Cerebral Palsy, Upper Extremity, Vojta Therapy
Conditions
Brief summary
The goal of this pilot study is to study the effect of Vojta therpy on upper extremity function in children with cerebral palsy. The main questions are: * to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of range of motion and function * to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of motion analysis while perform function
Detailed description
Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.
Interventions
PROCEDUREVojta therapy
Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.
Sponsors
Srisangwan School
SRI International
the royal patronage of crippled children
Mahidol University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* spastic diplegia (MACS II-III) * can pick box and block test at least 1 block * has good trunk stability while sitting * can follow command * participant and guardian consent to the study
Exclusion criteria
* no Vojta therapy in last 2 months * no history of anti-spastic injection in last 6 months * do not receive prednisolone nor adrenocorticotropic hormone (ACTH) * cannot control seizure * got the specific disease such as osteogenesis imperecta, cardiac disease * Participant and guardians do not consent to the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Box and block test | Baseline (before) and within 1 week after the final treatment | the children have to pick the 1\*1 cube blocks from one side of the box to the other side in 1 minute |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| active range of motion of upper extremity | Baseline (before) and within 1 week after the final treatment | the children was asked to active move their shoulder, elbow and wrist for measurement |
| Nine hole peg test | Baseline (before) and within 1 week after the final treatment | the children have to pick 9 pegs from the container to insert into the providing holes and record the time |
| 3D motion analysis of upper extremity | Baseline (before) and within 1 week after the final treatment | the markers were attached at back, sternum, both shoulders, elbows and wrists. Then, children were to forward rech the object on the table. The camera and mrakers will record and analyz the motion of both upper extremities. This measurement will be done only in children who was treated with Vojta therapy group only. This measurement will report in distance of maximum reaching, velocity and angle velocitym of shoulder, elbow, wrist with forearm pronation/supination. The other parameters are movement duration, peak velocity, time to peak velocity and trajectory straigthness. |
| Video recording | Baseline (before) and within 1 week after the final treatment | The camera video will record the distance of maximum reaching in forward reaching and lateral reaching during the 3D kinematics evaluation in the gait lab of both upper extremities movement. This outcome was done in only the intervention group who received Vojta treatment. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Kinect sensor | This outcome will be measured only in the intervention group. It will be measured immediately or not longer than 1 week after finish the intervention. | The Kinect sensor evaluation of both upper extremities during playing computer game. Children will be asked to move their upper extremities according to game instructions: arm abduction/adduction, arm forward flexion/extension and elbow flexion/extension. During playing the computer game, there is a kinect sensor to detect motion of upper extremities and capture motion of movement in terms of range of motion, angle of movement in 3 dimensions and velocity of movements. while children playing game, there are recording of the movement via 3D motion analysis from gait lab. The parameters from Kinect sensor will be compared to the parameters which are recorded from the gait lab. |
Countries
Thailand
Outcome results
None listed