Role of Virtual Reality in Hand Rehabilitation for Children With Cerebral Palsy

NCT04954144 | Completed

• 1 other identifier: AIBU-FTR-ANN-01
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral Palsy (CP) is a neurodevelopmental dysfunction which is permanent, non-progressive, and caused by brain insult or injury.Although the basic finding of CP is having motor function problems, visual, auditory, cognitive and behavioural problems are also seen in CP.Having these problems interfere the functional independence of children with CP, so their daily life of activities is limited.One of the way of increasing the functional independence of these children is providing them hand rehabilitation.In the event of having hand rehabilitation, children would achieve more daily living skills.Although having hand rehabilitation is crucial for these children, they would lose their motivation on this by the time because rehabilitation is a long process,For that reason, new therapy techniques are tried by therapists to motivate these children during their rehabilitation seances.Virtual reality rehabilitation is one of these new techniques used for designing enjoyable and effective seances.Especially leap motion sensors are preferred to create virtual environment, because they are cheap, portable, touchless and easy to use.These sensors can detect hand movements and recognize hand gestures by using infrared.Our study was aimed to investigate the effect of fine motor grip studies in virtual reality environment on performance based hand skills in children with CP.Thirty two children with CP (6-18) were included in this study.Children were randomly assigned into two equal-sized groups: control and study groups.Participants in both groups received a neurodevelopmental therapy program.The study group additionally received virtual reality rehabilitation programme. In control group, neurodevelopmental treatment was provided 45 mins,2 d/week for 2 successive months.In study group, neurodevelopmental treatment was provided 30 mins and virtual rehabilitation programme was provided 15 mins, 2 d/week for 2 successive months. To evaluate the performance based hand skills; Box and Block Test, Nine Hole Peg Test and Pink Tower (Montessori) Test were used.

Conditions

Physical Disability; Cerebral Palsy

Keywords

cerebral palsy; virtual rehabilitation; hand rehabilitation; leap motion

Outcome Measures

Primary Outcomes (10)

• ABILHANDS-kids Scoring Before Study

  Measure of manual ability for children with upper limb impairments before study.

  Day 1

• ABILHANDS-kids Scoring After Study

  Measure of manual ability for children with upper limb impairments after study.

  Day 56

• Manual Ability Classification System

  It describes how children with cerebral palsy use their hands to handle objects in daily activities.

  Day 1

• Gross Motor Function Classification

  It description of a child's current motor function

  Day 1

• Box and Block Test Before Study

  It measures unilateral gross manual dexterity before study.

  Day 1

• Box and Block Test After Study

  It measures unilateral gross manual dexterity after study.

  Day 56

• 9 Hole Peg Test Before Study

  It is a standardized, quantitative assessment used to measure finger dexterity before study.

  Day 1

• 9 Hole Peg Test After Study

  It is a standardized, quantitative assessment used to measure finger dexterity after study.

  Day 56

• Pink Tower Montessori Test Before Study

  It measures performance based hand skill before study.

  Day 1

• Pink Tower Montessori Test After Study

  It measures performance based hand skill after study.

  Day 56

Study Arms (2)

Leap Motion Sensor

EXPERIMENTAL

The Leap Motion Sensor is an optical hand tracking module that captures the movements of hands with unparalleled accuracy.

Device: Leap Motion Sensor; Other: Neurodevelopmental Treatment Approach

Neurodevelopmental Treatment Approach

EXPERIMENTAL

Neurodevelopment treatment approach is used to influence the quality of the motor response and is carefully matched to the patient's abilities to use sensory information and adapt movements.

Other: Neurodevelopmental Treatment Approach

Interventions

Leap Motion Sensor DEVICE

As a virtual reality treatment method, leap motion sensor was integrated with laptop computer and participants played object capture, firefly, bee-batting games to improve performance based hand skills.

Leap Motion Sensor

Neurodevelopmental Treatment Approach OTHER

It is a method that tries to control sensorimotor components of muscle tone, reflexes, abnormal movement patterns, postural control, sensory-perception and memory problems with special techniques.

Leap Motion Sensor; Neurodevelopmental Treatment Approach

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Gross Motor Functional Level should be I or II.

You may not qualify if:

• Epilepsy
• Visual Impairment
• Cognitive Problem
• Inability to hold and release the objects

Sponsors & Collaborators

• Abant Izzet Baysal University: lead

Study Sites (1)

Silivri Rehabilitation Center

Istanbul, Silivri, 34520, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Ayşe Neriman Narin, Asst.Prof

  Abant Izzet Baysal University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: April 26, 2021
• First Posted: July 8, 2021
• Study Start: February 16, 2021
• Primary Completion: April 13, 2021
• Study Completion: April 20, 2021
• Last Updated: July 8, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)