Cerebral Palsy
Conditions
Brief summary
The aim of this study is to investigate the effectiveness of synchronous telerehabilitation on improving upper extremity function in children with hemiparetic cerebral palsy.
Detailed description
46 children with hemiparetic cerebral palsy who meet the inclusion criteria and agree to participate in the study will be included. The participants will be randomly divided into two groups. The groups are: a) the synchronous telerehabilitation group; b) face to face rehabilitation group. Both groups will receive physiotherapy 2 days a week (1 session of 45 minutes) for 12 weels, for a total of 24 sessions. Evaluations will be made at baseline and the end of the treatment.
Interventions
OTHERTelerehabilitation
Telerehabilitation program: Intervention will be applied by video interview for 12 weeks, 2 days a week, 45 minutes a day through the Zoom application. The application is free and can be installed on desktop or laptop computers, tablets and smartphones. The content of the activities to be done for that session by phone call to the parent before the interventions; Information will be given about the preparations such as keeping the materials on the table, suitable environment for that week's session and camera angle. Instructions and tips for parent support during the intervention will be given before and during the session. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.
Face to face program: Intervention will be applied by physiotherapist for 12 weeks, 2 days a week, 45 minutes a day in clinic. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.
Sponsors
Istanbul University - Cerrahpasa
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Presence of confirmed hemiparetic cerebral palsy * Manual Ability Classification System ≤ 3 * Age between 6 and 18 * Absence of major visual and/or auditory deficits * Sufficient cooperation to comprehend and complete the test procedure and participate in treatment * Family members being active mobile phone or computer and internet users
Exclusion criteria
* Seizures uncontrolled by therapy * Surgery and/or botulinum toxin-A injections in the upper limb within 6 months prior to the baseline assessment * Having a disabling behavioral disorder to treatment * Family's discontinuation of treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Upper Extremity Skills Test (QUEST) | 12 weeks | It is used to evaluate the upper extremity motor functions of children. QUEST is a test that evaluates the quality of movement and dexterity of the child with SP. QUEST is concerned with how the child does the activity he or she can do. Examines the quality of upper limb skills in 7 sections. The highest score is 100, the lowest score is 50 |
| The Selective Control of the Upper Extremity Scale (SCUES) | 12 weeks | This test was developed to evaluate the selective motor control of the upper extremity. It is a very practical and useful video-based assessment tool that can be applied in less than 15 minutes. No special equipment is required other than a video camera. It offers the opportunity to evaluate the selective movements of the shoulder, elbow, forearm, wrist and fingers for both right and left extremities. The person administering the test passively shows the participant the movements they are asked to do. Then the participant is asked to actively perform the movement shown. While performing the participant movements; Head, trunk and other extremity movements are taken with a video camera to provide the opportunity to observe. The degree of selective motor control is determined as 0-3 points for each joint, depending on the person's ability to perform movements and their shape. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Evaluation of Disability Inventory (PEDI) | 12 weeks | Pediatric Evaluation of Disability Inventory assesses key functional capabilities and performance in children ages 6 months to 7 years. PEDI is also useful for older children whose functional abilities are lower than those of seven-year-olds without disabilities. |
| Shriners Hospital Upper Extremity Evaluation (SHUEE) | 12 weeks | SHUEE is an assessment developed to measure upper extremity function in children with hemiplegic cerebral palsy. SHUEE is a video-based assessment administered by an occupational therapist using standardized objects and tasks. The evaluation takes about 15 minutes. |
| Cerebral Palsy Quality of Life Questionnaire for Children (CP QOL) | 12 weeks | This instrument is useful for evaluating interventions designed to improve the lives of children. |
| ABILHAND-KIDS | 12 weeks | t evaluates hand skills in children with CP according to the activity frames of ICF-CY. It consists of 21 items. The highest score is 20, the lowest score is 0. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Modified Tardieu Scale | 12 weeks | Tardieu is a scale for measuring spasticity that takes into account resistance to passive movement at both slow and fast speed. |
| Joint Range of Motion (ROM) Measurement | 12 weeks | Individuals' ROM degrees will be evaluated before and after the treatment using a electronic goniometer in the supine position. Individuals' shoulder flexion, abduction, internal and external rotation, elbow and wrist flexion and extension painless active ROM measurements will be evaluated and recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed