Effects of CIMT With and Without MIT on Upper Limb of Children With Hemiparetic CP

NCT06240988 | Completed

• 1 other identifier: REC/RCR&AHS/23/0743
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral Palsy (CP) is a major cause of motor disability in children. Among these CP children, approximately one third have hemiparetic cerebral palsy. Hemiparetic cerebral palsy is more impairment of one side of the body as a result of non-progressive disturbances in premature brain.To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.

Conditions

Cerebral Palsy

Keywords

MCIMT, Motor Imagery Technique, Hemiparetic CP, RCT

Outcome Measures

Primary Outcomes (1)

• QUEST (Quality of Upper Extremity Skills Test)

  Item The Quality of Upper Extremity Skills Test is an outcome measure designed to evaluate movement patterns and hand function in children with cerebral palsy. The QUEST is both reliable and valid. The purpose of the QUEST is to evaluate quality of upper extremity function in four domains: dissociated movement,grasp,protective extension, and weight bearing. Scores of 1 or 2, determined by quality of assessed position or movement; 1 if movement quality is not achieved, 2 if movement quality is achieved. Item scores are summed; formulas are used to calculate percentages for each domain. Domain percentages are summed and divided by number of domains to obtain total score. Minimum score = 0, Maximum score = 100.

  8 weeks

Secondary Outcomes (1)

• Box and Block Test (BBT)

  8 weeks

Study Arms (2)

Modified Constraint Induced Movement Therapy

EXPERIMENTAL

Group that will be provided with Modified Constraint Induced Movement Therapy. A protocol of 10 minutes of MCIMT therapy will be given including constraints.

Device: Modified Constraint Induced Movement Therapy

Motor Imagery Technique

EXPERIMENTAL

Group that will be provided with Motor Imagery Technique by grasping an object and placing it into a container, or in imagining to perform the same action.

Other: Motor Imagery Technique

Interventions

Modified Constraint Induced Movement Therapy DEVICE

Modified Constraint Induced Movement Therapy

Modified Constraint Induced Movement Therapy

Motor Imagery Technique OTHER

Motor Imagery Technique

Motor Imagery Technique

Eligibility Criteria

• Age: 6 Years - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age 6 to 14 years were included.
• Diagnosed of hemiparetic cerebral palsy and typically developing controls.
• Both gender is included i-e, male and female.
• Children included having motor impairments of upper limb.
• All children had normal or corrected vision and the ability to discriminate between right and left.

You may not qualify if:

• History of neurosensory and neuropsychiatric impairments.
• Presence of contractures in the affected upper limb.
• Surgery in the previous six months.
• Uncontrolled epilepsy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (2)

• Humphreys P, Whiting S, Pham B. Hemiparetic cerebral palsy: clinical pattern and imaging in prediction of outcome. Can J Neurol Sci. 2000 Aug;27(3):210-9.

  PMID: 10975533 BACKGROUND

• Steenbergen B, Gordon AM. Activity limitation in hemiplegic cerebral palsy: evidence for disorders in motor planning. Dev Med Child Neurol. 2006 Sep;48(9):780-3. doi: 10.1017/S0012162206001666.

  PMID: 16904028 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Khansa Khalid, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will get separate treatment protocols and possible efforts will be put to mask the both groups about their treatment.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: It will be Randomized Controlled Trial in which non probability convenient sampling technique will be used. two groups of 6 to 14 years of age will be formed in which participants will be randomly divided. Group A will be given Modified CIMT and the other group B will receive motor imagery technique on upper limb in hemiparetic CP.

Study Record Dates

• First Submitted: December 26, 2023
• First Posted: February 5, 2024
• Study Start: December 1, 2023
• Primary Completion: February 15, 2024
• Study Completion: February 15, 2024
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)