Turkish Version of Hand-Use-at-Home Questionnaire

NCT04243590 | Completed

• 1 other identifier: 09.2018.712
• Study Type: observational
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the validity and reliability of the Turkish Version of parent-rated Hand-Use-at- Home questionnaire (HUH) in children with neonatal brachial plexus palsy or unilateral cerebral palsy.

Conditions

Cerebral Palsy; Brachial Plexus Palsy

Keywords

brachial plexus; unilateral cerebral palsy; hand function; child rehabilitation; upper extremity; hand use at home questionnaire

Outcome Measures

Primary Outcomes (2)

• Hand-Use-at-Home Questionnaire

  The HUH assesses the amount of spontaneous use of the affected hand in children with unilateral upper limb paresis aged 3-10 years, performing 18 typical bimanual play and self-care activities. Parents rate items using a 5-point rating scale (never-sometimes-regularly-often-always). After completion, the ratings are converted into a 3-point score (i.e. never/sometimes = score 0, regularly/often = score 1, always = score 2).

  Day 0

• Hand-Use-at-Home Questionnaire (HUH)

  The HUH assesses the amount of spontaneous use of the affected hand in children with unilateral upper limb paresis aged 3-10 years, performing 18 typical bimanual play and self-care activities. Parents rate items using a 5-point rating scale (never-sometimes-regularly-often-always). After completion, the ratings are converted into a 3-point score (i.e. never/sometimes = score 0, regularly/often = score 1, always = score 2).

  Day 7

Secondary Outcomes (2)

• Pediatric Outcome Data Collection Instrument (PODCI)

  Day 0

• Children's Hand-Use Experience Questionnaire (CHEQ/mini-CHEQ)

  Day 0

Study Arms (2)

Neonatal brachial plexus palsy

25 patients will be included. The level of the brachial plexus lesion will be recorded. Parents of all patients were asked to fill in the Turkish version of the "Hand-at-Home Questionnaire" and in addition, the upper extremity section of the Pediatric Outcomes Data Collection Instrument (PODCI) in patients with OBP.

Behavioral: Hand-Use-at-Home Questionnaire (HUH); Behavioral: Pediatric Outcome Data Collection Instrument (PODCI)

Unilateral cerebral palsy

25 patients will be included. The level of "Manual Ability Classification System (MACS)" will be recorded. Parents of all patients were asked to fill out the Turkish version of the "Hand-at-Home Questionnaire at Home", as well as the "Children's Hand-Use Experience Questionnaire (CHEQ)" in patients with CP.

Behavioral: Hand-Use-at-Home Questionnaire (HUH); Behavioral: Children's Hand-Use Experience Questionnaire (CHEQ)

Interventions

Hand-Use-at-Home Questionnaire (HUH) BEHAVIORAL

The HUH assesses the amount of spontaneous use of the affected hand in children with unilateral upper limb paresis aged 3-10 years, performing 18 typical bimanual play and self-care activities. Parents rate items using a 5-point rating scale (never-sometimes-regularly-often-always). After completion, the ratings are converted into a 3-point score (i.e. never/sometimes = score 0, regularly/ often = score 1, always = score 2). A sum score can be calculated (range 0-36).

Neonatal brachial plexus palsy; Unilateral cerebral palsy

Pediatric Outcome Data Collection Instrument (PODCI) BEHAVIORAL

The PODCI is designed to assess different aspects of daily living in children with musculoskeletal disorders. It has excellent psychometric properties, and it is a widely accepted instrument to provide parent/patient-reported information about upper extremity functioning. A Dutch version is available and it is validated for children with neonatal brachial plexus palsy. It consists of 85 questions and five scale scores and one total score can be calculated (range for all scales and total score 0-100, higher scores indicating better functioning/quality of life). Only the Upper Extremity and Physical Function Scale (8 items) were used in this study since this scale provides information about difficulties performing activities using the arms/hands (score 0-100; lower score, more difficulties).

Neonatal brachial plexus palsy

Children's Hand-Use Experience Questionnaire (CHEQ) BEHAVIORAL

The CHEQ is a questionnaire for children (aged 6-18) with unilateral functional limitations of hand use and is well validated for children with unilateral cerebral palsy. It was only partially validated for use in children with neonatal brachial plexus palsy and has not yet been used in studies. Therefore, it was not used in this group. The questionnaire consists of 29 bimanual activities, typically requiring the use of both hands. It assesses the child's experience using their affected hand when performing the activities and counts how many of the activities are executed independently (with and without using the affected hand). In the mini-version of the CHEQ some items were deleted or replaced (with more age-appropriate activities for children aged three to eight years) and this version was used for all unilateral cerebral palsy children \<six years in this study.

Unilateral cerebral palsy

Eligibility Criteria

• Age: 3 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

42 unilateral cerebral palsy patients and 25 brachial plexus palsy between 3 - 10 years of age.

You may qualify if:

• Confirmed diagnosis of unilateral cerebral palsy or obstetric brachial plexus palsy
• Age between 3 - 10
• Volunteer to study

You may not qualify if:

• Having a visual disorder
• History of botulinum toxin injection and surgery for upper extremity and hand in the last 6 months.
• Having robotic rehabilitation or intensive treatments such as constraint-induced movement therapy to increase upper extremity use in the last 6 months.

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Marmara University School of Medicine Department of Physical Medicine and Rehabilitation

Istanbul, 34890, Turkey (Türkiye)

Location

Related Publications (5)

• Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.

  PMID: 17370477 RESULT

• Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013 Jun;55(6):509-19. doi: 10.1111/dmcn.12080. Epub 2013 Jan 24.

  PMID: 23346889 RESULT

• Andersen J, Watt J, Olson J, Van Aerde J. Perinatal brachial plexus palsy. Paediatr Child Health. 2006 Feb;11(2):93-100. doi: 10.1093/pch/11.2.93.

  PMID: 19030261 RESULT

• Brandao M, Ocarino JM, Bueno KM, Mancini MC. Hand use at home and in clinical settings by children with cerebral palsy: a qualitative study. Occup Ther Int. 2015 Mar;22(1):43-50. doi: 10.1002/oti.1383. Epub 2014 Oct 29.

  PMID: 25354327 RESULT

• van der Holst M, Geerdink Y, Aarts P, Steenbeek D, Pondaag W, Nelissen RG, Geurts AC, Vliet Vlieland TP. Hand-Use-at-Home Questionnaire: validity and reliability in children with neonatal brachial plexus palsy or unilateral cerebral palsy. Clin Rehabil. 2018 Oct;32(10):1363-1373. doi: 10.1177/0269215518775156. Epub 2018 May 13.

  PMID: 29756465 RESULT

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Naime Evrim Karadag Saygi, Prof

  Department of PM&R, Marmara University School of Medicine

  STUDY DIRECTOR

• Ayca Evkaya, Res. Asst.

  Department of Physiotherapy and Rehabilitation, Maltepe University

  PRINCIPAL INVESTIGATOR

• Ayse Simsek, PT (MSc)

  Department of Physiotherapy and Rehabilitation, Gazi University.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 24, 2020
• First Posted: January 28, 2020
• Study Start: February 1, 2020
• Primary Completion: January 24, 2021
• Study Completion: January 1, 2022
• Last Updated: March 1, 2023

Record last verified: 2023-02

Locations

TU (1)