The Effect of Action Observation Therapy on Upper Extremity Function in Children With Obstetric Brachial Plexus Injury

NCT06199167 | Completed DMC

• 1 other identifier: MÇalışkan
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Musculoskeletal problems in the upper limb (UL) caused by nerve damage following Obstetric Brachial Plexus Injury (OBPI) and disorders affecting the use of the UL can limit activities of daily living (ADLs) and limit the child's participation in school and society. Method: Twenty-six children with OBPY aged between 6-17 years participated in the study and were randomised AOT and Photo Observation (PO) groups in equal numbers by stratified randomisation. In the 15-session treatment, a total of 18 ADL activities related to personal care, dressing, eating and preparation, transfer and mobilisation activities, reaching, and sports activities were studied with six exercises per session. The AOT group watched each ADL activity for two minutes through pre-prepared videos and then repeated the movement they watched for three minutes. The PO group observed the photographs taken from the video for two minutes and then practised the movement described for three minutes. The same sequence was continued for six exercises and one session was completed in approximately 30 minutes. Abilhand-Kids (AK), Seated Medicine Ball Throw (SMBT), Modified Push-up Test (MPT), Functional Reach Test (FRT), Lateral Reach Test (LRT), Brachial Plexus Outcome Measurement (BPOM), Gilbert and Raimondi Score (GRS), Box Block Test (BBT) were performed before and after the treatment.

Conditions

Brachial Plexus Palsy; Obstetric; Injury

Keywords

Obstetric Brachial Plexus Injury; Action Observation Therapy; Upper Limb Function; Visual Motor Imagination

Outcome Measures

Primary Outcomes (5)

• Abilhand Kids

  ABILHAND-Kids is a measure of manual ability for children with upper limb impairments. The scale measures a person's ability to manage daily activities that require the use of the upper limbs, whatever the strategies involved

  5 weeks

• Seated Medicine Ball Throw

  This test measures upper body (arm) strength and explosive power. By keeping the back in contact with the wall the strength of the arms only are tested.

  5 weeks

• Modified Push-up Test

  The Modified Push-Up Test is used to measure upper body strength endurance and trunk stability. This variation, which uses a modified technique with a clap behind the back while in the 'down' position and a touch from one hand to the other in the 'up' position.

  5 weeks

• Functional Reach Test

  Functional Reach Test (FRT) is the maximal distance one can reach forward beyond arm's length while maintaining a fixed standing position.

  5 weeks

• Lateral Reach Test

  The LR Test measures postural stability in the medial-lateral direction by assessing the maximum distance an individual can reach laterally beyond arm's length at shoulder height, while maintaining a fixed base of support in the standing position

  5 weeks

Secondary Outcomes (3)

• Brachial Plexus Outcome Measurement

  5 weeks

• Gilbert and Raimondi Score

  5 weeks

• Box Block Test

  5 weeks

Study Arms (2)

Action Observation Therapy

EXPERIMENTAL

The Action Observation Therapy group watched each ADL activity for two minutes through pre-prepared videos and then repeated the movement they watched for three minutes.

Behavioral: Action Observation Therapy

Photo Observation

EXPERIMENTAL

The Photo Observation group observed the photographs taken from the video for two minutes and then practised the movement described for three minutes.

Behavioral: Photo Observation

Interventions

Action Observation Therapy BEHAVIORAL

The Action Observation Therapy group watched each ADL activity for two minutes through pre-prepared videos and then repeated the movement they watched for three minutes. In the 15-session treatment, a total of 18 ADL activities.

Action Observation Therapy

Photo Observation BEHAVIORAL

The Photo Observation group observed the photographs taken from the video for two minutes and then practised the movement described for three minutes. In the 15-session treatment, a total of 18 ADL activities.

Photo Observation

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Being between the ages of 6-18
• OBPY diagnosed in Type 1, Type 2a, Type 2b group according to Narakas classification system
• Triceps brachii muscle strength above 3/5 in manual muscle strength assessment
• Family and child agree to take part in the study

You may not qualify if:

• History of upper extremity surgery and Botox in the last 6 months
• Difficulty in understanding the commands given
• Visual and hearing problems
• Finding of shoulder dislocation
• Orthopaedic problems associated with OBPY

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul University Cerrahpasa

Istanbul, 34000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants did not know the other intervention and were not exposed to each other
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Study Record Dates

• First Submitted: December 28, 2023
• First Posted: January 10, 2024
• Study Start: May 12, 2023
• Primary Completion: October 30, 2023
• Study Completion: December 20, 2023
• Last Updated: January 10, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)