Faculty of Physical Therapy, Cairo University
Giza, Cairo Governorate, 12613, Egypt
NCT Number: NCT07518511
PURPOSE: This study evaluated the effectiveness of a Sensory-Enhanced Home-based Intensive Program (SE-HIP), delivered via asynchronous video guidance, compared to a Standard Home Program (SHP) on improving upper limb function in children with cerebral palsy (CP).
BACKGROUND: Children with cerebral palsy (CP) often have upper limb (UL) impairments that limit daily life and participation. Intensive, repetitive therapy is crucial, but traditional delivery has limitations. Home-based programs supported by tele-rehabilitation offer increased dosage and accessibility. Asynchronous models delivered via video guidance are flexible but are less studied for intensive upper limb therapy. Sensory processing deficits are common in cerebral palsy; integrating sensory enhancement may augment motor learning. Evidence combining sensory-enhanced intensive upper limb programs delivered asynchronously is lacking.
HYPOTHESES: The investigators hypothesized that children receiving the Sensory-Enhanced Home-based Intensive Program (SE-HIP) would demonstrate significantly greater improvements in primary upper limb functional outcomes, measured by the Box and Block Test (BBT) and the Nine-Hole Peg Test (NHPT), compared to those receiving the Standard Home Program (SHP).
RESEARCH QUESTION: Does a sensory-enhanced, asynchronous video-guided home program lead to significantly greater improvements in upper limb function (manual dexterity measured by the Box and Block Test (BBT) and the Nine-Hole Peg Test (NHPT)) compared to a standard video-guided home program in children with cerebral palsy (CP)?
Looking for future studies?
Notify Me5 year–10 year
All sexes
Interventional
Not applicable
Giza, Cairo Governorate, 12613, Egypt
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Videos include sensory preparation and intensive motor practice delivered asynchronously at home.
Videos cover standard home exercise activities delivered asynchronously at home.
Time frame: Baseline and after 6 weeks of training
Assesses fine manual dexterity (finger dexterity). The patient places and removes nine pegs into a board as quickly as possible.
Time frame: Baseline and after 6 weeks of training
Assesses gross manual dexterity. The patient moves small wooden blocks across a partition in 60 seconds
Cairo University
Other
Sensory-Enhanced Asynchronous Tele-Rehabilitation Model for Improving Function in Children With Cerebral Palsy: A Randomized Controlled Trial
Acronym: Tele-Rehab
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