None listed
Conditions
Brief summary
General Purpose To quantify the immediate effect of the application of neuromuscular bandage on the shoulder in children with cerebral palsy and the effect of body movement visualization through and avatar, measuring kinematic and kinetic parameters, and performance metrics with a novel, non-invasive measurement tool and during the execution of virtual tasks. Specific Objectives Monitor and evaluate kinematic parameters of the upper limb in real time and during the transport of virtual objects with and without visualization of body movements, with and without the application of the neuromuscular bandage on the shoulder, using the measurement tool. Monitor and evaluate kinetic parameters of the upper limb in real time and during the transport of virtual objects with and without visualization of body movements, with and without the application of the neuromuscular bandage on the shoulder, using the measurement tool. Monitor and evaluate performance metrics when transporting virtual objects from a starting point to a final one with and without visualization of body movements, with and without the application of the neuromuscular bandage on the shoulder, using the measurement tool. Analyze and compare the results obtained when transporting different virtual objects with and without visualization of body movements, with and without the application of the neuromuscular bandage on the shoulder. Hypothesis The use of a proposed measurement tool allows in real time to perform the following actions: -Measure ranges of shoulder movement: a) abduction-adduction, b) flexion-extension and c) internal-external rotation, in children with cerebral palsy. -Measure the rotational forces (torques) and energy consumption of the upper limb during the transport of virtual objects in children with cerebral palsy. -Measure the smoothness and speed of hand movement in children with cerebral palsy during the transport of virtual objects. -Measure the transport time of virtual objects located in different positions, in children with cerebral palsy. The use of a tool also allows, through the comparison of the results, to do the following: -Quantify the immediate effect of the application of the KT on the shoulder and body visualization movement over the range of movement of the shoulder: a) abduction-adduction, b) flexion-extension and c) external-internal rotation. -Quantify the immediate effect of the application of the KT on the shoulder and body visualization movement on the rotating forces (torques) and energy consumption during the transport of virtual objects. -Quantify the immediate effect of the application of the KT on the shoulder and body visualization movement on the softness and speed of the hand movement during the transport of virtual objects. -Quantify the immediate effect of the application of the KT on the shoulder and body visualization movement on the transport time of virtual objects.
Interventions
The intervention group will perform the following activities:
A) upper limb exercises using a virtual reality tracking and measuring system. The exercises will consist in reaching and transporting three virtual objects with the upper limb movement visualization through a virtual body or through a sphere representing the hand position. They will be perform in a seating position.
B) Shoulder flexion/extension, abduction/adduction and external/internal rotation movements. This activity is to measu
The intervention group will perform the following activities: A) upper limb exercises using a virtual reality tracking and measuring system. The exercises will consist in reaching and transporting three virtual objects with the upper limb movement visualization through a virtual body or through a sphere representing the hand position. They will be perform in a seating position. B) Shoulder flexion/extension, abduction/adduction and external/internal rotation movements. This activity is to measure shoulder active Range Of Motion (aROM) by using the virtual reality tracking and measuring system. Activity A and B will be achieved twice, first, without Kinesio tape applied to the shoulder and after, with Kinesio tape. A trained physiotherapist will apply elastic tapes in the shoulder according to well established method. The same physiotherapist will measure the following aspects: a) Box and Block Test (BBT) score (before and after the intervention) b) Passive Range Of Motion (pROM) of the affected shoulder with a conventional goniometer (before the intervention) The following measurements will be taken by using a tracking camera (Kinect v2) and real time algorithms integrated into the virtual reality tracking and measuring system: (i) time to execute activity A, (ii) angular and cartesian variables, such as position, velocity and acceleration, (iii) dynamic variables, such as torques and (iv) derived metrics, such as mechanical energy spend and movement smoothness. All measurements and activities will be performed in the same day and in the following chronologically order: (1) BBT (2) pROM measurements for shoulder (3) aROM measurements for shoulder (4) Reaching and transporting exercises with and without body movement visualization, or vice-versa (5) Application of Kinesio tape (6) BBT (7) aROM measurements for shoulder (8) Reaching and transporting exercises with and without body movement visualization, or vice-versa Steps from 1 to 4 will be performed without Kinesio tape and from 6 to 8 with Kinesio tape. A short practice period before starting step 4 will be considered and short breaks between the different activities will be allowed. The total duration of the intervention will be approximately of 1 hour and 10 min. Besides the visual and auditory biofeedback from the virtual reality tracking and measuring system, participants will receive encouragement from therapists and general verbal performance feedback in order to engage them as much as possible and to increase their active participation and motivation.
Sponsors
Center for Research and Advanced Studies of the IPN (CINVESTAV)
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
7 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
-Be a patient of CRIT-Saltillo -With a medical diagnosis of cerebral palsy -With a GMFC between I and III -Normal cognitive ability -Submit the "Informed Consent" signed before the study
Exclusion criteria
- Allergies to KINESIOTAPE® - Ingestion of some type of drug or controlled medication
Outcome results
None listed