Cerebral Palsy, Hand Functions
Conditions
Keywords
Hand Functions, Virtual Reality, Constraint-Induced Movement Therapy, Cerebral Palsy, Rehabilitation
Brief summary
The hand motor functions are very important in the daily life activities, educational, and social participation of children. Losing The hand motor functions limit these activities and participation. Constraint-induced movement therapy (CIMT) or virtual reality (VR) therapy has often been preferred to improve the hand's motor functions.
Detailed description
CIMT and VR are used to improve the motor functions of the hand in cerebral palsy (CP). The aim of this study was to compare the effects of CIMT-VR use and only CIMT use on hand functions in children with hemiparetic cerebral palsy. Hand function and performance were evaluated with the Jebsen-Taylor and Moberg pick-up tests. All evaluations were made twice; before the first therapy and after six weeks. Children with hemiparetic CP were divided into three groups randomly (Traditional techniques (TT), TT+CIMT, and TT+CIMT+VR).
Interventions
OTHERTT+CIMT+VR
TT: Traditional Techniques CIMT: constraint-induced movement therapy VR: virtual reality
OTHERTT+CIMT
TT: Traditional Techniques CIMT: constraint-induced movement therapy
OTHERTT
TT: Traditional Techniques
Sponsors
Uludag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
8 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
The inclusion criteria of the study were determined to be * aged 8 to 18 years, * diagnosed with hemiparetic CP, * being level 2 or 3 according to the gross motor function measurement scale and the manual ability classification system. The
Exclusion criteria
of the study were, * severe cognitive dysfunction that rendered them unable to perform simple tasks (e.g., reaching, grasping), * having pharmacologic medicine for spasticity, * having botulinum toxin A injections in the last 6 months, * having upper extremity surgery, * having visual and/or auditory problems which affect therapy or evaluation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Jebsen-Taylor Test | this evaluation was done twice; before the first therapy and after six weeks by the same physiotherapist. | The Jebsen-Taylor Test is a reliable tool that evaluates the hand function of children with CP. The test includes seven items. These items are; writing a 24-letter sentence, turning over five cards, picking up small objects (two pieces of pennies/bottle caps/paperclips), simulated feeding (using a teaspoon and five kidney beans), stacking four checkers, picking up and moving five large empty tin boxes and then five large full boxes. During the assessment, the child with CP was seated in front of a table and test was performed by hemiparetic hand. Time was recorded on each item by stopwatch. The total score was calculated by collecting all items' time. |
| Moberg pick-up test | this evaluation was done twice; before the first therapy and after six weeks by the same physiotherapist. | To evaluate the functional performance of the hemiparetic hand Moberg pick-up test (MPUT) was used. MPUT consists of twelve items which are a wing nut, screw, key, nail, ₺1 coin, 50 kurus coin, washer, safety pin, paper clip, large and medium-sized hexagonal nut, and small square nut. The plastic container (60x30 cm) was placed lengthwise about 15 cm from the edge of the table on the opposite side of the items. The child was seated in a chair. The hemiparetic hand of children with CP was put on the same side as the 12 items which were randomly placed on the table. Children with CP were ordered to pick up the items one at a time and place them into the plastic container as fast as possible. The time was recorded with a stopwatch. |
Countries
Turkey (Türkiye)
Outcome results
None listed