Sports Physical Therapy
Conditions
Keywords
Cerebral palsy, Unilateral Cerebral Palsy, hand grip strength, upper extremity function, range of motion, Wii training, plyometric exercises
Brief summary
Plyometric training includes muscle contraction that moves rapidly from the eccentric to the concentric phase of movement while using proper biomechanics. It is an effective neuromuscular stimulus that can improve motor functions of children with cerebral palsy. In plyometric training, muscles exert maximum force in short intervals of time, with the goal of increasing power. Commercially available video games have been used for a wide range of clinical populations with generally positive clinical outcomes. They have been shown to be active enough to provide an increase in energy expenditure and physical activity in children with cerebral palsy. Furthermore, an early case study showed improvements in visual-perceptual processing, balance, and mobility in a child with cerebral palsy.
Interventions
OTHEROccupational therapy
Both groups received a designed occupational therapy program for 30 minutes
OTHERPlyometric training
The designed plyometric training program basically focuses on upper extremity strength training and is developed according to the guidelines of the National Strength and Conditioning Association.
OTHERWii training
The dose of Wii training was 40 minutes, three times a week for 12 weeks which is an interactive motion-based device.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* aged 8-12 years; * able to understand and follow simple commands.
Exclusion criteria
\- severe uncontrolled seizures;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Upper extremity function | after 3 months of treatment | The quality of upper extremity skill test is a reliable and valid tool used to measure the motor function in children with cerebral palsy. The total scores for each domain percentage score range from zero to 100% |
| Hand grip strength | after 3 months of treatment | The hand held dynamometer (Patterson Medical, Warrenville, IL, USA) is a valid and reliable tool to assess grip strength. Each child performs three trials and the mean will be recorded in kilogram for statistical analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion | after 3 months of treatment | An electronic goniometer will be used for the measurements of ROM of the affected upper limb in order to accurately track progress in a rehabilitation program. Shoulder flexion and abduction, elbow extension, forearm supination and wrist extension will be measured for all children before and after treatment |
| Selective motor control | after 3 months of treatment | Test of arm selective control, a valid and reliable tool, will be used to measure selectivity of upper extremity with total score for each upper extremity is 16 and 32 for both tested upper extremities. |
Countries
Egypt
Outcome results
None listed