Sensory Integration Versus Bobath on Hand Function in Hemiplegia

NCT06955247 | Active Not Recruiting DMC

• 2 other identifiers: P.T.RCT/012/005588radwa gomaa abd el AZIZ
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Hand skills do not develop in isolation; it is the result of neurologic development, physiologic maturation and adaptation, and functional development of learned patterns of motion and motor learning Hand skills in HCP are very complex and sensitive as it considered the main issue in playing and achieving milestones, so identification of this problem and its solution is very essential and play a miserable rule in adaptive response which is a basis of child's occupation. so, the current study is conducting to investigate the difference between sensory motor integration approach and bobath technique on hand function as manual dexterity, fine motor precision and fine motor integration on children with hemiplegic cerebral palsy

Conditions

Children With Hemiplegia

Keywords

sensory integration; Hand function

Outcome Measures

Primary Outcomes (1)

• Hand functions

  Hand functions as manual dexterity, fine motor precision and fine motor integration will be assessed using Bruininks-Oseretsky Test of Motor Proficiency 2nd Edition

  45-60 minutes

Secondary Outcomes (1)

• Spasticity

  10 minutes

Study Arms (2)

Subjects will be randomly allocated in to equal two study groups: - Study group "1" will receiv

EXPERIMENTAL

Subjects will be randomly allocated in to equal two study groups 26 in each group * Study group "1" will receive regular physical therapy for 45 minutes/time in addition to sensory motor integration for 45 minutes/time 3 days per week for 3 months

- Study group "2" will receive regular physical therapy for 45 minutes/time in addition to bobath

EXPERIMENTAL

Other: bobath technique

Interventions

sensory motor integration OTHER

Study group (1) sensory motor integration for 45 minutes/time ,3 days per week for 3 months Treatment program included two parts; tactile sensation and proprioception stimulation programs. Each of them accounted half of the session and in terms of the type of activity it was divided into three categories: active, passive

bobath technique OTHER

\*study group ( 2) bobath techniquefor 45 minutes/time 3 days per week for 3 months in the form of: 1. Preparation phase 2. Intervention program (Movement facilitation \&Functional training)

- Study group "2" will receive regular physical therapy for 45 minutes/time in addition to bobath

Eligibility Criteria

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

You may qualify if:

• Age ranges from 6 to 12 years.
• Both genders.
• Diagnosis of hemiplegia.
• Level II-III on Manual Ability Classification System (MACS)
• Spasticity grade 2 to 3 on Modified Ashworth Scale (MAS)
• Level II-III on Gross Motor Classification System (GMCS)

You may not qualify if:

• Significant mental or psychological problems.
• Significant visual/auditory problem.
• Botox injection and/or surgery of the affected upper limb in the past 12 months.
• Surgical procedures of the affected upper limb.
• Fixed deformities in the affected upper limb.
• Comorbid physical diseases such as myopathy, neuropathy, and other central and peripheral nervous system disorders.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy Dokki,Giza Egypt,

Giza, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physiotherapist

Model Details: Subjects will be randomly allocated in to equal two study groups: * Study group "1" will receive sensory motor integration in addition to regular physical therapy * Study group "2" will receive bobath technique in addition to regular physical therapy

Study Record Dates

• First Submitted: February 27, 2025
• First Posted: May 2, 2025
• Study Start: December 1, 2024
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): January 1, 2027
• Last Updated: May 2, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share

Locations

EG (1)