Unilateral Cerebral Palsy
Conditions
Brief summary
This study aims to evaluate the effectiveness and usability of HEMImprove 1.0, a gamified mobile application designed to improve upper limb motor function in adolescents with unilateral cerebral palsy. Participants will be randomly assigned to an intervention group using the app or a control group performing conventional home exercises. The intervention will last four weeks, with assessments before and after the intervention to measure motor function, motivation, and quality of life improvements.
Interventions
OTHERHEMImprove APP
Experimental Group: Use HEMImprove 1.0 mobile app at home for 30 minutes/session, 5 days/week, for 4 weeks. Exercises tailored progressively with avatar guidance. Control Group: Perform conventional home exercises guided by printed manual with instructions and images, matching frequency and duration of intervention group.
OTHERexercises to upper limb
The patients will do the same exercises than the experimental group, without APP and using the same dosage
Sponsors
University of Castilla-La Mancha
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The assessor will not know the group where the child/adolescent is (experimental or control group)
Intervention model description
Use HEMImprove 1.0 mobile app at home for 30 minutes/session, 5 days/week, for 4 weeks. Exercises tailored progressively with avatar guidance.
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Adolescents aged 12 to 18 years diagnosed with unilateral cerebral palsy. * Ability to use the mobile app independently or with minimal assistance. * Informed consent provided.
Exclusion criteria
* Severe cognitive impairment. * Recent upper limb surgery (within 6 months). * Recent botulinum toxin treatment (within 3 months). * Other neurological or orthopedic disorders affecting upper limb function.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assisting Hand Assessment | baseline, immediately after the intervention, 3 months after intervention |
| Melbourne Assessment v 2.0 MA2 | baseline, immediately after the intervention, 3 months after intervention |
| Nine hole Test | baseline, immediately after the intervention, 3 months after intervention |
Secondary
| Measure | Time frame |
|---|---|
| User satisfaction and usability measured through structured Likert-scale questionnaires post-intervention. | From the recruitment to the follow-up |
| Qualitative data from semi-structured interviews analyzing user experience. | from the recruitment to the end of the treatment |
Outcome results
None listed