Hemiplegia
Conditions
Brief summary
40 children with hemiplegia cerebral palsy from both sex will be recruited from outpatient clinic of abo resh hospital ,their age ranged from 5-10 years
Detailed description
40 children with hemiplegia cerebral palsy from both sex will be recruited ,their age ranged from 5-10 years, treatment includes functional electrical nerve stimulation and biofeedback to assess their combined effect on upper limb function
Interventions
DEVICEbiofeedback
biofeedback therapy and FES at anti spastic muscles(shoulders flexors, elbow and wrist extensors) while doing specific exercises (including basic reaching, grasping, carrying, release
PROCEDUREPhysical therapy program
Flexibility exercises for shorted muscles and spastic muscles, Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles, Postural control exercise in different positions and different surfaces, General endurance training, Exercises to facilitate hand function, Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Their age will range from 5 to 10 years. * Spasticity grade range from 1+ to 2, according to Modified Ashworth Scale (MAS) (Bohannon and Smith, 2011). * Their UL ability function will be at level II according to Manual Ability Classification System (MACS) (Penta et al., 2001). * They will be able to follow instructions.
Exclusion criteria
* Loss of sensation * The presence of visual or auditory impairments. * Musculoskeletal problems or fixed deformities in the upper extremities. * Seizures. * Surgical interference in upper limbs. * Botulinum toxin injections in the last 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hand function in children with CP | pre intervention and re assessed after 3 months of treatment | hand function in children with CP will be assessed by The Quality of Upper Extremity Skills Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Range of motion | pre intervention and re assessed after 3 months of treatment | Range of motion will be assessed using Electronic goniometer |
| muscle grip strength | pre intervention and re assessed after 3 months of treatment | muscle grip strength will be assessed using Hand held dynamometer |
Countries
Egypt
Contacts
Primary ContactAlaa T Ramadan, M.SC
Outcome results
None listed