Spastic cerebral palsy hemiplegia: cerebral palsy (CP), short for cerebral palsy, is a group of syndromes of persistent disorders of motor and postural development caused by non-progressive injury to the brain of the developing fetus or infant.Most of the CPs are accompanied by upper limb dysfunction, with a prevalence of upper limb dysfunction ranging from 57% to 83%, and is most commonly seen in
Conditions
Interventions
B Group:botulinum neurotoxin A (BTX-A)
C Group:botulinum neurotoxin A (BTX-A)
Group of normally developing children:None, only used as a routine control
A Group:Modified Compulsory Exercise Therapy (m CIMT)
Sponsors
Shanghai Yangzhi rehabilitation hospital
Eligibility
Sex/Gender
All
Age
2 Years to 7 Years
Inclusion criteria
Inclusion criteria: 1.Meets the diagnostic criteria for spastic hemiplegia in the 2022 China Cerebral Palsy Rehabilitation Guidelines. 2.Age 2-6 years old; 3.Hand function grading system (MACS) for children with cerebral palsy is graded I~IV; 4.Parents sign an informed consent form and are able to cooperate with the treatment;
Exclusion criteria
Exclusion criteria: 1.the child has a combination of neuropsychiatric or physical illnesses other than cerebral palsy. 2. Those with recent uncontrolled seizures; 3. Use of implanted electronic devices (e.g., cochlear implants, pacemakers, etc.) with metallic implanted devices in the cranium or therapeutic area; 4. Combined with other neurological or medical diseases that cause unstable vital signs; 5. Treatment area pain sensitization, local skin injury or bleeding tendency; 6. Botulinum toxin injections or other related treatments for the upper limb on the hemiplegic side in the last 3 months;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Surface EMG muscle synergy values; | — |
Secondary
| Measure | Time frame |
|---|---|
| Modification of the Ashworth Myotonia Assessment Scale (MAS);upper extremity functional test;Peabody Fine Motor Development Scale;Children's Functional Independence Rating Scale (Wee FIM);Near Infrared Imaging Detection (fNIRS); | — |
Countries
China
Contacts
Public Contactcaoqianru
Shanghai Yangzhi rehabilitation hospital
Outcome results
None listed