Effect of Imaginary Resisted Therapy Versus Physical Resisted Therapy on Hemiplegic Cerebral Palsy

NCT06001983 | Unknown

• 1 other identifier: REC/RCR & AHS/23/0721
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to compare the effects of imaginary resisted exercises versus physical resisted exercises on hand grip strength in hemiplegic cerebral palsy

Conditions

Hemiplegic Cerebral Palsy

Keywords

Hemiplegic Cerebral Palsy, Hand Grip Strength, Imaginary Resisted Exercises, Physical Resisted Exercises.

Outcome Measures

Primary Outcomes (5)

• Jamar Dynamometer (Hydraulic Hand Dynameter)

  The Jamar is the primary outcome measure for assessing hand grip strength

  4 weeks

• Finger to Nose Test

  It is a part of the Fugl-Meyer Assessment for upper extremity to evaluate impairment of upper limb in stroke patients. The total movement time is used as a clinical outcome measure for quantification of movement quality and motor performance. Most commonly the person is seated and upon command moves the index fingertip back and forth between the ipsilateral knee and the tip of the nose five times, as fast, as accurate, as possible

  4 weeks

• Purdue Peg Board Test

  It is a functional assessment tool to screen for hand dexterity. It was designed to assess fine motor hand function using three common objects, pegs, washers, and collars, to be inserted on a pegboard. With its long history and wide usage, its reliability in healthy subjects is well established because it employs tasks that resemble activities of daily living. It is economical and easy to administer

  4 weeks

• Goniometer

  Goniometer has been the most widely used tool for measuring joint range of motion. To ensure reliable measurement, standardized, specific positions and landmarks are used to measure each joint movement

  4 weeks

• Cell Phone Camera

  Redmi Note 7 with front camera 13 MP or above and Rear camera 48 MP or above

  4 weeks

Study Arms (2)

Imaginary resisted exercises

EXPERIMENTAL

• Handgrip exercises with the imagination of resistance in hand by getting feedback in VR Box will be given as an intervention. Stretching will be given at the beginning and the end of each session. This will include imaginary resistance exercises for handgrip by using Virtual Reality Box. Five types of different resistances will be imagined by patients by watching their own videos in VR box, which will be recorded on day one to make them familiar with the resistive objects and the resistance experienced from them by asking patients to perform 15-15 repetitions of each object. Every imaginary resistance exercise will have 15 repetitions. After performing exercises, the participants will ask to perform Finger-to-Nose Test and Purdue Pegboard Test.

Other: imaginary resisted exercises

Physical resisted exercises

EXPERIMENTAL

Handgrip exercises with physical resistance in hand will be given as an intervention. Stretching will be given at the beginning and the end of the session. 5 different types of resistances will be given to patients for making themselves familiarize themselves with the type of resistance applied by each object, that they will experience in further sessions, by asking them to perform 15-15 repetitions of each object. Every physical resistance exercise will have 15 repetitions. After performing exercises, the participants will ask to perform Finger-to-Nose Test and Purdue Pegboard Test. In physical resistance exercises, resistive force is applied to the targeted region by using different and appropriate resistive objects

Other: physical resisted exercises

Interventions

imaginary resisted exercises OTHER

1. Imagination of squeezing a Sponge ball 15 reps 2. Imagination of Finger Exerciser 15 reps 3. Imagination of Theraband 15 reps 4. Imagination of pressing Rubber ball 15 reps 5. Imagination of pressing Hard object 15 reps

Imaginary resisted exercises

physical resisted exercises OTHER

1. Resisted exercise of Squeezing a Sponge ball 15 reps 2. Resisted exercise of Finger Exerciser 15 reps 3. Resisted exercise of pulling theraband 15 reps 4. Resisted exercise of pressing Rubber ball 15 reps 5. Resisted exercise of pressing Hard object 15 reps

Physical resisted exercises

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Congenital infantile hemiplegia.
• Aged between 6 and 12 years.
• Lack of use of the affected upper limb.
• Level I-III of the Manual Ability Classification System (MACS).
• Students scoring of Modified Ashworth Scale should be 3 or less than 3 out of 5 for the same muscle groups of previously mentioned movements.

You may not qualify if:

• Low cognitive level compatible with attending a special education school.
• Presence of contractures in the affected upper limb affecting the functional movement.
• Surgery in the six months previously to the treatment.
• Botulinum toxin in the two months previously to or during the intervention.
• Pharmacologically uncontrolled epilepsy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Govt. National special education centre

Lahore, Punjab Province, 54782, Pakistan

RECRUITING

Study Officials

• Dr. Nosheen Manzoor, MS OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr. Nosheen Manzoor, MS OMPT

CONTACT

03236877879; Nosheenmanzoor_444@yahoo.com

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

Study Record Dates

• First Submitted: June 14, 2023
• First Posted: August 21, 2023
• Study Start: May 30, 2023
• Primary Completion: August 30, 2023
• Study Completion: September 20, 2023
• Last Updated: August 21, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)