Forced Use in the Pirate group for children with predominant unilateral Cerebral Palsy.

Is a period of 6 weeks Forced Use of the more affected upper limb (I) for children with Cerebral Palsy and asymmetric upper extremities, combined with two weeks bimanual play activities in the so called Pirate group (for 3 hours on 3 afternoons a week) providing the opportunity to increase (O) the spontaneous use qualitatively and quantitatively more than a standard group therapy with the same duration and frequency but without using “forced use” (C). Using PICO systematic P stands for patient, I for intervention, C for comparison and O for outcome.

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON22678

Enrollment

Registered

2008-11-19

Start date

2007-01-02

Completion date

Unknown

Last updated

2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Predominant Unilateral Cerebral Palsy: Hemiparesis. Unilaterale Cerebrale Parese: Hemiparese.

Interventions

In the 8 weeks experimental period (E) the children are attending the Pirate group for 3 hours during 3 afterenoons a week to be treated according to the Forced Use (FU) principles. After 6 weeks the

Eligibility

Inclusion criteria

Inclusion criteria: 1. Age: 2 to maximal 8 years old. 2. Cerebral Palsy with spastic hemi pareses of asymmetric tetra pareses. 3. Mentally development on a level that simple tasks can be understood and executed (developmental age minimal 2 years). 4. Possibility to combine the intensive group program (3 afternoons weekly) with an existing school program (developmental age maximal 6-7 years). 5. Child must be able to walk independent and without walking aid. 6. The more affected upper limb is used less then can be expected based on motorical possibilities (developmental disregard).

Exclusion criteria

Exclusion criteria: 1. Presence of behavioural characteristics in such extent that parents and/or rehabilitation physician in chard judge the intensity of the group programma (3 afternoons a week) is too much to sustain for the child.

Design outcomes

Primary

Measure	Time frame
Measurement 1: AHA AHA, Assisting Hand Assessment, has been developed for children aged 18 months to 6 years with a unilateral disorder at the hand/arm due to Cerebral Palsy of Obstetric Plexus Brachial Leasion. Measurement 2: ABILHAND-Kids The ABILHAND-Kids is a questionnaire to measure manual ability. Parents are asked to fill in the questionnaire.	—

Secondary

Measure	Time frame
Measurement 3: Melbourne The “Melbourne Assessment of unilateral upper limb function for children with neurological impairment”. Measurement 4: COPM and GAS COPM is an instrument to list the experienced problems in daily living by means of an open interview. Subsequently goals are described in steps by means of Goal Attainment Scaling (GAS) to make the results measurable. Measurement 5: VOAA Observation of the use of the affected arm and hand during bimanual activities. The Video Observation Aarts & Aarts will be used to measure duration and frequency. Measurement 6: Mobility ROM Active and passive ROM (Range of Motion) of wrist (with fisted hand and also with extended fingers), elbow and Thumb are determined by means of a goniometer.	—

Measure

Time frame

Measurement 3: Melbourne The “Melbourne Assessment of unilateral upper limb function for children with neurological impairment”. Measurement 4: COPM and GAS COPM is an instrument to list the experienced problems in daily living by means of an open interview. Subsequently goals are described in steps by means of Goal Attainment Scaling (GAS) to make the results measurable. Measurement 5: VOAA Observation of the use of the affected arm and hand during bimanual activities. The Video Observation Aarts & Aarts will be used to measure duration and frequency. Measurement 6: Mobility ROM Active and passive ROM (Range of Motion) of wrist (with fisted hand and also with extended fingers), elbow and Thumb are determined by means of a goniometer.

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Contacts

Public ContactP.B.M. Aarts

Sint Maartenskliniek Afd. Peuterrevalidatie Postbus 9011

p.aarts@maartenskliniek.nl+31 (0)24 3659427

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)