Task-oriented Game Therapy Using Enhances Functions in Children With Cerebral Palsy.

NCT06071182 | Completed

• 1 other identifier: Mehmet.sonmez
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral Palsy is an umbrella definition that refers to a disorder that occurs after a problem affecting a person's brain functions and has symptoms such as sensory, motor and mental deficits. Cerebral Palsy can cause serious functional losses in individuals. Various rehabilitation approaches have been developed and used to eliminate these functional losses. One of these approaches is a therapy technique called Task-oriented therapy, which focuses on completing tasks that mostly involve functional activities that the participating individuals do actively and repeatedly. There are various ways to perform task-oriented therapy. These can be achieved by motivating the individual to perform various tasks (cutting with scissors, buttoning, putting on and taking off legos, etc.) in an active, intense and repetitive manner, as well as through games played on devices such as tablet computers that have emerged with the developing technology. Thanks to their Android and touch features, such devices can motivate people to use their upper extremities functionally. Thanks to such applications, rehabilitation practices can be made more fun and effective results can be obtained. In the literature, it was seen that video game-based rehabilitation practices were used in individuals with cerebral palsy, but their effects on balance were mostly evaluated. Its effect on upper extremity functional capacity was mostly limited to feasibility studies. For these reasons, there is no data in the literature on this subject with quality results. The main purpose of this study is to determine whether upper extremity functional capacity can be improved by using the Tablet PC-based Fruit ninja game, which is easily accessible today, in the rehabilitation of individuals with cerebral palsy, using objective measurement tools.

Conditions

Cerebral Palsy

Keywords

Therapy; Rehabilitataion; Video game

Outcome Measures

Primary Outcomes (4)

• Manual Dexterity

  Box and Block test is used. It is a measurement tool that measures gross comprehension skills. The number of cubes thrown one by one from one compartment to the other within 1 minute of a two-compartment box containing 150 cubes with dimensions of 2.5 cm\*2.5 cm\*2.5 cm is evaluated. It is done separately for right and left hands.

  The change from baseline box and block test score at week 4

• Hand function

  Nine Hole Peg test is used It is a scale that evaluates participants functionally. It measures the time it takes to attach and remove 9 thin rods to a panel with 9 holes on it with the desired hand and return it to its box.

  The change from baseline nine hole peg test score at week 4

• Grip strength

  Analog dinamometer is used. Three times maximal grip strength is measured for both hands.

  The change from baseline dinamometer score at week 4

• Range of movement

  Universal goniometers is used. Wrist flexion, wrist extension, radial and ulnar deviation scores (for both hands) are measured.

  The change from baseline universal goniometer score at week 4

Study Arms (2)

Task-oriented therapy

EXPERIMENTAL

Traditional physiotherapy for 30 minutes a day, twice a week for 4 weeks (Passive upper extremity Normal Joint Movements, 3-way and 1 set of 10 repetitions passive stretches for the shoulder (bilateral), 2-way, 1 set of 10 repetitions passive stretches at the elbow level) + 2 times a week a day Fruit ninja game on tablet in 20 minutes

Device: Task-oriented Fruit ninja game

Sham-controlled

SHAM COMPARATOR

Same time traditional therapy + 5 minutes sham intervention

Other: sham-controlled therapy

Interventions

Task-oriented Fruit ninja game DEVICE

The fruit ninja game were played from tablet PC 20 minutes in a day and 2 times in a week for 4 weeks

Task-oriented therapy

sham-controlled therapy OTHER

The fruit ninja game playing video (https://www.youtube.com/watch?v=cAb0cAviA1s) was watched on the same tablet for 3 minutes a day, twice a week, for 4 weeks, and the wrist and wrist exercises were repeated for 2 minutes on a flat and smooth table. movements were made.

Sham-controlled

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Being diagnosed with Cerebral Palsy with a doctor's report (Based on patient reports)
• Being between the ages of 6-18
• Having upper extremity involvement
• Being between levels 1-3 on the Expanded Gross Motor Function Classification (GMFS)
• Having the mental competence to understand the game being played

You may not qualify if:

• Those whose family did not sign a participation consent form

Sponsors & Collaborators

• Erzurum Technical University: lead

Study Sites (1)

Erzurum Technical University

Erzurum, 25050, 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

• Mehmet SÖNMEZ, MSc

  Erzurum Technical University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 3, 2023
• First Posted: October 6, 2023
• Study Start: July 29, 2023
• Primary Completion: October 21, 2023
• Study Completion: November 15, 2023
• Last Updated: February 20, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)