Stroke
Conditions
Brief summary
Pediatric stroke poses significant challenges due to its impact on a child's developing brain. Both ischemic and hemorrhagic strokes in children can result in long-term motor, sensory, and cognitive impairments, particularly affecting upper limb function. Comprehensive Hand Repetitive Intensive Strength Training is a structured intervention model that integrates high-repetition, strength-based, and goal-oriented exercises targeting upper limb coordination and use. This study aims to explore the efficacy of CHRIST in improving upper limb function using the ABILHAND-Kids questionnaire to assess changes in manual ability. The study aims to generate pediatric-specific evidence for intensive hand-focused rehabilitation strategies.
Interventions
A session of 40 minutes, which includes 3 sets (10 minutes exercise with 3 minutes rest period per set), three times a week, over a 10 weeks period. The speed of the treadmill for the upper limbs will be 0.3-1.2 km/h.
Sponsors
Study design
Eligibility
Inclusion criteria
* Children aged 7 to 12 years diagnosed with pediatric ischemic or hemorrhagic stroke(21). * Clinical evidence of upper limb motor impairment following stroke. * Parent/guardian consent and child assent obtained.
Exclusion criteria
* Severe cognitive or behavioral impairments interfering with therapy. * Uncontrolled seizures or medical conditions contraindicating exercise. * Previous participation in intensive upper limb therapy within the last 3 months. * Orthopedic conditions (e.g., fractures, contractures) that limit upper limb movement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ABILHAND-Kids | Baseline and after 10 weeks | The ABILHAND-Kids is specifically developed to evaluate upper limb function in children and adolescents with neurological impairments, making them highly sensitive to changes in motor performance |
Countries
Pakistan
Contacts
Riphah International University, Lahore