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NCT Number: NCT06989034

Sensory Processing, Postural Stability, and Selective Motor Control in Children With Hemiplegia

The goal of this observational case-control study is to examine the relationship between sensory processing abilities, postural stability, and selective motor control (SMC) in children aged 6-10 years with hemiplegic cerebral palsy (CP). The study compares outcomes in children with hemiplegic CP to age-matched typically developing children (TDC). It aims to determine how differences in sensory processing may relate to motor control and balance deficits in this population.

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Key information

Conditions

Cerebral Palsy, Hemiplegic Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Cerebral Palsy Mental Disorders Motor Skills Disorders Nervous System Diseases Neurodevelopmental Disorders Postural Balance Sensory Processing Disorder

Age range

6 year–10 year

Sex eligibility

All sexes

Study type

Observational

Primary location

outpatient clinic, Faculty of Physical Therapy, Cairo University

Giza, Cairo Governorate, 12613, Egypt

About this study

This study investigated the associations between sensory processing abilities, postural stability, and selective voluntary motor control (SVMC) in children diagnosed with hemiplegic cerebral palsy (CP), and compared these findings to age-matched typically developing children (TDC). Thirty children with hemiplegic CP and thirty TDC aged 6-10 years were recruited based on predefined inclusion and exclusion criteria. Children with CP were selected from the outpatient clinic at the Faculty of Physical Therapy, Cairo University.

The study used validated clinical tools: the Child Sensory Profile 2 (SP2) to assess sensory processing abilities across multiple sensory systems and behavioral domains; the HUMAC balance system to evaluate postural stability through modified clinical tests of sensory integration, center of pressure testing, and limits of stability assessments; the Test of Arm Selective Control (TASC) and the Selective Control Assessment of the Lower Extremity (SCALE) to evaluate upper and lower limb SVMC, respectively.

All participants were assessed in a controlled clinical setting, and statistical comparisons were made between the two groups. The study also examined the correlations between sensory profile data and motor/postural outcomes. Ethical approval was obtained, and informed consent was secured from all caregivers. The results are intended to provide insights into the interaction between sensory processing and motor control deficits in children with hemiplegia and to support clinicians in tailoring interventions based on sensory-motor integration profiles.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Diagnosis of spastic hemiplegic cerebral palsy
  • Age between 6 and 10 years
  • GMFCS levels I or II
  • Modified Ashworth Scale score of 1 or 1+ (mild spasticity)
  • Ability to follow simple instructions
  • Caregiver with sufficient English language proficiency

Exclusion criteria

  • Botulinum toxin injections within the past 6 months
  • Visual or auditory impairments
  • Orthopedic or neurosurgical intervention to limbs or spine
  • Musculoskeletal deformities
  • History of seizures

Treatment and study plan

Child Sensory Profile 2 (SP2) for Sensory processing abilities

Other

Sensory processing abilities are evaluated using the Child Sensory Profile 2 (SP2), an 86-item caregiver questionnaire assessing six sensory systems (auditory, visual, touch, movement, body position, and oral) and three behavioral domains (conduct, social-emotional, and attentional).

HUMAC Balance System for Postural stability evaluation

Other

Postural stability is assessed using the HUMAC Balance System, incorporating tests such as:

  • The Modified Clinical Test of Sensory Integration of Balance (mCTSIB)
  • Limits of Stability (LOS) at difficulty levels 4 and 6
  • Center of Pressure (COP) metrics

Selective Motor Control Evaluation for the upper and lower extremities

Other

Selective voluntary motor control is evaluated using the following tools:

  • Test of Arm Selective Control (TASC) for the upper extremities
  • Selective Control Assessment of the Lower Extremity (SCALE) for the lower extremities

Primary outcomes

  1. ensory Profile 2 (SP2) Total and Subscale Scores

    Time frame: Single assessment session (within a 1-day visit)

    Scores across sensory domains and behavioral responses will be compared between groups and correlated with motor outcomes.

  2. HUMAC Balance Scores (COP, LOS, mCTSIB)

    Time frame: Single assessment session (within a 1-day visit)

    Quantitative balance parameters will be analyzed between groups.

  3. TASC and SCALE Scores

    Time frame: Single assessment session (within a 1-day visit)

    Selective motor control scores (range 0-2 per joint movement) will be summed and analyzed.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Sensory Processing Abilities in Relation to Postural Stability and Selective Motor Control in Children With Hemiplegia.

Acronym: HeSPoM

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
May 25, 2025
Registry last updated
May 25, 2025

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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