Taping and Traditional Exercises in Upper Limb Function in Hemiplegic

NCT04635930 | Completed

• 1 other identifier: REC/00685 Mahnoor Ayaz
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to determine the Effects of taping verse traditional exercises on scapular stabilization and upper limb function in hemiplegic cerebral palsy.Taping and traditional exercises effects on scapular stabilization and support upper limb fuction in Hemiplegic cerebral palsy patients. A randomized controlled trial will be done at hayatabad Medical Complex Peshawar. The sample size is 26. The Participants will be divided into two groups, 13 participants in group A and 13 in Group B. The study duration will 6 months. Sampling technique will purposive non probability sampling technique. Only 6 to 8 years participants with Hemiplegic cerebral palsy will be included. Tools will be used in this study are Quality of upper extremity skill test, The Functional Independence Measure for Children (WeeFIM): Data will be analyzed through Statistical Package of Social Sciences version23.

Conditions

Hemiplegic Cerebral Palsy

Outcome Measures

Primary Outcomes (1)

• Quality of upper extremity skills test

  The Quality of upper extremity skills test (QUEST) This measures the upper limb function in four domains, dissociated movements grasp of hand, weight bearing of upper limb and protective extension of upper limb including 33 items. Each item comprises, however, several sub items and both left and right upper extremity is assessed, so a total of 174. This is designed to be used with children who exhibit neuromotor dysfunction with spasticity and has been validated with children 18 months to 8 years.

  8 weeks

Secondary Outcomes (1)

• The Functional Independence Measure for Children (WeeFIM):

  8 weeks

Study Arms (2)

Taping plus Traditional exercises

EXPERIMENTAL

kinesio tape for improving the alignment of the scapula by inhibiting the hyperactive upper trapezius and facilitating the weak serratus anterior muscleStretching of the tight muscles of upper limb. * Reaching forward sidewise and backward. * Strengthening of the weak muscles by resisted exercise. 2-3 sets of 8-12 repetition, 4 times per week (ACSM guidelines). * Prone lying weight bearing on elbows (four point kneeling) * side sitting with weight bearing on the effected side, for 5 minutes. * Wall pushups. * Catching and throwing of ball

Other: Taping plus Traditional exercises

Traditional exercises

ACTIVE COMPARATOR

Stretching of the tight muscles of upper limb. * Reaching forward sidewise and backward. * Strengthening of the weak muscles by resisted exercise. 2-3 sets of 8-12 repetition, 4 times per week (ACSM guidelines). * Prone lying weight bearing on elbows (four point kneeling) * side sitting with weight bearing on the effected side, for 5 minutes. * Wall pushups. * Catching and throwing of ball

Other: Taping plus Traditional exercises

Interventions

Taping plus Traditional exercises OTHER

The children will be taped 6 days per week for a total a period of 08 weeks. The tape will be used and keep the scapula in position for 3 days and the region will then be left to rest for 24 hours. Kinesio Taping will then be re-applied by the same experienced research assistants for another 3 days.

Taping plus Traditional exercises; Traditional exercises

Eligibility Criteria

• Age: 6 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients diagnosed as hemiplegic cerebral palsy.
• Age group 7 to 14 years.
• Both males and females.
• Hemiplegic patients demonstrating weakness of scapular muscles i.e., less than grade 3 on manual muscle testing scale.
• Hemiplegics who understand and follow verbal commands.

You may not qualify if:

• Hemiplegic patient with cognitive and perceptual disorders.
• Hemiplegic patient having sensory, behavioral dysfunction and emotional liability.
• Hemiplegic patient who is having any associated history of trauma and other medical disorders of hemiplegic upper extremity.
• Any musculoskeletal structural disorder impeding upper limb function.
• Participating in any experimental rehabilitation or drug studies.
• Excessive spasticity that is score of \>3 on modified Ashworth spasticity scale

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Hayatabad Medical Complex

Peshawar, KPK, Pakistan

Location

Related Publications (5)

• Peters C, Chang A, Morales A, Barnes K, Allegretti A. An integrative review of assessments used in occupational therapy interventions for children with cerebral palsy. Brazilian J Occup Ther. 2019;27(1):168-85.

  BACKGROUND

• Klingels K, De Cock P, Molenaers G, Desloovere K, Huenaerts C, Jaspers E, Feys H. Upper limb motor and sensory impairments in children with hemiplegic cerebral palsy. Can they be measured reliably? Disabil Rehabil. 2010;32(5):409-16. doi: 10.3109/09638280903171469.

  PMID: 20095955 BACKGROUND

• Kassee C, Hunt C, Holmes MWR, Lloyd M. Home-based Nintendo Wii training to improve upper-limb function in children ages 7 to 12 with spastic hemiplegic cerebral palsy. J Pediatr Rehabil Med. 2017 May 17;10(2):145-154. doi: 10.3233/PRM-170439.

  PMID: 28582885 BACKGROUND

• Camerota F, Galli M, Cimolin V, Celletti C, Ancillao A, Blow D, Albertini G. Neuromuscular taping for the upper limb in Cerebral Palsy: A case study in a patient with hemiplegia. Dev Neurorehabil. 2014 Dec;17(6):384-7. doi: 10.3109/17518423.2013.830152. Epub 2013 Oct 2.

  PMID: 24087981 BACKGROUND

• Wang TN, Liang KJ, Liu YC, Shieh JY, Chen HL. Psychometric and Clinimetric Properties of the Melbourne Assessment 2 in Children With Cerebral Palsy. Arch Phys Med Rehabil. 2017 Sep;98(9):1836-1841. doi: 10.1016/j.apmr.2017.01.024. Epub 2017 Feb 28.

  PMID: 28254639 BACKGROUND

Study Officials

• Saira Waqqar, Phd*

  Riphah International University

  PRINCIPAL INVESTIGATOR

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: November 15, 2020
• First Posted: November 19, 2020
• Study Start: September 8, 2020
• Primary Completion: January 30, 2021
• Study Completion: January 30, 2021
• Last Updated: April 15, 2022

Record last verified: 2022-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)