Effects of Augmentative and Alternative Communication in Children With Cerebral Palsy Cerebral Palsy

NCT06196944 | Completed DMC

• 1 other identifier: 2723 Sibgha
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral Palsy is a neuromuscular disorder that causes multiple disabilities in an individual. Children's ability to rely on speech as a primary mode of communication can be compromised by cerebral palsy. Children with communication difficulties face many barriers to participating in everyday life and have a heightened risk of social isolation and mental health problems. So, augmentative, and alternative communication (AAC) strategies and tools are helpful for children with CP. AAC is classified into manual signs and symbols, and low, mid, and high- tech communication aids form part of a total communication approach whereby all potential modalities of communication are explored and supported. The World Health Organization International Classification of Function, Disability, and Health for Children and Youth is increasingly being used to support decision-making. The study will be carried out at Rising Sun Institute for Special Children. The study design for this study is Randomized Control Trials. The convenience Sampling Technique will be used to collect data and 16 children with cerebral palsy will be included in this study. Both males and females with the age range of 3-15 years will be included in this study. The children will be randomly assigned into groups, group A will be allocated 8 children as the control group, and in group B, 8 as the treatment/ interventional group. Dysarthric Profile will be used for assessment purposes and aided Augmentative and Alternative communication system for the intervention. The pre-assessment of the child's Early Functional development will be done. Then, the low- tech (PECS) will be used for 6 weeks for the intervention. We will take 3 sessions per week for 40 minutes for the treatment group while the control group will remain the same. After the end of 6 weeks, the post-assessment of the child's Early Functional development will also be done. This indicates the effectiveness of AAC devices in the communication of children with Cerebral Palsy. The use of AAC methods could help to reduce aggressiveness among children with cerebral palsy. Moreover, AAC-based information and tools enable them to create environments that will support or enhance the ability of people with complex communication needs to interact with family members, peers, teachers, and others.

Conditions

Cerebral Palsy

Keywords

Cerebral Palsy; Augmentative and Alternative Communication Devices; Speech and Language Therapy; Assisted Communication

Outcome Measures

Primary Outcomes (2)

• Dysarthric Profile

  Dysarthria Rating Scale Rate speech by assigning a value of 0-4 to each of the dimensions listed below (0 = normal; 1 mild; 2 moderate; 3 marked; 4 severely deviant). A + should be used to indicate excessive or high; - should be used to indicate reduced or low when appropriate.

  16 weeks

• Picture Exchange Communication System (PECS)

  The Picture Exchange Communication System (PECS) is a way for autistic people to communicate without relying on speech. To communicate, people use cards with pictures, symbols, words or photographs to ask for things, comment on things or answer questions.

  16 weeks

Study Arms (2)

Augmentative Alternative Communication

OTHER

Traditional treatment

Behavioral: Augmentative Alternative Communication

Augmentative Alternative Communication Device

OTHER

3 sessions per week for 40 minutes

Other: Augmentative Alternative Communication Device

Interventions

Augmentative Alternative Communication BEHAVIORAL

Traditional Method

Augmentative Alternative Communication

Augmentative Alternative Communication Device OTHER

Augmentative Alternative Communication Device 3 session for 40 minutes

Augmentative Alternative Communication Device

Eligibility Criteria

• Age: 3 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Both male and female children who have a confirmed diagnosis of cerebral palsy as reported in the medical history by a medical specialist (i.e., neurologist, pediatrician)

You may not qualify if:

• No child will be with any kind of comorbidity symptoms or any known additional disabilities (e.g., Down syndrome, autism spectrum disorder, seizure disorder, blindness, etc.)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Sibgha Shafique

Lahore, Punjab Province, 54920, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy; Communication Disorders

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Nazia Mumtaz

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 26, 2023
• First Posted: January 9, 2024
• Study Start: August 8, 2023
• Primary Completion: November 28, 2023
• Study Completion: November 28, 2023
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)