Pediatric Hemiparesis
Conditions
Keywords
Hemiparesis, Pediatric hemiparesis, Vojta therapy , Physiotherapy, Pediatric rehabilitation, Upper limb function, Box and Block Test, EEG, EMG
Brief summary
This study describes a single pediatric case with hemiparesis who received a specialized physiotherapy intervention based on the Vojta method. The child, aged 15 years, was treated in a clinical setting by a physiotherapist certified in Vojta therapy during one intensive treatment session. Upper limb function was evaluated before and after the intervention using the Box and Block Test, as well as electroencephalography (EEG) and electromyography (EMG) recordings to explore changes in motor control and brain activity. The main purpose of this study is to document the feasibility and short-term effects of a Vojta-based physiotherapy session on upper limb function and neurophysiological parameters in a child with hemiparesis
Detailed description
This single-case clinical study involves a 15-year-old child with hemiparesis who underwent a physiotherapy intervention using the Vojta method in an outpatient clinic. The intervention consisted of one intensive treatment session delivered by an experienced physiotherapist specialized in Vojta therapy, following standardized stimulation patterns tailored to the patient's motor profile. Upper limb function was assessed immediately before and after the intervention using the Box and Block Test, while simultaneous EEG and EMG recordings were obtained to characterize cortical and muscular activation during motor tasks. The primary objective is to evaluate short-term changes in manual function, and the secondary objective is to describe associated neurophysiological changes, to generate hypotheses for future clinical trials in pediatric patients with hemiparesis.
Interventions
OTHERVojta therapy session
One intensive physiotherapy session based on the Vojta method, including standardized reflex locomotion stimulation patterns, delivered by a physiotherapist specialized in Vojta therapy in an outpatient clinic
Sponsors
Centro Integral Kaplan
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Single-case, single-group interventional study in which one pediatric participant with hemiparesis receives a Vojta therapy session and outcomes are measured before and after the intervention
Eligibility
Sex/Gender
ALL
Age
6 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Hemiparesis, 0-16 years, cognitive ability to perform the Box and Block Test
Exclusion criteria
* Severe musculoskeletal deformities or pain in the upper limb that prevent the performance of the Box and Block Test, Severe visual or auditory impairment that prevents understanding or performing the Box and Block Test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in upper limb manual dexterity (Box and Block Test) | Baseline and immediately after the Vojta therapy session | Manual dexterity of the affected upper limb will be assessed using the Box and Block Test. Higher scores indicate better manual dexterity |
Countries
Spain
Outcome results
None listed