Selective Motor Control and Upper Extremity Functions in Children With Hemiparetic Cerebral Palsy

NCT04695639 | Completed

• 1 other identifier: Selective Motor Control
• Study Type: observational
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Identification of musculoskeletal and neuromuscular factors that affect the integrity and functional performance in children with cerebral palsy is very essential as it enables multidisciplinary rehabilitation team to design the proper intervention to improve functional performance and independence for those children.

Conditions

Cerebral Palsy

Keywords

Cerebral pals; selective voluntary motor control; upper extremity function; hand grip strength

Outcome Measures

Primary Outcomes (1)

• Test of Arm Selective Control

  The goal of the assessment is to systematically evaluate a person's ability to move the upper extremity with selective voluntary motor control by observing movement control, coordination, fluency, mirroring, and speed at each joint, and then assigning a grade. Each joint is scored as a 0, 1, or 2. The joints of the affected limb are summed for a limb score for a total score. The maximum score is 16 per side, or 32 points in total (in hemiplegia assess the affected side only) with higher score indicates better performance. Admiration of the teat items and scoring will be conducted according to the scale user instructions.

  1/2/2021 to 30/4/2021

Secondary Outcomes (2)

• Hand Held Dynamometer

  1/2/2021 to 30/4/2021

• Quality of Upper Extremity Skill Test

  1/2/2021 to 30/4/2021

Study Arms (1)

cohort group

A convenient sample of children with spastic hemiparetic CP of both genders will participate in this study. To avoid type II error, sample size calculation was performed prior to the study, based on data of pilot study, using G\*POWER statistical software (version 3.1.9.2; Franz Faul, Universitat Kiel, Germany) \[Exact tests- correlational study, α=0.05, β=0.2, and effect size = 0.4\] and revealed that the appropriate sample size for this study is N=46.

Other: Test of Arm Selective Control; Other: Hand Held Dynamometer; Other: Quality of Upper Extremity Skill Test

Interventions

Test of Arm Selective Control OTHER

It will be used to assess selective voluntary motor control. It is a reliable and valid evaluation tool used to quantify and describe selective voluntary motor control in children with spastic cerebral palsy. The goal of the assessment is to systematically evaluate a person's ability to move the upper extremity with selective voluntary motor control by observing movement control, coordination, fluency, mirroring, and speed at each joint, and then assigning a grade, all in 'real time. Clinically this measure may guide the selection of medical, surgical, or therapy interventions and may improve outcome prognosis after brief training. Raters demonstrated excellent reliability in assessing upper extremity SVMC in a group of children with hemiplegic, diplegic, and quadriplegic CP using the Ttest of arm selective control

cohort group

Hand Held Dynamometer OTHER

Hand held dynamometer (Camry Digital Hand Dynamometer Grip Strength, Model EH101-37, China) will be used to assess hand grip strength of the affected upper extremity. It is generally small, portable and relatively cheap reliable measurement instruments to measure muscle strength of the arm and hand in children with spastic cerebral pasly. It is used to measure strength; maximal voluntary isometric contraction; objectively in kilograms, pounds or newtons. Such devices have been proven to have good to excellent reliability in different populations. It represents an easily accessible way to assess muscle weakness in children with cerebral palsy and the overall reliability is considered to be good.

cohort group

Quality of Upper Extremity Skill Test OTHER

It will be used to assess function of the affected upper extremity. It is a reliable and valid outcome measure designed to evaluate movement patterns and hand function in children with cerebral palsy. It is designed to be used with children who have neuromotor dysfunction with spasticity and has been validated with children from 18 months to 8 years of age.

cohort group

Eligibility Criteria

• Age: 4 Years - 8 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Participants will be recruited from the Outpatient Clinic of Faculty of Physical Therapy, Cairo University, Abo El-reesh Hospital and the Outpatient Clinic of Al-Minya General Hospital, Al-Minya Governorate.

You may qualify if:

• Age ranges from 4 to 8 years.
• Both genders.
• Diagnosis of spastic hemiparetic cerebral palsy.
• Level I-IV on Manual Ability Classification System.
• Spasticity grade 1 to 2 on Modified Ashworth Scale.
• Level I-III on Gross Motor Classification System .

You may not qualify if:

• Significant mental or psychological problems.
• Significant visual/auditory problem.
• Botox injection and/or surgery of the upper limb in the past 12 months.
• Fixed deformities in the affected upper extremity.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

faculty of physical therapy, Cairo university

Giza, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Maya Galal, Phd

  Cairo University

  STUDY DIRECTOR

• Radwa Gomaa

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Study Record Dates

• First Submitted: January 3, 2021
• First Posted: January 5, 2021
• Study Start: February 1, 2021
• Primary Completion: April 30, 2021
• Study Completion: May 5, 2021
• Last Updated: May 11, 2021

Record last verified: 2021-05

Locations

EG (1)