Hemiplegic Cerebral Palsy
Conditions
Keywords
sensorimotor training, motor function, constraint induced movement therapy
Brief summary
The aim of the work was to find out the effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy.
Detailed description
The significance of this study is that there was paucity of literature in finding the comparative effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy. The aim is to find out the effects of sensorimotor training on motor functioning of the upper extremity in comparison of constraint induced movement therapy.
Interventions
sensorimotor training include activities like play with dough, peg games, puzzles for 5 days a week for 4 week.
constraint induced movement therapy in which arm was constraint for 6 hours a day for 5 days a week for 4 week.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
8 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* subjects who were fully oriented * children diagnosed with hemiplegic cerebral palsy * no history of intramuscular botulinum injections past one year
Exclusion criteria
* children with epilepsy * gross deformity of upper limb * children with contractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| nine hole peg test | 4 weeks | nine hole peg test to check hand dexterity and grip. The patient is seated at a table with a container holding nine pegs and a wood/plastic block containing nine empty holes and asked to put the nine pegs in nine holes in a block one by one and then remove the pegs one at a time from the holes and the time is recorded. patient should do the test with both hands independently. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| manual ability classification system | 4 weeks | it describes how CP child uses his or her hands to handle objects in daily activities with qualitative analysis by care taker, it has five levels. in level 1 child holds objects easily and succesfully. in level 2 child handles most object but with some reduced quality or speed. in level 3 the objects are handled with difficulty and child needs help to prepare or modify activities. in level 4 child handles a limited selection of easily managed objects and always requires some help from others. in level 5 child is not able to handle objects or to complete even simple actions with their hands. |
Other
| Measure | Time frame | Description |
|---|---|---|
| two point discrimination | 4 weeks | two point discrimination to discern that the two nearby objects touching the skin are truly two distant points. it is tested with a sharp object caliper is applied to the exposed skin and response and time are recorded. it is used for tactile perception. the normal minimal distance for the hands is 3cm and 0.6 cm for the fingers tips. |
Countries
Pakistan
Outcome results
None listed