Strength and Dexterity of Less Affected Hand of Hemiparetic Cerebral Palsy Children

NCT05546164 | Completed

• 1 other identifier: No: p.T. R E C /012 /003789
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The contralateral hand deficits are often masked by the complex clinical presentation of the more affected hand in children with spastic hemiparesis. Thus, intervention targeting the contralateral hand is not often a component of the child's rehabilitation plan of care. The presence of bilateral hand deficits, even if subtle in the contralateral hand, may limit the transfer of unimanual gains following rehabilitation to bimanual activities of daily living tasks. However, conservation of upper-limb function of the less-affected side is highly important for individuals with hemiparesis, because this side is often employed as a compensatory 'tool' in performing activities of daily living . Therefore, the current study will be conducted to determine and compare the motor abilities of the less affected hand of children with hemiparesis.

Conditions

Cerebral Palsy

Keywords

Cerebral Palsy; Unilateral cerebral palsy; grip strength; pinch strength; upper limb dexterity

Outcome Measures

Primary Outcomes (3)

• Hand grip strength

  Hand dynamometer will be used to measure grip strength. It is a reliable tool, by measuring the amount of pressure applied to the compressible bulb-shaped rubber handle (Innes, 1999).The child sit in chair with armrest, suitable back support, feet flat on the floor, shoulder adducted to side, elbow flexed to 90 degree and forearm in neutral position then teach the child how to apply pressure on bulb through grip or pinch pressure for 3 times and their mean was calculated.

  from October 2022 to September 2023

• Hand pinch strength

  Hand dynamometer will be used to measure pinch strength. It is a reliable tool, by measuring the amount of pressure applied to the compressible bulb-shaped rubber handle (Innes, 1999).The child sit in chair with armrest, suitable back support, feet flat on the floor, shoulder adducted to side, elbow flexed to 90 degree and forearm in neutral position then teach the child how to apply pressure on bulb through grip or pinch pressure for 3 times and their mean was calculated.

  from October 2022 to September 2023

• upper limb dexterity

  Functional dexterity test will be used for assessment of fine motor dexterity. it is a timed pegboard test that provides objective assessment of in-hand manipulation and tripod pinch, .It consists of 16 cylindrical pegs arranged on a peg board in 4 rows of 4 pegs. Participants are instructed to pick up each peg, turn it over in their hand while refraining from supinating or touching the table with the peg, and re-insert it into the pegboard as quickly as possible, beginning with the top row and proceeding in a zigzag fashion through all 4 rows. One complete practice trial is performed to allow the child to learn the task, and the second trial is timed. The time taken to complete the test is measured with a stopwatch..

  from October 2022 to September 2023

Study Arms (2)

Hemiparetic group

This group will contains 60 children with hemiparesis

Other: Assessment of hand grip strength; Other: Assessment of pinch strength; Other: Assessment of upper limb dexterity

Normal group

This group will contains 60 children with normal children

Other: Assessment of hand grip strength; Other: Assessment of pinch strength; Other: Assessment of upper limb dexterity

Interventions

Assessment of hand grip strength OTHER

Assessment of hand grip strength

Hemiparetic group; Normal group

Assessment of pinch strength OTHER

Assessment of pinch strength

Hemiparetic group; Normal group

Assessment of upper limb dexterity OTHER

Assessment of upper limb dexterity

Hemiparetic group; Normal group

Eligibility Criteria

• Age: 6 Years - 10 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

This study will include 120 children of both gender with age from 6 years to 10 years

You may qualify if:

• Children will be recruited according to the following criteria:
• Age range between 6 and 10 years.
• Both sexes
• The degree of spasticity rang from grade 1 to 1+ according to Modified Ashworth scale (Appendix II).
• They can follow the order during the testing.

You may not qualify if:

• Significant visual or auditory defect that may affect their performance.
• Previous orthopedic surgery for upper extremity.
• Injection with Botulinium toxin in the last 6 months.
• Structural deformities in any joint or bone of the upper limbs.
• Practicing any form of sports.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy, Cairo University

Giza, 12662, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Emam EL-Negamy, PhD

  Cairo University

  STUDY CHAIR

• Amira Mahmoud, PhD

  Cairo University

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: September 15, 2022
• First Posted: September 19, 2022
• Study Start: October 1, 2022
• Primary Completion: September 30, 2023
• Study Completion: September 30, 2023
• Last Updated: November 18, 2023

Record last verified: 2023-11

Locations

EG (1)