Cerebral Palsy, Rehabilitation, Tactile Perception
Conditions
Brief summary
Cerebral palsy(CP) is the most common cause of disability in childhood. The motor spectrum of disorders is characterized by abnormal muscle tone, posture, and movement. The motor disorders of CP are often accompanied by disturbances of sensation, perception, cognition and behavior. Besides classical appearance of symptomatology, tactile impairment takes an important place to be evaluated. Assessment of the integrity of tactile function composes of two main steps: tactile registration and tactile perception. Our main goal is the define the effect of tactile impairment on hand motor function with the usage of identical assessment tools in patients with unilateral cerebral palsy (UCP) and typically developed children (TDC).
Interventions
DIAGNOSTIC_TESTSemmes-Weinstein monofilament test
Tactile function was evaluated mainly as tactile registration by using 20-item Semmes-Weinstein monofilament (SWM) kit. The monofilament was applied three times with a pseudorandom order to distal pad of the thumb, index, 4th and 5th digits (C6, C7 and C8 dermatomes). The lowest value of monofilament was recorded which the child was able to correctly identify at least one touch out of three
DIAGNOSTIC_TESTBox and Block Test
Box and Block Test (BBT) was used for dexterity assessment. The BBT measures unilateral gross manual dexterity. The child was asked to move, one by one, the maximum number of blocks from one compartment of a box to another of equal size within 60 seconds
DIAGNOSTIC_TEST9-Hole Peg Test
9-Hole Peg Test (9-HPT) is used to measure finger dexterity. Firstly, the child takes the pegs from a container, one by one, and place them in the holes on the board; then participant removes the pegs from the holes and replaces them back into the container. The total time taken to complete the test is recorded in seconds.
DIAGNOSTIC_TESTDuruöz Hand Index (DHI)
Duruöz Hand Index (DHI) is an 18-item self-report questionnaire regarding ability to carry out manual tasks. Individual items are scored on a 6-point Likert scale where 0=without difficulty and 5=impossible. The total score ranges from 0-90 with higher scores indicating poorer hand function.
DIAGNOSTIC_TESTJamar hand dynamometer
Hand grip strength was measured by using Jamar hydraulic hand dynamometer. Measurement was done with the participant in sitting position and the elbow at 90 degrees of flexion. The force has most commonly been measured in kilograms according to the amount of static force that the hand can squeeze around the dynamometer.
DIAGNOSTIC_TESTHydraulic pinch gauge
Hydraulic pinch gauge is used for evaluation of finger grip strength. The evaluation method was the same as Jamar hand dynamometer.
Sponsors
Marmara University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
5 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
* Ages between 5-15 years * Being evaluated as Class I-II-III in Gross Motor Function Classification System * Being evaluated as Class I-II-III in Manual Ability Classification System
Exclusion criteria
* Inability to understand and/or follow test instructions due to intellectual or behavioral difficulties * History of upper extremity botulinum toxin type A injection in the last three months, * Previous upper extremity orthopedic surgery * History of major trauma, and visual impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean score of finger grip strength test in all participants | 1 day (Single time point) | Mean score of pinch gauge measures was used to compare finger grip strength in both groups |
| Number of participants with tactile dysfunction in both groups | 1 day (Single time point) | Comparison of the number of patients with tactile dysfunction according to the Semmes-Weinstein monofilament test scores. |
| Mean score of gross manual dexterity assessment test in all participants | 1 day (Single time point) | Mean score of Box-Block Test was used to compare gross manual dexterity assessment in both groups |
| Mean score of hand grip strength test in all participants | 1 day (Single time point) | Mean score of Jamar dynamometer measures was used to compare hand grip strength in both groups |
| Mean score of hand function test in all participants | 1 day (Single time point) | Mean score of Duruöz Hand Index was used to compare hand function in both groups |
| Mean score of finger dexterity assessment test in all participants | 1 day (Single time point) | Mean score of 9-Hole Peg Test was used to compare finger dexterity assessment in both groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean score of hand grip strength test according to the tactile function | 1 day (Single time point) | Tactile function was determined by the Semmes-Weinstein monofilament score. The Jamar dynamometer scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group. |
| Mean score of finger grip strength test according to the tactile function | 1 day (Single time point) | Tactile function was determined by the Semmes-Weinstein monofilament score. The pinch gauge scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group. |
| Mean score of hand function test according to the tactile function | 1 day (Single time point) | Tactile function was determined by the Semmes-Weinstein monofilament score. The Duruöz Hand Index scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group. |
| Mean score of finger dexterity assessment test according to the tactile function | 1 day (Single time point) | Tactile function was determined by the Semmes-Weinstein monofilament score. The 9-Hole Peg Test scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group. |
| Mean score of gross manual dexterity assessment test according to the tactile function | 1 day (Single time point) | Tactile function was determined by the Semmes-Weinstein monofilament score. The Box-Block Test scores were compared between those with normal and impaired tactile function in the unilateral cerebral palsy group. |
Countries
Turkey (Türkiye)
Outcome results
None listed