Cerebral Palsy
Conditions
Keywords
Cerebral Palsy, Neurological Rehabilitation, Upper Extremity
Brief summary
The aims of the present study is to evaluate the effectiveness of Kinect-based upper limb motor rehabilitation system (ULMTS) program on motor performance and functional outcomes.
Detailed description
The specific aims of this study project will be: To compare the effectiveness of intervention groups using Kinect-based ULMTS with constraint-induced therapy on motor improvement in children with hemiplegic CP. The investigators hypothesize that motor improvement in using Kinect-based ULMTS will be comparable to constraint-induced therapy.
Interventions
OTHERConstraint-induced therapy
OTHERkinect-based constraint-induced therapy
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
3 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
are: 1. 3-16 years old 2. diagnosed with congenital hemiplegic or CP with one more affected side 3. considerable nonuse of the affected upper limb.
Exclusion criteria
are: 1. no excessive muscle tone (Modified Ashworth Scale ≤ 2 at any joints of the upper limb) before beginning treatment (Bohannon & Smith, 1987) 2. no severe cognitive, visual, or auditory disorders according to medical documents, parental reports, and the examiner's clinical observation 3. no injections of botulinum toxin type A or operations on the upper limb within 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance Change assessed by Kinematic analysis | baseline, 2 months and 6 months | Kinematic analysis including measuring the parameters of endpoint control, joint recruitment and inter-joint coordination, and trunk involvement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| score change of Melbourne Assessment 2 (MA2) | baseline, 1 months, 2 months and 6 months | — |
| score change of Pediatric Motor Activity Log-Revised (PMAL-R) | baseline, 1 months, 2 months and 6 months | — |
| score change of ABILHAND-kids | baseline, 1 months, 2 months and 6 months | — |
| score change of Functional Independence Measures for children (WeeFIM) | baseline, 1 months, 2 months and 6 months | — |
| score change of Pediatric evaluation of disability inventory (PEDI) | baseline, 1 months, 2 months and 6 months | — |
| score change of Cerebral Palsy Quality of Life Questionnaire for Children (CP-QOL) | baseline, 1 months, 2 months and 6 months | — |
| score change of Test of Visual Perceptual Skills-3rd (TVPS-3) | baseline, 1 months, 2 months and 6 months | — |
| score change of Bruininks-Oseretsky Test of Motor Proficiency Second Edition (BOT-2) | baseline, 1 months, 2 months and 6 months | — |
| score change of Engagement Questionnaire (EQ) | baseline, 1 months, 2 months and 6 months | — |
| score change of Clint Satisfaction Questionnaire (CSQ) | baseline, 1 months, 2 months and 6 months | — |
| score change of Parenting Stress Index-Short Form (PSI-SF) | baseline, 1 months, 2 months and 6 months | — |
| Muscle strength | baseline, 2 months and 6 months | measured by electromyography |
| score change of Building Tower Test | baseline, 1 months, 2 months and 6 months | — |
| score change of Test of String Beads | baseline, 1 months, 2 months and 6 months | — |
| score change of Box and Block Test | baseline, 1 months, 2 months and 6 months | — |
| score change of Test of Playfulness (TOP) | baseline, 1 months, 2 months and 6 months | — |
Countries
Taiwan
Outcome results
None listed