Bilateral Cerebral Palsy
Conditions
Brief summary
The goal of this quasi-experimental study is to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy; could include any of the following: both gender, age ranged from 5 years to 8 years. The main question it aims to answer \[is/are\]: There will be no significant difference effect between horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy.
Detailed description
This study aims to investigate the effects of to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy. The research will evaluate fine motor proficiency, upper extremity function and trunk stability from sitting through a controlled and structured intervention program. Participants will undergo designed Occupational Therapy program will be applied for 90 minutes, three days per week for successive three months for the both groups by the researcher The study adopts a quasi-experimental design, with thirty participants allocated into two groups of an equal number, twenty children for each group. Two group will be identified as group (A) and group (B). Data will be analyzed using paired t-test will be used for within group comparison before and after the intervention, for each variable and independent t-test was used to compare the demographic data and the baseline characteristics of both groups for all measured variables, pre and post treatments, with a significance level set at p \< 0.05.
Interventions
PROCEDUREa designed occupational therapy program to improvement hand skills conducted on a vertical surface.
The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a vertical surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.
PROCEDUREa designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface.
The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a horizontal surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.
Sponsors
Raghda Gamal Ateya Abd-Elbary
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
* Children with BSCP, their chronological age will be ranged from 5 years to 8 years. * Their level of motor function will be I or II according to Gross Motor Function Classification System - Expanded and Revised. * The degree of spasticity for these children will ranged from grade 1 to 1⁺ according to Modified Ashworth Scale. * Their level of fine motor function will be I or II according to The Bimanual Fine Motor Function. * All children's level of segmental trunk control will be level 7 (full trunk control) according to Segmental Assessment of Trunk Control. * They will be able to follow instructions during evaluation and treatment.
Exclusion criteria
* Surgical interference in upper limbs and/or spine that may restrain the child performance during activities. * Orthopedic problems or fixed deformities in the vertebral column and/or upper extremities. * Uncontrolled seizures. * Visual or hearing impairment. * Receiving special medication affecting muscle and /or mental function.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Fine motor proficiency | Before and after the three months of treatment | Evaluated using the fine motor form of the Bruinink-Oseretsky test for motor proficiency 2nd edition (BOT-2) |
| Change in upper extremity function | Before and after the three months of treatment | Evaluated using the Quality of Upper Extremity Skills Test (QUEST) |
| Change in trunk stability from sitting | Before and after the three months of treatment | Evaluated using the Trunk Control Measurement Scale (TCMS) to assess static and anticipatory trunk control |
Countries
Egypt
Contacts
STUDY_CHAIRKamal El Sayed Shoukry, Professor Doctor
Department of physical therapy for growth and developmental disorder in children and its surgery, Faculty of physical therapy, Cairo University
STUDY_DIRECTORNanees Essam Mohamed, Professor Doctor
Department of physical therapy for growth and developmental disorder in children and its surgery, Faculty of physical therapy, Cairo University
STUDY_DIRECTORGehan Mosaad Abd El-Maksoud, Professor Doctor
Department of physical therapy for growth and developmental disorder in children and its surgery, Faculty of physical therapy, Cairo University
Outcome results
None listed