Hemiplegia and Hemiparesis
Conditions
Keywords
therapeutic climbing, hemiplegia, children, muscle strength, balance
Brief summary
The goal of this randomised controlled trial is to learn about the effect of therapeutic climbing in hemiplegic children. The main questions it aims to answer are: Does climbing affect muscle strength and tone? What is its connection between normative data drawn from healthy children? How can it affect balance? Participants (children) will be asked to complete an series of movements used in sports climbing, such as inside-flag, back-flag and horizontal traverse, while hanging on an in-door climbing wall.
Interventions
The protocol consists of using an in-door climbing wall as an complementary therapeutic intervention model.
Sponsors
Study design
Intervention model description
Single-blind Randomised Controlled Trial
Eligibility
Inclusion criteria
* Children from 4 to 16 years old * Children with Hemiplegia * Evaluated as Level 1 on GMFCS
Exclusion criteria
* Botulinum toxin injection in last 6 months * Surgery in the last 1 year (myofascial lengthening etc.) * Children with poor cognitive skills (not following instructions etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Muscle Strength | 8 weeks (pre-post evaluation) | Measured using Kinvent K-PUSH Dynamometer and Jamar Hydraulic Hand Dynamometer ; Unit of Measure: Peak Force in Kilograms (higher scores - better outcome) |
| Balance | 8 weeks (pre-post evaluation) | Measured using the Timed Up & Go Test ; Unit of Measure: seconds of completion (higher scores - worse outcome) |
| Muscle Tone | 8 weeks (pre-post evaluation) | Evaluated using the Modified Ashworth Scale ; Unit of Measure: Scoring Options (0-4) // (higher scores - worse outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Normative Strength Data Comparison | 8 weeks (pre-post evaluation) | Comparison of normative values of the Jamar Hydraulic Hand Dynamometer of Healthy and Hemiplegic Children ; Unit of Measure: Difference of Peak Force in Kilograms |
Countries
Greece