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Enrolling by Invitation

NCT Number: NCT07367477

Horizontal Versus Vertical Upper Extremity Function in Bilateral Cerebral Palsy

The goal of this quasi-experimental study is to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy; could include any of the following: both gender, age ranged from 5 years to 8 years. The main question it aims to answer [is/are]:

There will be no significant difference effect between horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy.

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Key information

Conditions

Bilateral Cerebral Palsy

Age range

5 year–8 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy

Cairo, 11511, Egypt

About this study

This study aims to investigate the effects of to investigate and compare the effects of horizontal and vertical upper extremity performance on hand skills and trunk control in children with bilateral spastic cerebral palsy. The research will evaluate fine motor proficiency, upper extremity function and trunk stability from sitting through a controlled and structured intervention program.

Participants will undergo designed Occupational Therapy program will be applied for 90 minutes, three days per week for successive three months for the both groups by the researcher The study adopts a quasi-experimental design, with thirty participants allocated into two groups of an equal number, twenty children for each group. Two group will be identified as group (A) and group (B).

Data will be analyzed using paired t-test will be used for within group comparison before and after the intervention, for each variable and independent t-test was used to compare the demographic data and the baseline characteristics of both groups for all measured variables, pre and post treatments, with a significance level set at p < 0.05.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Children with BSCP, their chronological age will be ranged from 5 years to 8 years.
  • Their level of motor function will be I or II according to Gross Motor Function Classification System - Expanded and Revised.
  • The degree of spasticity for these children will ranged from grade 1 to 1⁺ according to Modified Ashworth Scale.
  • Their level of fine motor function will be I or II according to The Bimanual Fine Motor Function.
  • All children's level of segmental trunk control will be level 7 (full trunk control) according to Segmental Assessment of Trunk Control.
  • They will be able to follow instructions during evaluation and treatment.

Exclusion criteria

  • Surgical interference in upper limbs and/or spine that may restrain the child performance during activities.
  • Orthopedic problems or fixed deformities in the vertebral column and/or upper extremities.
  • Uncontrolled seizures.
  • Visual or hearing impairment.
  • Receiving special medication affecting muscle and /or mental function.

Treatment and study plan

a designed occupational therapy program to improvement hand skills conducted on a vertical surface.

Procedure

The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a vertical surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.

a designed occupational therapy (OT) program to improvement hand skills conducted on a horizontal surface.

Procedure

The treatment session will be started by the following exercises for 30 minutes as preparation for hand skill training and the second part of the session will be exercises facilitating fine motor skills a horizontal surface for one hour, Three sessions per week will last for 90 minutes, for successive Three months.

Primary outcomes

  1. Change in Fine motor proficiency

    Time frame: Before and after the three months of treatment

    Evaluated using the fine motor form of the Bruinink-Oseretsky test for motor proficiency 2nd edition (BOT-2)

  2. Change in upper extremity function

    Time frame: Before and after the three months of treatment

    Evaluated using the Quality of Upper Extremity Skills Test (QUEST)

  3. Change in trunk stability from sitting

    Time frame: Before and after the three months of treatment

    Evaluated using the Trunk Control Measurement Scale (TCMS) to assess static and anticipatory trunk control

Sponsors and collaborators

Lead sponsor

Raghda Gamal Ateya Abd-Elbary

Other

Registry information

Official study title

HORIZONTAL VERSUS VERTICAL UPPER EXTREMITY PERFORMANCE ON HAND SKILLS AND TRUNK CONTROL IN BILATERAL CEREBRAL PALSY

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 26, 2026
Registry last updated
Jan 26, 2026

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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