Forced use therapy in the piratsgroup to improve upper limb activities in children with Cerebral Palsy: An approach in a meaningful setting with play-based occupational therapy

Forced use therapy in the piratsgroup to improve upper limb activities in children with Cerebral Palsy: An approach in a meaningful setting with play-based occupational therapy - Forced use therapy in the piratsgroup

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON29890

Enrollment

Registered

2007-01-04

Start date

2006-10-30

Completion date

Unknown

Last updated

2024-06-18

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

Conditions

cerebral palsy encephalopathie infantilis

Interventions

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

Mondays, Tuesdays and Thursdays ) and during 6 weeks. They have to stay on the full afternoon. Parents are provided with suggestions to stimulate the use of the affected arm/ hand at home in bimanu

Eligibility

Age

2 Years to 11 Years

Inclusion criteria

Inclusion criteria: Age: 2 years - 8 years Diagnose: spastic hemiparesis or asymmetrical tetraparesis The more involved upper limb is used less (performance) as one should expect based on motor possibilities (capacities)

Exclusion criteria

Exclusion criteria: Presence of a handfunctionimpairment on the affected side without perspectives of active handfunction (Zancolli IIB and III)

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 or Obstetric Plexus Brachial leasion. Measurement 2: 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.	—

Secondary

Measure	Time frame
Measurement 3: Melbourne The Melbourne Assessment of unilateral upper limb function for children with neurological impairment Measurement 4: PDMS-2 and/ or Movement ABC The Peabody Developmental Motor Scales is not developed for children with cerebral palsy but is included in this study to measure change in fine motor skills. Measurement 5: 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 6: ABILHAND- Kids The ABILHAND-kids is a questionnaire to measure manual ability.Parents are asked to fill in the questionnaire. Measurement 7: measurement of muscle tone Muscle tone of elbow and wrist are determined by means of the Tardieu-method and the SPAT (Spasticity test) Measurement 8: muscle strength Muscle strength is measured with the Hand-Held-Dynamometer (for arm strength), and pinch meter (strength between thumb and index finger for pincer grasp and thumb and lateral side index finger for lateral grasp. Also grip strength will be measured Measurement 9: 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. Measurement 10: Box and Bocks To measure change in manual ability of the affected arm and hand during the weeks of intervention and to adjust the therapy program in which repetitive exercises are important, the box and block test will be administered weekly. The child is asked to replace as much as possible blocks from one box to the other within 1 minute. Reliability and validity of the Box and Block test has been examined and are satisfactory (Mathiowetz, 1985)	—

Measure

Time frame

Measurement 3: Melbourne The *Melbourne Assessment of unilateral upper limb function for children with neurological impairment* Measurement 4: PDMS-2 and/ or Movement ABC The *Peabody Developmental Motor Scales* is not developed for children with cerebral palsy but is included in this study to measure change in fine motor skills. Measurement 5: 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 6: ABILHAND- Kids The ABILHAND-kids is a questionnaire to measure manual ability.Parents are asked to fill in the questionnaire. Measurement 7: measurement of muscle tone Muscle tone of elbow and wrist are determined by means of the Tardieu-method and the SPAT (Spasticity test) Measurement 8: muscle strength Muscle strength is measured with the Hand-Held-Dynamometer (for arm strength), and pinch meter (strength between thumb and index finger for pincer grasp and thumb and lateral side index finger for lateral grasp. Also grip strength will be measured Measurement 9: 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. Measurement 10: Box and Bocks To measure change in manual ability of the affected arm and hand during the weeks of intervention and to adjust the therapy program in which repetitive exercises are important, the box and block test will be administered weekly. The child is asked to replace as much as possible blocks from one box to the other within 1 minute. Reliability and validity of the Box and Block test has been examined and are satisfactory (Mathiowetz, 1985)

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Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)