Effect of Using Adaptive Seating Equipment on Hand Function

NCT04651283 | Completed

• 1 other identifier: P.T.REC\012\001765
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into control and study groups of equal numbers each consisted of fifteen children (n=15). Methods: Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment (3 sessions per week), to assess 2 subtests (the grasping skills and visual motor integration skills) for all children of both groups. Control group who received a specially selected physical therapy program for hand function on a standard chair seating. Study group who received the same selected program for hand function on adaptive swiss ball seating.

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (2)

• change is being assessed in grasping score

  Assessment of grasping using Peabody Developmental Motor Scale 2 the higher score means a better outcome

  Change from Baseline grasping score assessed at 3 months

• change is being assessed in visual motor integration score

  Assessment of visual motor integration using Peabody Developmental Motor Scale 2 the higher score means a better outcome

  Change from Baseline visual motor integration score assessed at 3 months

Study Arms (2)

Adaptive seating equipment group

EXPERIMENTAL

Study group who received the same selected program for hand function on adaptive swiss ball seating

Other: Adaptive seating equipment group

Traditional seat group

ACTIVE COMPARATOR

Control group who received a specially selected physical therapy program for hand function on a standard chair seating.

Other: Traditional seat group

Interventions

Traditional seat group OTHER

Each child in the control group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day): 1. Building towers and shapes with different textures weights and bright colors. 2. Inserting different shapes in the correct hole. 3. Dropping pellets. 4. Stringing beads. 5. Copying square and triangle. 6. Opening the bottle and close it. 7. Folding and Crumpling paper. 8. Cutting paper by scissors. 9. Tracing line and connecting dots. 10. Reaching above the level of shoulder. 11. Reaching across the midline. 12. Squeezing water out of a sponge. 13. Buttoning and unbuttoning button. 14. Playing clapping games. 15. Turning pages in a book. 16. Lacing string. 17. Picking up a small piece of food and bringing it into the palm. 18. Moving a penny from the palm to the fingers. 19. Removing socks. 20. Brush the teeth.

Also known as: Occupational therapy program for upper limb while the child sitting on chair

Traditional seat group

Adaptive seating equipment group OTHER

Each child in the study group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day): 1. Building towers and shapes with different textures weights and bright colors. 2. Inserting different shapes in the correct hole. 3. Dropping pellets. 4. Stringing beads. 5. Copying square and triangle. 6. Opening the bottle and close it. 7. Folding and Crumpling paper. 8. Cutting paper by scissors. 9. Tracing line and connecting dots. 10. Reaching above the level of shoulder. 11. Reaching across the midline. 12. Squeezing water out of a sponge. 13. Buttoning and unbuttoning button. 14. Playing clapping games. 15. Turning pages in a book. 16. Lacing string. 17. Picking up a small piece of food and bringing it into the palm. 18. Moving a penny from the palm to the fingers. 19. Removing socks. 20. Brush the teeth.

Also known as: Occupational therapy program for upper limb while the child sitting on adaptive seating equipment ( swiss ball)

Adaptive seating equipment group

Eligibility Criteria

• Age: 3 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children with hemiparetic cerebral palsy.
• The age of the selected children ranged from 3 to 6 years old.
• Degree of spasticity ranged from 1 to 1+, according to Modified Ashworth' Scale (Bohannon and Smith, 1987)
• They were able to follow instructions and understand commands included in both assessment and training procedures.
• They were able to sit independent with trunk control.

You may not qualify if:

• Children exposed to orthopedic surgeries or potolinium toxins injection in the last 6 mounth before intervention.
• Children with fixed upper limb deformities
• Children with hearing or visual impairments.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy, Cairo university

Cairo, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Mai Abbass, Ph.D.

  Cairo University

  STUDY DIRECTOR

• Ahmed Mahrous, Msc

  Cairo University

  PRINCIPAL INVESTIGATOR

• Elham Salem, Ph.D.

  Cairo University

  STUDY CHAIR

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: Mai Elsayed Abbass

Model Details: study group and control group

Study Record Dates

• First Submitted: November 16, 2020
• First Posted: December 3, 2020
• Study Start: February 1, 2018
• Primary Completion: August 15, 2018
• Study Completion: August 30, 2018
• Last Updated: December 3, 2020

Record last verified: 2020-11

Locations

EG (1)