Motivation's Effect on Home Exercise in Children With OBPP

NCT04132752 | Completed

• 1 other identifier: HacettepeOBPPhome
• Study Type: interventional
• Target: 33
• Locations: 0 countries
• Sites: N/A

Brief Summary

The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Conditions

Obstetric Paralyses

Keywords

obstetric paralysis; home exercise; motivation; rehabilitation; parents

Outcome Measures

Primary Outcomes (3)

• Motivation change

  Intrinsic motivation scale measurement: has 21 questions with likert scale rating 1 to 7. Lowest score 21; meaning not motivated at all, 84 means neutral and 147 means fully motivated.

  From baseline to 12th week

• Scoring general arm function

  Active Movement Scale was used for scoring arm function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status.

  From baseline to 12th week

• Scoring shoulder function

  Gilbert and Raimondi's scale was used for scoring shoulder function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status.

  From baseline to 12th week

Secondary Outcomes (2)

• Scoring elbow function

  From baseline to 12th week

• Scoring hand function

  From baseline to 12th week

Study Arms (2)

Intervention

EXPERIMENTAL

Parents were informed about obstetric brachial plexus palsy, given home exercise program and exercise diary.

Other: Motivation

Control

NO INTERVENTION

Parents were informed about obstetric brachial plexus palsy, given home exercise program and exercise diary.

Interventions

Motivation OTHER

Families were called via phone weekly and all questions were answered. Parents were motivated through phone.

Intervention

Eligibility Criteria

• Age: Up to 18 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Being classified as Narakas type 2a or 2b
• Being aged between 0 - 18 months
• Not having regular physiotherapy and rehabilitation program

You may not qualify if:

• Having a clinical condition such as upper motor neuron lesion that may affect child's affected arm or whole body,
• Having secondary surgery for orthopedic problems within last 6 months.
• Mother having an unidentified cognitive problem,
• Parents having another child with a disability,
• Parents not willing to participate.

Sponsors & Collaborators

• Hacettepe University: lead

Related Publications (4)

• Curtis C, Stephens D, Clarke HM, Andrews D. The active movement scale: an evaluative tool for infants with obstetrical brachial plexus palsy. J Hand Surg Am. 2002 May;27(3):470-8. doi: 10.1053/jhsu.2002.32965.

  PMID: 12015722 BACKGROUND

• James MA. Use of the Medical Research Council muscle strength grading system in the upper extremity. J Hand Surg Am. 2007 Feb;32(2):154-6. doi: 10.1016/j.jhsa.2006.11.008. No abstract available.

  PMID: 17275587 BACKGROUND

• Nijenhuis SM, Prange GB, Amirabdollahian F, Sale P, Infarinato F, Nasr N, Mountain G, Hermens HJ, Stienen AH, Buurke JH, Rietman JS. Feasibility study into self-administered training at home using an arm and hand device with motivational gaming environment in chronic stroke. J Neuroeng Rehabil. 2015 Oct 9;12:89. doi: 10.1186/s12984-015-0080-y.

  PMID: 26452749 BACKGROUND

• Bialocerkowski A, Kurlowicz K, Vladusic S, Grimmer K. Effectiveness of primary conservative management for infants with obstetric brachial plexus palsy. Int J Evid Based Healthc. 2005 Mar;3(2):27-44. doi: 10.1111/j.1479-6988.2005.00020.x.

  PMID: 21631743 BACKGROUND

MeSH Terms

Conditions

Paralysis, Obstetric

Interventions

Information Motivation Behavioral Skills Model

Condition Hierarchy (Ancestors)

Birth Injuries; Infant, Newborn, Diseases; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Models, Psychological; Models, Theoretical; Investigative Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Model Details: 33 children with obstetric brachial plexus palsy (OBPP) were randomized into control or intervention groups. Both groups parents were informed about OBPP, given home exercise and exercise diary. Intervention group was called via phone weekly in order to motivate and answer questions. Children's functional scores and parents motivation was measured.

Study Record Dates

• First Submitted: October 16, 2019
• First Posted: October 21, 2019
• Study Start: May 10, 2016
• Primary Completion: May 1, 2018
• Study Completion: May 1, 2018
• Last Updated: October 22, 2019

Record last verified: 2019-10

Data Sharing

• IPD Sharing: Will not share