Investigation of the Effectiveness of Visual Feedback Training on Upper Extremity Functions in Cerebral Palsy

NCT03726385 | Completed

• 1 other identifier: DilbadeEdRehabCtr
• Study Type: observational
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study was to investigate the effectiveness of Cogniboard® Light Trainer, an education device with visual feedback that is added to the Neurodevelopmental Therapy Method (NDT) based upper extremity rehabilitation in children with cerebral palsy, on upper extremity functions such as joint range of motion (ROM), muscle tone, grip strength, pinch strength and functional abilities.

Conditions

Cerebral Palsy

Keywords

cerebral palsy; upper extremity rehabilitation; neurodevelopmental therapy; physiotherapy and rehabilitation; visual feedback device

Outcome Measures

Primary Outcomes (6)

• Range of motion (ROM)

  Upper extremity ROM measured with universal goniometer.

  Eight weeks

• Spasticity

  Spasticity defined with Modified Ashworth Scale (MAS). The MAS measures resistance during passive soft-tissue stretching. Scoring: 0= normal tone. 1= slight increase in muscle tone, minimal resistance at the end of the range of motion (ROM) when the affected part(s) is moved in flexion or extension. 1+= slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder of the ROM. 2= more marked increase in muscle tone through most of the ROM, but affected part(s) easily moved. 3= considerable increase in muscle tone, passive movement difficult. 4= affected part(s) rigid in flexion or extension.

  Eight weeks

• Grip and pinch strength

  Grip and pinch strength measured with dynamometer.

  Eight weeks

• Hand Skills

  Hand skills was assessed with Minnesota Dexterity Test (MMDT). MMDT is a standardized test for the evaluation of a subject's ability to move small objects various distances. The score on the test is the total seconds required to complete chosen number of test trials.

  Eight weeks

• Functional Abilities

  Functional abilities was assessed with Childhood Health Assessment Questionnaire (CHAQ). CHAQ is used to assess health status in children. It assesses functional ability in 8 domains of physical function (30 items) for children. Each item is scored on a four point scale ranging from 0 (without any difficulty), 1 (with some difficulty), 2 (with much difficulty), 3 (unable to do). The mean score of the eight domains finally makes up the disability index and ranges from 0 (no disability) to 3 (disabled).

  Eight weeks

• Functional Level

  Functional level was defined with Gross Motor Function Classification System (GMFCS). GMFCS looks at movements such as sitting, walking and use of mobility devices. It provides a clear description of a child's current gross motor function. Level I can climb stairs without the use of a railing. Level II can walk in most settings and climb stairs holding onto a railing. Level III needs usage of a hand held mobility device, may climb stairs holding onto a railing with assistance. Level IV requires physical assistance or powered mobility in most settings. Level V children are transported in a manuel wheelchair in all settings, they are limited in their ability to maintain antigravity head and trunk postures and control leg and arm movements.

  Eight weeks

Study Arms (2)

Group I

Group I: The control group. Participants in this group received only NDT based upper extremity rehabilitation. Number of the participants were 19.

Group II

Group II: The study group. Participants in this group received NDT based upper extremity rehabilitation + Cogniboard® Light Trainer training. Number of the participants were 19.

Eligibility Criteria

• Age: 4 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

Participants of the study were selected among the children who applied to Dilbade Education and Rehabilitation Center for rehabilitation. Simple random sampling method was applied to group selection.

You may qualify if:

• Having the diagnosis of Cerebral Palsy (CP),
• Aged between 4-18,
• Having 1+ upper extremity spasticity at max according to the Modified Ashworth Scale (MAS),
• To be able to cooperate with exercises

You may not qualify if:

• Having mental retardation report,
• Having congenital deformities,
• Epilepsy history,
• Having cardiac, orthopedic, visual and hearing problems,
• Application of Botulinum Toxin (BOTOX) to the upper extremity in past six month.

Sponsors & Collaborators

• Dilara Merve Sarı: lead

Study Sites (1)

Dilbade Education and Rehabilitation Center

Istanbul, Eyup, 34050, Turkey (Türkiye)

Location

Related Publications (26)

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MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Tugba Kuru Colak

  Marmara University Institute of Health Sciences

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 8 Weeks
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Director of Physiotherapy Department

Study Record Dates

• First Submitted: October 27, 2018
• First Posted: October 31, 2018
• Study Start: January 8, 2018
• Primary Completion: May 21, 2018
• Study Completion: June 1, 2018
• Last Updated: October 31, 2018

Record last verified: 2018-10

Locations

TU (1)