VR Versus Task-Oriented Circuit Training on UL Sensorimotor in Children With Immature Brain Injury

NCT07827365 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006486
• Study Type: interventional
• Target: 44
• Locations: 0 countries
• Sites: N/A

Brief Summary

To investigate and compare the effect of virtual reality and task-oriented circuit training on pinch grip and quality of life in children with with immature brain injury. BACKGROUND: Children with immature brain injury may have limited use of their hands for functional activities and for fine motor skills. The primary function of the hand is hand grip, which has a great Influence on activities and tasks of daily life

Conditions

Brain Injuries, Focal

Keywords

Virtual Reality, sensorimotor Function, Children, immature Brain Injury

Outcome Measures

Primary Outcomes (2)

• Pinch dynamometer

  Pinch strength will be assessed using a pinch dynamometer to quantify the maximal voluntary pinch force of the affected hand. The dynamometer will be positioned between the thumb and the specified finger(s), and participants will be instructed to apply maximal pinch force for approximately 3-5 seconds. Three trials will be performed with adequate rest between trials, and the highest recorded value or mean of the three trials will be used for analysis.

  three months

• fugl myer assessment for sensorimotor function of upper limb

  The Fugl-Meyer Assessment (FMA) will be used to evaluate sensorimotor function of the upper extremity. The upper-extremity section of the FMA will assess motor function, reflex activity, coordination, and speed of movement. The assessment will include movements of the shoulder, elbow, forearm, wrist, and hand, with each item scored according to the standardized FMA scoring system. Higher scores will indicate better sensorimotor performance of the affected upper extremity

  three months

Secondary Outcomes (1)

• Pediatric Quality of Life Inventory CP Module

  three months

Study Arms (2)

Virtual reality (VR)

EXPERIMENTAL

Virtual reality (VR) will be applied as an interactive, task-oriented rehabilitation intervention targeting upper-extremity function. Participants will perform virtual tasks involving purposeful reaching, grasping, object manipulation, and directional movements of the affected upper limb. The difficulty and range of the tasks will be progressively adjusted according to each participant's functional ability to encourage active movement, repetitive practice, and motor learning.

Device: Virtual reality

Task-oriented circuit training

EXPERIMENTAL

Task-oriented circuit training will be provided to improve upper-extremity functional performance through repetitive, goal-directed activities. Participants will perform a series of functional tasks involving reaching, grasping, lifting, transferring, and manipulating objects. The training will be organized as a circuit of exercise stations, with each station targeting a specific upper-extremity functional skill. Tasks will be progressively modified by increasing the movement complexity, speed, repetitions, or task demands according to the participant's functional ability. Participants will receive verbal instructions and feedback from the physiotherapist to facilitate accurate task performance and encourage active participation.

Other: Task-oriented circuit training

Interventions

Virtual reality DEVICE

Virtual reality (VR) will be applied as an interactive, task-oriented rehabilitation intervention targeting upper-extremity function. Participants will perform virtual tasks involving purposeful reaching, grasping, object manipulation, and directional movements of the affected upper limb. The difficulty and range of the tasks will be progressively adjusted according to each participant's functional ability to encourage active movement, repetitive practice, and motor learning.

Also known as: VR

Virtual reality (VR)

Task-oriented circuit training OTHER

Task-oriented circuit training will be provided to improve upper-extremity functional performance through repetitive, goal-directed activities. Participants will perform a series of functional tasks involving reaching, grasping, lifting, transferring, and manipulating objects. The training will be organized as a circuit of exercise stations, with each station targeting a specific upper-extremity functional skill. Tasks will be progressively modified by increasing the movement complexity, speed, repetitions, or task demands according to the participant's functional ability. Participants will receive verbal instructions and feedback from the physiotherapist to facilitate accurate task performance and encourage active participation.

Task-oriented circuit training

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Forty four children with cerebral palsy,
• Age will range as (12:18) years old
• spastic cerebral palsy
• Gross motor function classification system: level I\&II
• level I-III on the Manual Ability Classification System (MACS)

You may not qualify if:

• difficulty to communicate or to understand program instructions
• surgery/Botox injection during the last 6 months in the upper extremity
• uncontrolled severe seizures
• fixed deformities in the affected side;
• Attention deficit/hyperactivity disorders.

Sponsors & Collaborators

• October 6 University: lead

MeSH Terms

Conditions

Brain Injuries

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries

Central Study Contacts

Lama Saad El-Din SED Mahmoud

CONTACT

01157592636; lamaelsedawyy@hotmail.com

Lama Saad El-Din SED Mahmoud

CONTACT

00201157592636; lamaelsedawyy@hotmail.com

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: Assisstant Professor Department of Neurology and Neurosurgery

Study Record Dates

• First Submitted: September 14, 2026
• First Posted: September 18, 2026
• Study Start: September 20, 2026
• Primary Completion (Estimated): January 15, 2027
• Study Completion (Estimated): January 15, 2027
• Last Updated: September 18, 2026

Record last verified: 2026-09