Synchronous Telerehabilitation vs Face to Face Method for Upper Extremity Functions in Children With Hemiparetic CP

NCT05522452 | Completed

• 1 other identifier: PhD thesis
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effectiveness of synchronous telerehabilitation on improving upper extremity function in children with hemiparetic cerebral palsy.

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (2)

• Quality of Upper Extremity Skills Test (QUEST)

  It is used to evaluate the upper extremity motor functions of children. QUEST is a test that evaluates the quality of movement and dexterity of the child with SP. QUEST is concerned with how the child does the activity he or she can do. Examines the quality of upper limb skills in 7 sections. The highest score is 100, the lowest score is 50

  12 weeks

• The Selective Control of the Upper Extremity Scale (SCUES)

  This test was developed to evaluate the selective motor control of the upper extremity. It is a very practical and useful video-based assessment tool that can be applied in less than 15 minutes. No special equipment is required other than a video camera. It offers the opportunity to evaluate the selective movements of the shoulder, elbow, forearm, wrist and fingers for both right and left extremities. The person administering the test passively shows the participant the movements they are asked to do. Then the participant is asked to actively perform the movement shown. While performing the participant movements; Head, trunk and other extremity movements are taken with a video camera to provide the opportunity to observe. The degree of selective motor control is determined as 0-3 points for each joint, depending on the person's ability to perform movements and their shape.

  12 weeks

Secondary Outcomes (4)

• ABILHAND-KIDS

  12 weeks

• Shriners Hospital Upper Extremity Evaluation (SHUEE)

  12 weeks

• Cerebral Palsy Quality of Life Questionnaire for Children (CP QOL)

  12 weeks

• Pediatric Evaluation of Disability Inventory (PEDI)

  12 weeks

Other Outcomes (2)

• Joint Range of Motion (ROM) Measurement

  12 weeks

• Modified Tardieu Scale

  12 weeks

Study Arms (2)

Telerehabilitation group

EXPERIMENTAL

The telerehabilitation group will participate in the treatment in their homes. While the participants are performing the activities in their own homes, applications will be made via webcam-based software (Zoom) and synchronous access via video and audio from the physiotherapist's computer screen. The activities determined by the physiotherapist will be directed to the family, and the activities will be adapted and implemented according to the child's needs and functional level. Physiotherapy program will include the following applications: * Tone regulation * Active stretching and strengthening exercises * Gross and fine motor activities to improve bilateral hand use * Daily living activities to improve upper extremity functional skills such as dressing, eating, and buttoning. * Arts and crafts activities

Other: Telerehabilitation

Face to face group

ACTIVE COMPARATOR

The face-to-face group will be treated in the clinic. To this group; The activities determined by the physiotherapist will be applied face to face. Physiotherapy program will include the following applications: * Tone regulation * Active stretching and strengthening exercises * Gross and fine motor activities to improve bilateral hand use * Daily living activities to improve upper extremity functional skills such as dressing, eating, and buttoning. * Arts and crafts activities

Other: Face to face rehabilitation

Interventions

Telerehabilitation OTHER

Telerehabilitation program: Intervention will be applied by video interview for 12 weeks, 2 days a week, 45 minutes a day through the Zoom application. The application is free and can be installed on desktop or laptop computers, tablets and smartphones. The content of the activities to be done for that session by phone call to the parent before the interventions; Information will be given about the preparations such as keeping the materials on the table, suitable environment for that week's session and camera angle. Instructions and tips for parent support during the intervention will be given before and during the session. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.

Telerehabilitation group

Face to face rehabilitation OTHER

Face to face program: Intervention will be applied by physiotherapist for 12 weeks, 2 days a week, 45 minutes a day in clinic. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.

Face to face group

Eligibility Criteria

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

You may qualify if:

• Presence of confirmed hemiparetic cerebral palsy
• Manual Ability Classification System ≤ 3
• Age between 6 and 18
• Absence of major visual and/or auditory deficits
• Sufficient cooperation to comprehend and complete the test procedure and participate in treatment
• Family members being active mobile phone or computer and internet users

You may not qualify if:

• Seizures uncontrolled by therapy
• Surgery and/or botulinum toxin-A injections in the upper limb within 6 months prior to the baseline assessment
• Having a disabling behavioral disorder to treatment
• Family's discontinuation of treatment

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

İstanbul University Cerrahpasa

Istanbul, Turkey (Türkiye)

Location

Related Publications (1)

• Camden C, Pratte G, Fallon F, Couture M, Berbari J, Tousignant M. Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review. Disabil Rehabil. 2020 Dec;42(24):3424-3436. doi: 10.1080/09638288.2019.1595750. Epub 2019 Apr 12.

  PMID: 30978110 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Telerehabilitation

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• AYSE ZENGIN ALPOZGEN, PhD

  Istanbul University - Cerrahpasa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: August 29, 2022
• First Posted: August 31, 2022
• Study Start: October 19, 2022
• Primary Completion: April 7, 2023
• Study Completion: April 10, 2023
• Last Updated: June 15, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)