Cerebral Palsy
Conditions
Keywords
Cerebral palsy, Virtual reality, Video games, Upper extremity, Rehabilitation
Brief summary
The video-based therapy applications; will be applied in a non-three-dimensional (with desktop screen) way. In this application, there are different types of exercise programs that will work the upper extremity movements. The video-based therapy applications will be applied to individuals with Cerebral Palsy (CP) who will be included in the study with the Xbox Kinect 3600 (Microsoft, Washington, USA) device. This study was planned to examine the effect of video-based therapy on upper extremity selective motor control and proprioception in individuals with Cerebral Palsy.
Detailed description
Spastic CP will be participate the study between the ages of 4 and 18 years. Children's classified with GMFCS and MACS. The eligible participants will be allocated two groups, including video-game based therapy group and conventional physiotherapy control group. All the assessments will be performed before and after the therapy in the 8-week therapy groups.The control group individuals will be given a conventional physiotherapy two days per week for a total of 8 weeks (conventional physiotherapy session will last 45 minutes). The video-game based therapy group will receive a conventional physiotherapy and video-game based therapy, two days a week for a total of 8 weeks (15 minutes conventional physiotherapy session+30 minutes video-game based therapy). All sessions will be performed in the clinic with the specialist physiotherapist.
Interventions
OTHERVideo-game based therapy
Video-game based therapy will be designed for the individual basis for the upper extremity.
OTHERConventional physiotherapy
Conventional physiotherapy within a specific program
Sponsors
Gaziantep Islam Science and Technology University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of Cerebral Palsy voluntary participation, * Age between 4-18 years * GMFCS Level I-II-III * MACS Level I-II-III
Exclusion criteria
* Not voluntary to participate in the research, * Botox in the last 6 months, * Upper limb or spine surgeries in the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gross Motor Function Classification System (GMFCS) | At Baseline | Assessing functional level and motor function. Gross motor functions of children with CP are classified in five levels with GMFCS. This is a classification system based on the child's self-initiated movements with emphasis on sitting, displacement and mobility. |
| Manuel ability classification system (MACS) | At Baseline | This is a classification system based on the grasping and releasing objects in daily life, and how they use their hands while holding objects. It is classify the hand skills of children with CP between the ages of 4-18.Children with CP are classified in five levels with MACS. The higher level indicates worse hand function |
| Change from Baseline ABILHAND-Kids at 8 weeks | Change from Baseline at 8 weeks | Abilhand Kids evaluates manual ability in children with upper extremity disorders. It consists of 21 items and confirmed in CP. The lowest score that can be obtained from the scale is 0 and the highest score is 42. It can be stated that higher scores correspond to more difficulty in activities. |
| Change from Baseline Selective Control of the Upper Extremity Scale (SCUES) at 8 weeks | Change from Baseline at 8 weeks | It is a practical and useful assessment tool developed to evaluate upper extremity selective motor control. The administration of the SCUES required patients to perform specific isolated movement patterns at various levels including: shoulder (abduction/adduction); elbow (flexion/extension); forearm (supination/pronation); wrist (flexion/extension); and fingers/thumb (grasp/release). The total score of the SCUES ranges between 0 and 15 and higher scores indicate better selective motor control. |
| Change from Baseline Clinometer at 8 weeks | Change from Baseline at 8 weeks | Caliper clinometer (App Development) is a phone application used to measure angle changes in the relevant region. In the evaluation of shoulder and elbow proprioception change will be evaluated. |
| Change from Baseline Entertainment Scale at 8 weeks | Change from Baseline at 8 weeks | The entertainment level of sessions and therapy training for individuals will be evaluated with a 0-10 point numerical rating scale (entertainment scale). There are numbers from 0 to 10 on the horizontal line of 10 cm. 0 Not fun on the line in the scale; 10 represents a lot of fun. Entertainment rating will be recorded numerically from 0 to 10. |
Countries
Turkey (Türkiye)
Outcome results
None listed