Effect of Mechanical Vestibular Stimulation On Hand Function In Hemiparetic Children

NCT05782413 | Completed DMC

• 1 other identifier: EG, KFS lab 2 Research
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The current study will be directed to determine the effect of mechanical vestibular stimulation on fine motor skills and pinch strength in children with hemiparesis. Hemiplegic cerebral palsy causes problems with contraction, sensation, and muscular strength in the upper limbs, and its effective use of muscles for reaching, grasping, releasing, and manipulating objects is often compromised

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (2)

• fine motor skills

  We will use Peabody Developmental Motor Scale (PDMS-2) to measure visual motor integration, grasp and fine motor.

  3 month

• pinch strength

  We will use Hand Dynamometer to measure pinch strength.

  3 month

Study Arms (2)

Group A

EXPERIMENTAL

The child will receive a design exercise program. The therapy was based on the principles of NDTBobath neurodevelopmental therapy.

Other: The design exercise program

Group B

EXPERIMENTAL

The child will receive a design exercise program for 45 min then mechanical vestibular exercise for 15 mins.

Other: mechanical vestibular stimulation; Other: The design exercise program

Interventions

mechanical vestibular stimulation OTHER

Device produces mechanical vestibular stimulation. The child was placed in a sitting position on the swing and his hands grasping the ropes at the sides then the therapist stood behind him and begin pushing the platform in fast and jerky movements in back and front, side to side, and in spinning directions with the child trying to maintain his balance in all different directions.

Group B

The design exercise program OTHER

A selected therapeutic exercises program was based on the principles of NDTBobath neurodevelopmental therapy, which is effective in controlling spasticity in children with cerebral palsy and improving motor function. i. Preparation of structures and mobilizations of the scapula, shoulder joint, and chest according to the NDT-Bobath concept ii. Exercises to increase shoulder mobility and elbow joint extension. iii. Fine motor skill exercises, wrist, and hand

Group A; Group B

Eligibility Criteria

• Age: 4 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children will be included in the study if they fulfil the following criteria:
• Diagnosed with hemiparetic cerebral palsy.
• Age ranged from 4 to 6 years.
• Children with spasticity grades ranged from 1 to 1+ according to Modified Ashworth Scale
• Both genders will be included.
• The child will be able to follow verbal commands and instructions.

You may not qualify if:

• Children will be excluded from the study if:
• Any congenital or developmental disorders in addition to hemiplegia cerebral palsy.
• Current hospitalization for urgent medical reasons.
• Severe mental retardation.
• Children having visual or auditory defects.
• Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to the wrist and hand.

Sponsors & Collaborators

• Ahmed Mohamed Abd El Haleem Ghoniem: lead

Study Sites (1)

Physical Therapy

Kafr ash Shaykh, Kafrelsheikh, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

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: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator, faculty of physical therapy

Study Record Dates

• First Submitted: February 24, 2023
• First Posted: March 23, 2023
• Study Start: December 3, 2023
• Primary Completion: March 21, 2024
• Study Completion: March 31, 2024
• Last Updated: April 30, 2024

Record last verified: 2024-04

Locations

EG (1)