Physical Disability
Conditions
Keywords
cerebral palsy, selective motor control, upper limb coordination, virtual reality
Brief summary
children with cerebral palsy have impaired selective motor control and upper limb functions that affect their performance
Detailed description
Twenty volunteer children diagnosed with hemiparetic cerebral palsy will be recruited from national institute of neuromotor system. they will be randomly assigned to intervention and control group.
Interventions
Exercises facilitating hand skill patterns will include basic reach, grasp, carry and release and the more complex skills of in-hand manipulation and bilateral hand use.
OTHERWii virtual reality games
1. Bowling 2. Frisbee 3. Basketball 4. Boxing
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
Control grouprecivedvDesigned occupational therapy programe including Exercises facilitating hand skill patterns will include basic reach, grasp, carry and release and the more complex skills of in-hand manipulation and bilateral hand use. • study group will recieve Wii virtual reality games 1. Bowling 2. Frisbee 3. Basketball 4. Boxing
Eligibility
Sex/Gender
ALL
Age
7 Years to 11 Years
Healthy volunteers
No
Inclusion criteria
* \- Age between 7 and 11 years * spasticity grade of 1+ or 2 on MAS * level I and II on GMFCS * level II and III on MACS * Being able to cooperate and being motivated
Exclusion criteria
* visual or auditory problems Severe spasticity (an Ashworth spasticity score of 4 in any upper or lower extremities) Severe mental retardation surgeries for spasticity within the past 12 months, toxin injection within the past six months. * Structural or fixed soft tissue deformities in the affected upper extremity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Selective voluntary motor control of upper extremity | 6 weeks | Test of Arm Selective Control will be used to assess selective voluntary motor control of upper extremityIt was developed to quantify the extent to which children with cerebral palsy have selective voluntary motor control. It will be used to assess movement of shoulder, elbow, forearm, wrist, finger and thumb by using simple tools for grasp items from two starting sitting positions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand grip strength | 6 weeks | it will be assessed by hand held dynamometer |
| - Upper limb function | 6 weeks | it will be assessed by Bruinink-Oseretsky test for motor proficiency subset 7 of upper limb coordination |
Countries
Egypt
Outcome results
None listed