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Improving the upper extremity use in children with Neurological problems

Comparison of mCIMT, Hand Arm Bimanual Intensive Training & Mirror Therapy to Improve Upper Extremity Function in Children with Hemiplegic Cerebral Palsy: A Double- Blinded Randomized Clinical Trial

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/03/050287
Enrollment
33
Registered
2023-03-03
Start date
Unknown
Completion date
Unknown
Last updated
2024-07-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: G802- Spastic hemiplegic cerebral palsy

Interventions

Intervention1: mCIMT(modified Constraint Induced Movement Therapy), HABIT( Hand Arm Bimanual Intensive Training), Mirror therapy: mCIMT-in this intervention the unaffected extremity is constrained so

Sponsors

Smt Kashibai Navale College of Physiotherapy
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Children with hemiplegic cerebral palsy. 2. Age group 3-12 years. 3. Children with score III or less on MACS(Manual Ability Classification System) MACS Level I- Objects are handled easily and successfully. MACS Level II- Handles most objects but with some reduced quality and/or speed. MACS Level III- Handles objects with difficulty – the child will need help to prepare And /or modify activities. 4. Ability to achieve minimum of 10 degrees of active wrist extension, 10 degrees finger extension ( Criteria for CIMT) 5. GMFCS (Gross Motor Function Classification System) level I, II and III LEVEL I -Walks without Limitations LEVEL II - Walks with Limitations LEVEL III – Walks using a Hand-Held Mobility Device (GMFCS - E & R- CanChild Centre for Childhood Disability Research, McMaster University) 6. Spasticity Grade 0, 1 and 1+ according to Modified Ashworth scale. 7. Able to understand and follow commands.

Exclusion criteria

Exclusion criteria: 1. Visual or auditory impairments. 2. Previous orthopedic surgery in affected upper limb. 3. Fixed upper limb deformities. 4. Botulinum toxin injections in upper limb within last 6 months. 5. Neurological or orthopedic conditions unrelated to cerebral palsy. 6. Epilepsy

Design outcomes

Primary

MeasureTime frame
QUEST ( Quality of Upper Extremity Skills Test)Timepoint: Baseline At the end of 2 weeks At the end of 4 weeks

Secondary

MeasureTime frame
NATimepoint: NA

Countries

India

Contacts

Public ContactDR Rahul Bisen

DVVPFs College of Physiotherapy

suvarna.ganvir@gmail.com9372910683

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026