Cognitive Sensory Motor Training Therapy for Children With Cerebral Palsy

NCT07248566 | Recruiting DMC

• 1 other identifier: REC/RCR&AHS/SADIAJAVED
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The current study will be randomized controlled trial, data will be collected from Central Park Teaching Hospital. The study will include 32 participants equally divided into two groups and randomly allocated. Inclusion criteria for this study will be consist of diagnosis with cerebral palsy, age 6-12, ability to participate in cognitive sensory motor training therapy, stable medical condition, and informed consent from parents/guardians. Participants with severe cognitive impairments, unstable medical condition, history of spinal cord injury or deformity, diagnosis with other neurological conditions, and visual or hearing impairments will be excluded from the study.. The Experimental group will receive Cognitive Sensory Motor Training Therapy and Routine Physical Therapy, while the Control group will receive Routine Physical Therapy.Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Data collection will be done before and after the interventions.Outcome measures will include the dexterity, and upper limb function.Tools used for data collection will be Action Research Arm Test and Box and Block Test. Data analysis will utilize SPSS version 25.00.

Conditions

Cerebral Palsy

Keywords

Cerebral palsy; Cognition; Functional activity; Dexterity

Outcome Measures

Primary Outcomes (2)

• Action Research Arm Test:

  The ARAT is a standardized measure of the upper extremity (arm and hand) function based on four movements : grasping, grip-ping, pinching and gross movements of shoulder,elbow and fingers. ARAT has an ordinal 4-point scale (0-3) for 19 items. Scoring is determined as follows: 0, patient cannot perform any part of task;1, patient is able to lift the object completely from the platform; 2, function is performed fully but clumsily or with great difficulty; and 3, the movement is performed normally. The maximum score for each arm is 57 points.

  The test can be completed in an average of 10 minutes but requires specific materials

• Box and Block Test:

  The box and block test 13 will be used to evaluate gross manual dexterity. The setup consists of two adjacent boxes of the same size (53.7 × 25.4 × 8.5cm), one of them filled with 150 blocks (2.5 cm 3).Between the two boxes, there is a partition 15.2 cm in height. The patient must move blocks one by one from one box to the other, over the partition.

  The number moved in 60 seconds is the recorded score.

Study Arms (2)

Group A

ACTIVE COMPARATOR

participated in Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Cognitive exercise therapy combines spatial and tactile tasks to improve cognitive function, focusing on perception and sensory awareness. Participants completed 5 tasks, customized to their recovery progress

Other: Cognitive Sensory Motor Training Therapy

Group B

ACTIVE COMPARATOR

participants received conventional occupational therapy, consisting of many purposeful kinetic activities such as skateboard-supported arm-sliding exercises on a tabletop, picking up a ball and putting it into a basket, bi-manual placing cone, shoulder curved arch, double curved arch, arm bicycling, donut on base, putty kneading, block stacking, peg board exercise, graded pinch exercise and plastic cone stacking. Therapists could offer passive, active-assistive or active training, as deemed appropriate to the patient's ability

Other: conventional occupational therapy

Interventions

Cognitive Sensory Motor Training Therapy OTHER

Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Cognitive exercise therapy combines spatial and tactile tasks to improve cognitive function, focusing on perception and sensory awareness. Participants completed 5 tasks, customized to their recovery progress.

Group A

conventional occupational therapy OTHER

Participants received conventional occupational therapy, consisting of many purposeful kinetic activities such as skateboard-supported arm-sliding exercises on a tabletop, picking up a ball and putting it into a basket, bi-manual placing cone, shoulder curved arch, double curved arch, arm bicycling, donut on base, putty kneading, block stacking, peg board exercise, graded pinch exercise and plastic cone stacking. Therapists could offer passive, active-assistive or active training, as deemed appropriate to the patient's ability

Group B

Eligibility Criteria

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

You may qualify if:

• Children aged 6-12 years with cerebral palsy
• Diagnosis confirmed by pediatric neurologist or rehabilitation specialist
• Ability to follow simple instructions and participate in therapy sessions.
• Participants had to be able to focus attention on demonstrate level II and III on the Gross
• Motor Function Classification Scale (GMFCS)
• Level II or III on the Manual Ability Classification System (MACS)

You may not qualify if:

• Visual impairment or hearing defect
• Severe cognitive decline and aphasia
• Contractures that could limit the patient from maintaining the extended arm in a comfortable position,

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Muhammad Asif Jvaed

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Choi W. Effects of Cognitive Exercise Therapy on Upper Extremity Sensorimotor Function and Activities of Daily Living in Patients with Chronic Stroke: A Randomized Controlled Trial. Healthcare (Basel). 2022 Feb 24;10(3):429. doi: 10.3390/healthcare10030429.

  PMID: 35326907 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Sadia Javed, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PHD

CONTACT

9233224390125; imran.amjad@riphah.edu.pk

Muhammad Asif Javed, MS-Pt

CONTACT

923224209422; a.javed@riphah.edu.pk

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 group about the treatment.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The current study will be randomized controlled trial, data will be collected from Central Park Teaching Hospital. The study will include 32 participants equally divided into two groups and randomly allocated. Inclusion criteria for this study will be consist of diagnosis with cerebral palsy, age 6-12, ability to participate in cognitive sensory motor training therapy, stable medical condition, and informed consent from parents/guardians. Participants with severe cognitive impairments, unstable medical condition, history of spinal . The Experimental group will receive Cognitive Sensory Motor Training Therapy and Routine Physical Therapy, while the Control group will receive Routine Physical Therapy.Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Data collection will be done before and after the interventions.

Study Record Dates

• First Submitted: November 18, 2025
• First Posted: November 25, 2025
• Study Start: October 28, 2025
• Primary Completion: January 2, 2026
• Study Completion: January 16, 2026
• Last Updated: November 25, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)