Horizontal Versus Vertical Upper Extremity Function in Bilateral Cerebral Palsy

NCT07367477 | Enrolling By Invitation DMC

• 1 other identifier: P.T.REC/012/004404
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this quasi-experimental study is to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy; could include any of the following: both gender, age ranged from 5 years to 8 years. The main question it aims to answer \[is/are\]: There will be no significant difference effect between horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy.

Conditions

Bilateral Cerebral Palsy

Outcome Measures

Primary Outcomes (3)

• Change in Fine motor proficiency

  Evaluated using the fine motor form of the Bruinink-Oseretsky test for motor proficiency 2nd edition (BOT-2)

  Before and after the three months of treatment

• Change in upper extremity function

  Evaluated using the Quality of Upper Extremity Skills Test (QUEST)

  Before and after the three months of treatment

• Change in trunk stability from sitting

  Evaluated using the Trunk Control Measurement Scale (TCMS) to assess static and anticipatory trunk control

  Before and after the three months of treatment

Study Arms (2)

Group (A)

ACTIVE COMPARATOR

Children in this group will receive a designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface.

Procedure: a designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface.

Group (B)

EXPERIMENTAL

Children in this group will receive the same designed OT program given to group (A) conducted on a vertical surface.

Procedure: a designed occupational therapy program to improvement hand skills conducted on a vertical surface.

Interventions

a designed occupational therapy program to improvement hand skills conducted on a vertical surface. PROCEDURE

The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a vertical surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.

Group (B)

a designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface. PROCEDURE

The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a horizontal surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.

Group (A)

Eligibility Criteria

• Age: 5 Years - 8 Years
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children with BSCP, their chronological age will be ranged from 5 years to 8 years.
• Their level of motor function will be I or II according to Gross Motor Function Classification System - Expanded and Revised.
• The degree of spasticity for these children will ranged from grade 1 to 1⁺ according to Modified Ashworth Scale.
• Their level of fine motor function will be I or II according to The Bimanual Fine Motor Function.
• All children's level of segmental trunk control will be level 7 (full trunk control) according to Segmental Assessment of Trunk Control.
• They will be able to follow instructions during evaluation and treatment.

You may not qualify if:

• Surgical interference in upper limbs and/or spine that may restrain the child performance during activities.
• Orthopedic problems or fixed deformities in the vertebral column and/or upper extremities.
• Uncontrolled seizures.
• Visual or hearing impairment.
• Receiving special medication affecting muscle and /or mental function.

Sponsors & Collaborators

• Raghda Gamal Ateya Abd-Elbary: lead

Study Sites (1)

Faculty of physical therapy

Cairo, 11511, Egypt

Location

Study Officials

• Kamal El Sayed Shoukry, Professor Doctor

  Department of physical therapy for growth and developmental disorder in children and its surgery, Faculty of physical therapy, Cairo University

  STUDY CHAIR

• Nanees Essam Mohamed, Professor Doctor

  Department of physical therapy for growth and developmental disorder in children and its surgery, Faculty of physical therapy, Cairo University

  STUDY DIRECTOR

• Gehan Mosaad Abd El-Maksoud, Professor Doctor

  Department of physical therapy for growth and developmental disorder in children and its surgery, Faculty of physical therapy, Cairo University

  STUDY DIRECTOR

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: SPONSOR INVESTIGATOR
• PI Title: Physical Therapy Specialist

Study Record Dates

• First Submitted: January 18, 2026
• First Posted: January 26, 2026
• Study Start: June 16, 2025
• Primary Completion (Estimated): December 15, 2026
• Study Completion (Estimated): December 30, 2026
• Last Updated: January 26, 2026

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)