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Completed

NCT Number: NCT06203366

Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral Palsy

The goal of this pilot study is to study the effect of Vojta therpy on upper extremity function in children with cerebral palsy. The main questions are:

* to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of range of motion and function * to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of motion analysis while perform function

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Key information

Age range

7 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Srisangwan School Foundation for the Welfare of the Crippled under Royal Patronage of Her Royal Highness the Princess Mother

Nonthaburi, 11120, Thailand

About this study

Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • spastic diplegia (MACS II-III)
  • can pick box and block test at least 1 block
  • has good trunk stability while sitting
  • can follow command
  • participant and guardian consent to the study

Exclusion criteria

  • no Vojta therapy in last 2 months
  • no history of anti-spastic injection in last 6 months
  • do not receive prednisolone nor adrenocorticotropic hormone (ACTH)
  • cannot control seizure
  • got the specific disease such as osteogenesis imperecta, cardiac disease
  • Participant and guardians do not consent to the study.

Treatment and study plan

Vojta therapy

Procedure

Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.

Primary outcomes

  1. Box and block test

    Time frame: Baseline (before) and within 1 week after the final treatment

    the children have to pick the 1"*1" cube blocks from one side of the box to the other side in 1 minute

Secondary outcomes

  1. active range of motion of upper extremity

    Time frame: Baseline (before) and within 1 week after the final treatment

    the children was asked to active move their shoulder, elbow and wrist for measurement

  2. Nine hole peg test

    Time frame: Baseline (before) and within 1 week after the final treatment

    the children have to pick 9 pegs from the container to insert into the providing holes and record the time

  3. 3D motion analysis of upper extremity

    Time frame: Baseline (before) and within 1 week after the final treatment

    the markers were attached at back, sternum, both shoulders, elbows and wrists. Then, children were to forward rech the object on the table. The camera and mrakers will record and analyz the motion of both upper extremities. This measurement will be done only in children who was treated with Vojta therapy group only. This measurement will report in distance of maximum reaching, velocity and angle velocitym of shoulder, elbow, wrist with forearm pronation/supination. The other parameters are movement duration, peak velocity, time to peak velocity and trajectory straigthness.

  4. Video recording

    Time frame: Baseline (before) and within 1 week after the final treatment

    The camera video will record the distance of maximum reaching in forward reaching and lateral reaching during the 3D kinematics evaluation in the gait lab of both upper extremities movement. This outcome was done in only the intervention group who received Vojta treatment.

Other outcomes

  1. Kinect sensor

    Time frame: This outcome will be measured only in the intervention group. It will be measured immediately or not longer than 1 week after finish the intervention.

    The Kinect sensor evaluation of both upper extremities during playing computer game. Children will be asked to move their upper extremities according to game instructions: arm abduction/adduction, arm forward flexion/extension and elbow flexion/extension. During playing the computer game, there is a kinect sensor to detect motion of upper extremities and capture motion of movement in terms of range of motion, angle of movement in 3 dimensions and velocity of movements. while children playing game, there are recording of the movement via 3D motion analysis from gait lab. The parameters from Kinect sensor will be compared to the parameters which are recorded from the gait lab.

Sponsors and collaborators

Lead sponsor

Mahidol University

Other

Collaborators

  • SRI International
  • Srisangwan School
  • the royal patronage of crippled children

Registry information

Official study title

Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Jan 12, 2024
Registry last updated
Sep 24, 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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