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Completed

NCT Number: NCT06011616

Effects of Upperlimb Sensorimotor Training in Hemiplegic Cerebral Palsy

The study aims to determine the effects of upper limb sensorimotor training as compared to task oriented raining in subjects with cerebral palsy. The study will target the upperlimb functions using multiple outcomes and will find the changes in subjects undergoing sensorimotor or task oriented training.

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Key information

Conditions

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

Age range

8 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Alfarabi Special Education Centre/ Physical Health Centre

Islamabad, 44000, Pakistan

About this study

The stduy will include subjects fulfilling the inclusion criteria, will be divided into 2 groups; interventional and control. The interventional group will be recieving sensorimotor training comprising of sensory activities and motor activities. The control group will be having motor activities in the form of task oriented training. The duration of intervention would be 40 minutes in each group, 3 days a week, for 8 weeks.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Hemiplegic cerebral palsy Modified Ashworth scale score 2 and 3

Exclusion criteria

  • Other neurological disorders Previous upper limb surgeries Botox injection in last 1 year

Treatment and study plan

Sensory Training

Other

sensory training includes superficial sensory and deep sensory activities i.e. play with dough, painting with finger, recognizing objects with blocked vision, recognizing the drawn figure on palm, oint compression, bearing the weight on the paretic hand, leaning on the paretic side, walking with hand, rolling the heavy objects, dough squeezing etc.

Motor training

Other

Motor training would involve activitoes such as throwing and catching a ball, targeted ball throwing, hand in hand ball transferring, ball rolling, hitting a ball to ground and wall, hand roller etc.

conventional exercises

Other

stretching exercises, muscle strengthening exercises, static weight bearing exercises, positioning

Primary outcomes

  1. Modified Ashworth Scale (MAS)

    Time frame: Baseline

    Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion

  2. Modified Ashworth Scale (MAS)

    Time frame: After 4 weeks

    Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion

  3. Modified Ashworth Scale (MAS)

    Time frame: After 8 weeks

    Modified Ashworth Scale measures the level of spasticity, ranging from 0-4 with 0 being no increase in tone and 4 being affected parts rigid in flexion

  4. Finger Joint Position Sense

    Time frame: Baseline

    Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.

  5. Finger Joint Position Sense

    Time frame: After 4 weeks

    Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.

  6. Finger Joint Position Sense

    Time frame: After 8 weeks

    Finger Joint Position Sense is done to determine the sense of position, in whcih the subjet's finger is moved by the outcome assesser with eyes closed.

  7. Manual ability classification system

    Time frame: Baseline

    Manual ability classification system is used to determine daily use hand activities

  8. Manual ability classification system

    Time frame: After 4 weeks

    Manual ability classification system is used to determine daily use hand activities

  9. Manual ability classification system

    Time frame: After 8 weeks

    Manual ability classification system is used to determine daily use hand activities

  10. Manual Muscle Testing

    Time frame: Baseline

    Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance

  11. Manual Muscle Testing

    Time frame: After 4 weeks

    Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance

  12. Manual Muscle Testing

    Time frame: After 8 weeks

    Manual Muscle Testing is used to determine the strength. the score varies from 0-5; 0 means no contraction and 5 means movement aagainst maximum resistance

  13. Abilities of Hand (ABILHAND-KIDS)

    Time frame: Baseline

    This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.

  14. Abilities of Hand (ABILHAND-KIDS)

    Time frame: After 4 weeks

    This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.

  15. Abilities of Hand (ABILHAND-KIDS)

    Time frame: After 8 weeks

    This tool is used to determine the hand and manual abilities of the kids. It has 21 manual activites with 3 levels each; 1 as impossible, 2 difficult and 3 easy.

  16. Pediatric Arm Function Test

    Time frame: Baseline

    This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.

  17. Pediatric Arm Function Test

    Time frame: After 4 weeks

    This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.

  18. Pediatric Arm Function Test

    Time frame: After 8 weeks

    This is used to determine the upper extremity movement patterns in playful situation. It has 26 items with each at 6 levels ranging from minimum to maximum function.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Aug 25, 2023
Registry last updated
Jan 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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