Hemiplegic Cerebral Palsy
Conditions
Keywords
unilateral cerebral palsy, children, upper-limb, mirror therapy, bimanual coordination, kinematics analysis
Brief summary
This is a randomized and comparative prospective test, monocentric and controlled (mirror therapy versus bimanual rehabilitation exercises), in single-blind (investigator and occupational therapist 1 do not know the type of rehabilitation performed).
Interventions
PROCEDUREmirror therapy
During a session, the child performs a series of 10 single, bilateral and synchronous movements while viewing the reflected image
PROCEDUREbimanual rehabilitation exercises
During a session, the child performs a series of 10 single, bilateral and synchronous movements while watching his two hands
Sponsors
Rennes University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
7 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Unilateral spastic cerebral palsy as defined by SCPE (Surveillance of Cerebral Palsy in Europe) * Aged 7 to 17 years * MACS (Manual Ability Classification System) 1 to 3 * Extension of the wrist more than 10° * Free, informed and written consent of the parents * Free, informed and written consent of the child * affiliated, via his/her parents, to the Social Security regime
Exclusion criteria
* Other neuromuscular disorders known * Cognitive impairment hampering the understanding of instructions * Upper-limb pain (EVA score \>3) * Restriction of passive range of motion * Visual impairment not allowing the visualization of the upper limb in the mirror * Upper-limb Botulinum toxin injection in upper limb 6 months prior to inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measurement of the AHA (Assisting Hand Assessment) score | 5 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of the maximal grasp and pinch strength | baseline, 5 weeks, 10 weeks | with a Baseline dynamometer |
| Evolution of the AHA score | baseline, 5 weeks, 10 weeks | a variance analysis using 2 factors (time, group) is used (between the onset and 5 weeks later, between the onset and 10 weeks later) |
| Qualitative and quantitative measurement of movement | baseline, 5 weeks, 10 weeks | by a kinematic analysis via an Optitrack system |
| Measurement of the manual ability | baseline, 5 weeks, 10 weeks | by Abilhand-kids questionnaire |
Countries
France
Outcome results
None listed