Hemiplegic Cerebral Palsy
Conditions
Keywords
Hemiplagia, Upper limb function, Virtual reality, Mirror therapy, Xbox 360
Brief summary
The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age . The main question of the study is Are there any significant differences between the effects of virtual reality , mirror therapy and the combined effect of both techniques and on upper limb function in hemiplegic CP children? Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program
Detailed description
The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age . The main question of the study is Are there any significant differences between the effects of virtual reality (VR), mirror therapy (MR) and the combined effect of both techniques (VR) and (MR) on upper limb function in hemiplegic CP children? Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program
Interventions
DEVICEvirtual reality
In Xbox, we will choose suitable games that aim to improve upper limb function like boxing, Darts, tennis, goalkeeping, basketball, disc throwing, balling, and volleyball. The Kinect sensor has the advantage of auto adjustment of its camera according to the child's position and height that's to say the child can perform the game in sitting or standing according to their abilities. They will receive 30 minutes of VR intervention in addition to the time required for the designed physical therapy program.
OTHERmirror therapy
Mirror Therapy A mirror of 30 × 20 inches was used for the MT, which was large enough to cover the entire affected limb while still allowing the reflection of the non-affected limb to be seen. The child was seated in a chair with the forearms resting on the table. In the mid-sagittal plane, the mirror box was positioned at an angle of 70° to 80° to the trunk. The affected limb was placed behind the mirror. The child was asked to perform the exercises bilaterally and symmetrically as much as possible. Even if the affected side did not move easily or fully, the child was advised to synchronize the motions with both hands and arms. The researcher constantly reminded the child to concentrate on the movement of the non-affected limb in front of the mirror, which helped to increase the mirror illusion
OTHERvirtual reality with mirror therapy
group C will receive combined effect of both techniques (virtual reality and mirror therapy)
Sponsors
Kafrelsheikh University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
4 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Children will be included in the study if they fulfil the following criteria: 1. A medical diagnosis of spastic hemiplegic CP made by pediatric neurologists. 2. Children with spasticity grades ranged from 1 to 1+ according to MAS. 3. Their age range from 4 to 10 years. 4. Children level 1 and level 2 in gross motor functional classification (GMFC 1&2)
Exclusion criteria
* Children will be excluded from the study if: 1. They had a permanent deformity (bony or soft tissue contractures). 2. Children having visual or auditory defects. 3. Children who can not understand verbal commands 4. Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to wrist and hand.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changes in range of motion (ROM) | after 12 weeks of intervention | using kinovea software |
| changes in power grip strength | after 12 weeks of intervention | using sphygmomanometer |
| changes in upper limb functions | after 12 weeks of intervention | using quality of upper extremity skills test (Quest) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changes in activity of daily living (ADL) | after 12 weeks of intervention | using functional independence measure for children (WeeFIM): |
Countries
Egypt
Contacts
Primary ContactKhalid E Mohamed, Demonstrator
Outcome results
None listed