Effect of Robotic Assisted Therapy on Hand Functions, Grip Strength and Proprioception in Children With Hemiplegia

NCT07249866 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/005785
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Statement of the problem: Does robotic assisted therapy have an effect on hand functions, grip strength and proprioception in children with hemiplegic cerebral palsy? Significance of the study: New technologies allow and promote active involvement, leading directly to functional changes that are far beyond those obtained with conventional therapy. Many features of robotic therapy may contribute to enhanced recovery of upper limb motor function. These include task-specific practice, intensity of repetition, robotic assistance, enhanced sensory feedback, continual motivation (because every trial yields a degree of success, even if robot assistance is required). The implementation of robotics with hemiplegic cerebral palsy focuses on functional motor performance by providing intensive repetitive training, sensorimotor integration and cognitive engagement through goal-directed tasks to address the underlying symptoms. Robotic technologies offer numerous potential advantages over conventional therapies, chief among these being the ability to provide high-intensity repetitive training. Robotic treatment is a novel approach that has demonstrated promise in enhancing motor function, enhancing the quality of life, and lessening the burden on caregivers.

Conditions

Cerebral Palsy, Spastic

Keywords

robotic therapy; hand functions; hemiplegia; cerebral palsy

Outcome Measures

Primary Outcomes (3)

• hand grip strength by hand held dynamometer

  the hand grip strength will be measured by hand held dynamometer

  8 weeks

• hand functions ( fine motor precision and integration measured by Bruininks-Oseretsky Test of Motor Proficiency

  hand functions will be measured by Bruininks-Oseretsky Test of Motor Proficiency

  8 weeks

• wrist joint proprioception by digital goniometer

  wrist joint position sense will be measured by digital goniometer

  8 weeks

Study Arms (2)

Robotic assisted therapy

EXPERIMENTAL

robotic hand assisted therapy using robotic gloves for 8 weeks 3seesions / week each session lasts 30 minutes including passive , active assisted, active resisted, mirroring and gaming mode

Device: Hand rehabilitation robotic gloves; Other: occupational therapy

Traditional occupational therapy

ACTIVE COMPARATOR

3 sessions/ week for 8 weeks and each session lasts 30 minutes using scissors - Knocking peg board with hammer- Building towers with rings-- Cubes insertion into wide muzzle jars- Playing with clays and form small balls and rolls

Other: occupational therapy

Interventions

Hand rehabilitation robotic gloves DEVICE

robotic gloves assist in hand functions

Robotic assisted therapy

occupational therapy OTHER

designed traditional occupational therapy program

Robotic assisted therapy; Traditional occupational therapy

Eligibility Criteria

• Age: 6 Years - 9 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Their ages range from 6-9 years
• They have mild to moderate spasticity (grade 1- 2) according to Modified Ashworth Scale
• Their motor function will be at level I and II according to Gross Motor Function Classification System GMFCS
• Their manual abilities will be at level II and Level III according to Manual Ability classification system
• They will be able to understand and follow instructions

You may not qualify if:

• Fixed deformity in any joints of the upper limb.
• Previous history of surgical intervention in the upper limb.
• Auditory, visual and cognitive problems.
• Botulinum Toxin injection in last 6 months.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, State/Province, 3387722, Egypt

Location

MeSH Terms

Conditions

Cerebral Palsy; Hemiplegia

Interventions

Occupational Therapy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics

Study Officials

• Samah Attia El shemy, professor doctor

  Cairo university, Faculty of physical therapy

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mohamed Nour ElDin Hassan, assistant lecturer

CONTACT

00201127011865; mohamed.nooreldien@nub.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: professor and chairman of department of physical therapy for pediatrics

Study Record Dates

• First Submitted: August 25, 2025
• First Posted: November 25, 2025
• Study Start: November 1, 2025
• Primary Completion: January 1, 2026
• Study Completion: February 1, 2026
• Last Updated: November 25, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)