Video-game Based Therapy in Cerebral Palsy

NCT05846542 | Completed

• 1 other identifier: GIBTU-FTR-DGK-3
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The video-based therapy applications; will be applied in a non-three-dimensional (with desktop screen) way. In this application, there are different types of exercise programs that will work the upper extremity movements. The video-based therapy applications will be applied to individuals with Cerebral Palsy (CP) who will be included in the study with the Xbox Kinect 3600 (Microsoft, Washington, USA) device. This study was planned to examine the effect of video-based therapy on upper extremity selective motor control and proprioception in individuals with Cerebral Palsy.

Conditions

Cerebral Palsy

Keywords

Cerebral palsy; Virtual reality; Video games; Upper extremity; Rehabilitation

Outcome Measures

Primary Outcomes (6)

• Gross Motor Function Classification System (GMFCS)

  Assessing functional level and motor function. Gross motor functions of children with CP are classified in five levels with GMFCS. This is a classification system based on the child's self-initiated movements with emphasis on sitting, displacement and mobility.

  At Baseline

• Manuel ability classification system (MACS)

  This is a classification system based on the grasping and releasing objects in daily life, and how they use their hands while holding objects. It is classify the hand skills of children with CP between the ages of 4-18.Children with CP are classified in five levels with MACS. The higher level indicates worse hand function

  At Baseline

• Change from Baseline ABILHAND-Kids at 8 weeks

  Abilhand Kids evaluates manual ability in children with upper extremity disorders. It consists of 21 items and confirmed in CP. The lowest score that can be obtained from the scale is 0 and the highest score is 42. It can be stated that higher scores correspond to more difficulty in activities.

  Change from Baseline at 8 weeks

• Change from Baseline Selective Control of the Upper Extremity Scale (SCUES) at 8 weeks

  It is a practical and useful assessment tool developed to evaluate upper extremity selective motor control. The administration of the SCUES required patients to perform specific isolated movement patterns at various levels including: shoulder (abduction/adduction); elbow (flexion/extension); forearm (supination/pronation); wrist (flexion/extension); and fingers/thumb (grasp/release). The total score of the SCUES ranges between 0 and 15 and higher scores indicate better selective motor control.

  Change from Baseline at 8 weeks

• Change from Baseline Clinometer at 8 weeks

  Caliper clinometer (App Development) is a phone application used to measure angle changes in the relevant region. In the evaluation of shoulder and elbow proprioception change will be evaluated.

  Change from Baseline at 8 weeks

• Change from Baseline Entertainment Scale at 8 weeks

  The entertainment level of sessions and therapy training for individuals will be evaluated with a 0-10 point numerical rating scale (entertainment scale). There are numbers from 0 to 10 on the horizontal line of 10 cm. 0 "Not fun" on the line in the scale; 10 represents "a lot of fun". Entertainment rating will be recorded numerically from 0 to 10.

  Change from Baseline at 8 weeks

Study Arms (2)

Video-game based therapy group

EXPERIMENTAL

The video-game based therapy group will receive a conventional physiotherapy and video-game based therapy, two days a week for a total of 8 weeks (15 minutes conventional physiotherapy session+30 minutes video-game based therapy).

Other: Video-game based therapy; Other: Conventional physiotherapy

Conventional physiotherapy group

ACTIVE COMPARATOR

The conventional physiotherapy group individuals will be given a conventional physiotherapy two days per week for a total of 8 weeks (conventional physiotherapy session will last 45 minutes).

Other: Conventional physiotherapy

Interventions

Video-game based therapy OTHER

Video-game based therapy will be designed for the individual basis for the upper extremity.

Video-game based therapy group

Conventional physiotherapy OTHER

Conventional physiotherapy within a specific program

Conventional physiotherapy group; Video-game based therapy group

Eligibility Criteria

• Age: 4 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Diagnosis of Cerebral Palsy voluntary participation,
• Age between 4-18 years
• GMFCS Level I-II-III
• MACS Level I-II-III

You may not qualify if:

• Not voluntary to participate in the research,
• Botox in the last 6 months,
• Upper limb or spine surgeries in the last 6 months

Sponsors & Collaborators

• Gaziantep Islam Science and Technology University: lead

Study Sites (1)

Demet Gözaçan Karabulut

Gaziantep, None Selected, 27010, 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

• Demet Gözaçan Karabulut

  Gaziantep Islam Science and Technology University

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: April 24, 2023
• First Posted: May 6, 2023
• Study Start: April 25, 2023
• Primary Completion: October 1, 2023
• Study Completion: October 15, 2023
• Last Updated: April 19, 2024

Record last verified: 2024-04

Locations

TU (1)