CP. The aims of this study were to establish the relationships of visual perception, visual motor integration, and motor coordination of handwriting performance in children with typical development (TD) in Taiwan, to establish the norms of handwriting performance in children with TD in Taiwan, to compare handwriting performance in children with CP and children with TD, to clarify the relationship of visual perception function and handwriting performance in children with CP, and to examine the effectiveness of interactive computerized handwriting training program (ICHTP) on handwriting performance in children with CP. The investigators will collect 90 children with TD and 48 children with CP in the 1st phase. All children will receive clinical and Chinese handwriting assessment tool (CHAT) assessments. The CHAT and ICHTP will be modified as Taiwan-version handwriting assessment tool and training programs for children in Taiwan, respectively. Clinical assessments include the visual perception, visual motor integration, fine motor skill, and handwriting performance. The CHAT assessed the handwriting legibility, accuracy, pen pressure and writing speed. In the 2nd phase, the investigators will collect 48 children with CP, who were randomly classified into ICHTP group and Traditional Handwriting Training Program (THTP). All children with CP will receive clinical and CHAT assessments before and after interventions. The expected results of this study are the visual perception function is related to handwriting performance in children with CP, and the improvements in the handwriting legibility, accuracy, pen pressure and writing speed of ICHTP training group are greater than THTP training group.

Conditions

Cerebral Palsy

Keywords

handwriting; cerebral palsy; visual perception; sensory function; motor function; computerized handwriting programs

Outcome Measures

Primary Outcomes (1)

• Body function and structure

  pre-treatment, post-treatment, 3 months, 6 months, 12 months Body function and structure: TVPS, Reading and handwriting tests, SP, etc.

  pre-treatment, post-treatment, 3 months, 6 months, 12 months

Secondary Outcomes (3)

• Activities and participation

  pre-treatment, post-treatment, 3 months, 6 months, 12 months

• Quality of life

  pre-treatment, post-treatment, 3 months, 6 months, 12 months

• Computer Analysis for Chinese Handwriting(CACH)

  pre-treatment, post-treatment, 3 months, 6 months, 12 months

Study Arms (2)

ICHTP group

EXPERIMENTAL

In ICHTP (interactive computerized handwriting training program) group, they received the training of visual-perception .visual-motor integration skill of children and modulate muscle strength of grasp through ICHTP software

Other: interactive computerized handwriting training program

THTP group

ACTIVE COMPARATOR

The THTP (traditional handwriting training program)group ,they received the training of paper-pencil activities with visual-perception and visual-motor integration skills

Other: traditional handwriting training program

Interventions

interactive computerized handwriting training program OTHER

In ICHTP group, they received the training of visual-perception .visual-motor integration skill of children and modulate muscle strength of grasp through ICHTP software. The training program costs 45 min/once, three times/one week, and sustains four weeks.In traditional group, they received the training of paper-pencil activities with visual-perception and visual-motor integration skills. The training duration is as long as ICHTP group.

Also known as: computerized handwriting training program

ICHTP group

traditional handwriting training program OTHER

The THTP group ,they received the training of paper-pencil activities with visual-perception and visual-motor integration skills

THTP group

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• ability to follow instructions and complete the assessment
• agreement to join this study.
• CP with hemiplegia and diplegia
• Manual Ability Classification System (MACS) of dominant hand: levels 1-2

You may not qualify if:

• psychosocial, behavioral and emotional problems, such as ADHD, and autism.
• physical dysfunction, such as neuromuscular disorders.
• significant hearing or visual impairment
• significant sensory impairment.
• Learning disability
• Test of Nonverbal Intelligence( TONI-2) less than two standard deviation,
• unstable medical situation (ex: seizure).

Sponsors & Collaborators

• Chang Gung Memorial Hospital: lead

Study Sites (1)

Chang Gung Memorial Hospital

Taoyuan District, Taoyuan, 333, Taiwan

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Chia-Ling Chen, MD,PhD

  Chang Gung Memorial Hospital

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 21, 2011
• First Posted: June 22, 2011
• Study Start: March 1, 2010
• Primary Completion: March 1, 2012
• Study Completion: February 1, 2015
• Last Updated: October 5, 2016

Record last verified: 2011-05

Locations

TW (1)