Physical Therapy
Conditions
Brief summary
This study is to investigate the effect of whole body vibration in children with hemiparetic cerebral palsy on range of motion of shoulder, elbow and wrist and muscle strength of shoulder abductors and flexors, elbow flexors and extensors, wrist extensors and flexors.
Detailed description
Studies show efficacy of whole body vibration in reducing spasticity, improving strength, balance, ankle dorsiflexion angle and gait parameters in post stroke and spinal cord injury patients improving posture and balance in patients with Parkinson's disease and multiple sclerosis. Although research suggests a positive influence of vibration on motor performance in individuals with neurological disorders, there are very limited numbers of studies in children with cerebral palsy. Few Studies Have Shown improvement in children with cerebral palsy: spasticity decrease as measured by isokinetic dynamometer. Strength of muscles increase as measured by hand held dynamometer. Motor function increase as measured by Gross Motor Function Measure and Gross Motor Function Classification Scale. Increase of the activation and the co- activation of biceps and triceps. Vibrations increase bone mass and muscle strength in upper limbs. Vibration therapy decreases spasticity and improve motor performance in children with cerebral palsy. Reduce flexors spasticity and improve functions in the rehabilitation of upper limb spasticity. Focal muscle vibration on triceps brachii muscle can reduce the spasticity for both elbow and wrist joint muscles. So in this study, the investigators are trying to implement an additional rehabilitation method for upper limbs in hemiparetic children to improve their upper limb range of motion and strength which will reflect an improvement in their upper limb functions and activities of daily living.
Interventions
PROCEDUREPhysical therapy exercises.
Exercises to treat hemiparetic cerebral palsy
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
pilot testing to get sample.
Eligibility
Sex/Gender
ALL
Age
3 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
Children will be included if they have the following: 1. Children diagnosed as hemiparetic cerebral palsy. 2. Children of both sexes in the age group ranging from 3 to 6 years. 3. Spasticity will be grade 1 and 1+ according to modified Ashworth scale. 4. They will be selected with Level I and II according to Gross Motor Function Classification (GMFCS). 5. Children could understand and follow commands given by the therapist.
Exclusion criteria
Children will be excluded if they have any of the following: 1. History of convulsions and epilepsy. 2. Children with impaired cognitive function. 3. Any surgical procedure for correction of deformity or soft tissue release in the past one year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in strength of shoulder abductors muscles. | Change from Baseline strength of shoulder abductors muscles at one month. | Measurement of strength of shoulder abductors muscles using the Lafayette handheld dynamometer |
| Change in strength of shoulder flexors muscles. | Change from Baseline strength of shoulder flexors muscles at one month. | Measurement of strength of shoulder flexors muscles using the Lafayette handheld dynamometer |
| Change in shoulder joint abduction range of motion. | Change from Baseline shoulder joint abduction range of motion at one month. | Measurement of range of motion of shoulder joint abduction using the digital Goniometer. |
| Change in shoulder joint flexion range of motion. | Change from Baseline shoulder joint flexion range of motion at one month. | Measurement of range of motion of shoulder joint flexion using the digital Goniometer. |
| Change in elbow joint flexion range of motion. | Change from Baseline elbow joint flexion range of motion at one month. | Measurement of range of motion of elbow joint flexion using the digital Goniometer. |
| Change in elbow joint extension range of motion. | Change from Baseline elbow joint extension range of motion at one month. | Measurement of range of motion of elbow joint extension using the digital Goniometer. |
| Change in wrist joint extension range of motion. | Change from Baseline wrist joint extension range of motion at one month. | Measurement of range of motion of wrist joint extension using the digital Goniometer. |
| Change in wrist joint flexion range of motion. | Change from Baseline wrist joint flexion range of motion at one month. | Measurement of range of motion of wrist joint flexion using the digital Goniometer. |
| Change in strength of elbow flexors muscles. | Change from Baseline strength of elbow flexors muscles at one month. | Measurement of strength of elbow flexors muscles using the Lafayette handheld dynamometer |
| Change in strength of elbow extensors muscles. | Change from Baseline strength of elbow extensors muscles at one month. | Measurement of strength of elbow extensors muscles using the Lafayette handheld dynamometer |
| Change in strength of wrist extensors muscles. | Change from Baseline strength of wrist extensors muscles at one month. | Measurement of strength of wrist extensors muscles using the Lafayette handheld dynamometer |
| Change in strength of wrist flexors muscles. | Change from Baseline strength of wrist flexors muscles at one month. | Measurement of strength of wrist flexors muscles using the Lafayette handheld dynamometer |
Countries
Egypt
Contacts
Primary ContactMahmoud Adel, B.Sc.
Backup ContactHaytham Ibrahim, M.Sc.
Outcome results
None listed