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NCT Number: NCT05782413

Effect of Mechanical Vestibular Stimulation On Hand Function In Hemiparetic Children

The current study will be directed to determine the effect of mechanical vestibular stimulation on fine motor skills and pinch strength in children with hemiparesis. Hemiplegic cerebral palsy causes problems with contraction, sensation, and muscular strength in the upper limbs, and its effective use of muscles for reaching, grasping, releasing, and manipulating objects is often compromised

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Key information

Conditions

Cerebral Palsy Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Nervous System Diseases

Age range

4 year–6 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Physical Therapy

Kafr ash Shaykh, Kafrelsheikh, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Children will be included in the study if they fulfil the following criteria:
  • Diagnosed with hemiparetic cerebral palsy.
  • Age ranged from 4 to 6 years.
  • Children with spasticity grades ranged from 1 to 1+ according to Modified Ashworth Scale
  • Both genders will be included.
  • The child will be able to follow verbal commands and instructions.

Exclusion criteria

  • Children will be excluded from the study if:
  • Any congenital or developmental disorders in addition to hemiplegia cerebral palsy.
  • Current hospitalization for urgent medical reasons.
  • Severe mental retardation.
  • Children having visual or auditory defects.
  • Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to the wrist and hand.

Treatment and study plan

mechanical vestibular stimulation

Other

Device produces mechanical vestibular stimulation. The child was placed in a sitting position on the swing and his hands grasping the ropes at the sides then the therapist stood behind him and begin pushing the platform in fast and jerky movements in back and front, side to side, and in spinning directions with the child trying to maintain his balance in all different directions.

The design exercise program

Other

A selected therapeutic exercises program was based on the principles of NDTBobath neurodevelopmental therapy, which is effective in controlling spasticity in children with cerebral palsy and improving motor function.

i. Preparation of structures and mobilizations of the scapula, shoulder joint, and chest according to the NDT-Bobath concept ii. Exercises to increase shoulder mobility and elbow joint extension. iii. Fine motor skill exercises, wrist, and hand

Primary outcomes

  1. fine motor skills

    Time frame: 3 month

    We will use Peabody Developmental Motor Scale (PDMS-2) to measure visual motor integration, grasp and fine motor.

  2. pinch strength

    Time frame: 3 month

    We will use Hand Dynamometer to measure pinch strength.

Sponsors and collaborators

Lead sponsor

Ahmed Mohamed Abd El Haleem Ghoniem

Other

Registry information

Official study title

Effect of Mechanical Vestibular Stimulation On Hand Function In Children With Hemiparetic Cerebral Palsy

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Mar 23, 2023
Registry last updated
Apr 30, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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