Acquired Brain Injury, Cerebral Palsy, Hemiparesis, Hemiplegia
Conditions
Brief summary
The goal of this research is to provide limb training in children with hemiplegia using a bimanual-to-unimanual training approach. Twenty pediatric patients aged 5-17 years with acquired brain injury will receive training on the bimanual-to-unimanual device for a period of 9 weeks. During the training, children use both arms to operate robotic arms to play a video game. We will assess changes in hand impairment after the training.
Interventions
DEVICEBimanual Arm Training
Device-based bimanual-to-unimanual training will be provided with the Bimanual Arm Trainer (BAT, Mirrored Motion Works, NC). The device provides bimanual-to-unimanual training of simultaneous shoulder external rotation and elbow extension, and independent training of pronation-supination and grasp and release of each hand. Range of motion and speed are recorded during training and feedback and motivation are provided through age-appropriate gaming modules.
Sponsors
Blythedale Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Hemiplegia due to brain injury at least 3 months before study enrollment.
Exclusion criteria
* Any social or medical problem that precludes compliance with the protocol. * Treatment with botulinum toxin or intrathecal baclofen in the 3 months preceding enrollment. * Implanted neuromodulatory or electronic device or other complicating illness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Assisting Hand Assessment | Before intervention compared to after intervention | The Assisting Hand Assessment evaluated how effectively children use their hands to complete bimanual tasks. |
| Change in Box and Box Test | Before intervention compared to after intervention | The Box and Blocks test measures how many blocks a child can move with one hand from one box to another in one minute with the impaired hand. |
| Change in range of motion | Before intervention compared to after intervention | The robotic device measures range of motion of the shoulder. |
Countries
United States
Outcome results
None listed