Cerebral Palsy
Conditions
Keywords
seat cushions, upper extremity , cerebral palsy
Brief summary
As the seating adaptations, ranging from simple to complex, standard and customized may facilitate optimal health and maximize functional participation despite limited postural control; the study will be conducted for determine the effect of contoured cushions as a seat adaptation on upper extremity function in children with spastic cerebral palsy and compare between the effect of flat cushion and contoured cushion in adaptive seating system on upper extremity function in children with spastic cerebral palsy.
Detailed description
As research continues to reveal the efficacy of ramped and contoured cushions on postural stability and alignment (Macdonald et al.,2015), it is likely that it will become accepted that such modifications will affect the UL functional level , mobility and rang of motion. Therefore, the purpose of this study was to examine the effect of contoured cushions as adaptive seating intervention on Upper extremity function in children with spastic cerebral palsy.
Interventions
DEVICEseat cushions
flat versus contoured customized seat cushions
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
1. Their age ranged from three to six years old . 2. Spasticity ranged from 1+ to 2 grade according to Modified Ashwarth Scale . 3. All children should be able to sit on the adaptive seat while head is upright independently and hands are free; preliminary test by Gross Motor Functional Measurement (GMFM) scale ranged score from ( 21 to 25 ) in sitting domain.
Exclusion criteria
Any child with the following criteria will be directly excluded from the evaluation for the consistency of the sample and statistically obtained results: 1. Visual and/or auditory defects which interfere with upper extremity functions. 2. Fixed deformity of one or both upper limbs which limit passive ROM in shoulder and elbow. 3. Children with mixed type, dyskinetic or ataxic cerebral palsy are excluded. 4. surgical intervention in both upper limbs or botulinum toxin injection in the last 6 months before the time of assessment . 5. Any recent trauma of one or Both upper limbs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Angular kinematic changes in Upper extremity rang of motion in parallel to functional changes will be addressed while seat adaptations( flat and contoured cushions) will be applied for same participant. | within 30 to 60 minutes | angular kinematic changes ( by degrees) will be measured by kinovea 2D software |
Countries
Egypt
Contacts
Primary ContactMohga M. Khalil, Msc.
Backup ContactAsmaa A. El barrawy, Phd
Outcome results
None listed