Effect of Using Adaptive Seating Equipment on Hand Function

NCT ID: NCT04651283

Last Updated: 2020-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-01

Study Completion Date

2018-08-30

Brief Summary

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Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into control and study groups of equal numbers each consisted of fifteen children (n=15). Methods: Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment (3 sessions per week), to assess 2 subtests (the grasping skills and visual motor integration skills) for all children of both groups. Control group who received a specially selected physical therapy program for hand function on a standard chair seating. Study group who received the same selected program for hand function on adaptive swiss ball seating.

Detailed Description

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The aim of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis.

In this study, a total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls) aged 3-6 years, they were selected from general hospitals and private centers in kafr El-Sheikh government, randomly assigned to either the control group (n=15), who received a specially selected physical therapy program for hand function on standard chair seating, or the study group (n=15), who received the same selected program for hand function but on adaptive Swiss ball seating. Both groups received 3 sessions per week for 3 successive months. Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment, to assess 2 subtests (grasping skills and visual motor integration skills).

Conditions

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Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

study group and control group
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Adaptive seating equipment group

Study group who received the same selected program for hand function on adaptive swiss ball seating

Group Type EXPERIMENTAL

Adaptive seating equipment group

Intervention Type OTHER

Each child in the study group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day):

1. Building towers and shapes with different textures weights and bright colors.
2. Inserting different shapes in the correct hole.
3. Dropping pellets.
4. Stringing beads.
5. Copying square and triangle.
6. Opening the bottle and close it.
7. Folding and Crumpling paper.
8. Cutting paper by scissors.
9. Tracing line and connecting dots.
10. Reaching above the level of shoulder.
11. Reaching across the midline.
12. Squeezing water out of a sponge.
13. Buttoning and unbuttoning button.
14. Playing clapping games.
15. Turning pages in a book.
16. Lacing string.
17. Picking up a small piece of food and bringing it into the palm.
18. Moving a penny from the palm to the fingers.
19. Removing socks.
20. Brush the teeth.

Traditional seat group

Control group who received a specially selected physical therapy program for hand function on a standard chair seating.

Group Type ACTIVE_COMPARATOR

Traditional seat group

Intervention Type OTHER

Each child in the control group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day):

1. Building towers and shapes with different textures weights and bright colors.
2. Inserting different shapes in the correct hole.
3. Dropping pellets.
4. Stringing beads.
5. Copying square and triangle.
6. Opening the bottle and close it.
7. Folding and Crumpling paper.
8. Cutting paper by scissors.
9. Tracing line and connecting dots.
10. Reaching above the level of shoulder.
11. Reaching across the midline.
12. Squeezing water out of a sponge.
13. Buttoning and unbuttoning button.
14. Playing clapping games.
15. Turning pages in a book.
16. Lacing string.
17. Picking up a small piece of food and bringing it into the palm.
18. Moving a penny from the palm to the fingers.
19. Removing socks.
20. Brush the teeth.

Interventions

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Traditional seat group

Each child in the control group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day):

1. Building towers and shapes with different textures weights and bright colors.
2. Inserting different shapes in the correct hole.
3. Dropping pellets.
4. Stringing beads.
5. Copying square and triangle.
6. Opening the bottle and close it.
7. Folding and Crumpling paper.
8. Cutting paper by scissors.
9. Tracing line and connecting dots.
10. Reaching above the level of shoulder.
11. Reaching across the midline.
12. Squeezing water out of a sponge.
13. Buttoning and unbuttoning button.
14. Playing clapping games.
15. Turning pages in a book.
16. Lacing string.
17. Picking up a small piece of food and bringing it into the palm.
18. Moving a penny from the palm to the fingers.
19. Removing socks.
20. Brush the teeth.

Intervention Type OTHER

Adaptive seating equipment group

Each child in the study group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day):

1. Building towers and shapes with different textures weights and bright colors.
2. Inserting different shapes in the correct hole.
3. Dropping pellets.
4. Stringing beads.
5. Copying square and triangle.
6. Opening the bottle and close it.
7. Folding and Crumpling paper.
8. Cutting paper by scissors.
9. Tracing line and connecting dots.
10. Reaching above the level of shoulder.
11. Reaching across the midline.
12. Squeezing water out of a sponge.
13. Buttoning and unbuttoning button.
14. Playing clapping games.
15. Turning pages in a book.
16. Lacing string.
17. Picking up a small piece of food and bringing it into the palm.
18. Moving a penny from the palm to the fingers.
19. Removing socks.
20. Brush the teeth.

Intervention Type OTHER

Other Intervention Names

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Occupational therapy program for upper limb while the child sitting on chair Occupational therapy program for upper limb while the child sitting on adaptive seating equipment ( swiss ball)

Eligibility Criteria

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Inclusion Criteria

* Children with hemiparetic cerebral palsy.
* The age of the selected children ranged from 3 to 6 years old.
* Degree of spasticity ranged from 1 to 1+, according to Modified Ashworth' Scale (Bohannon and Smith, 1987)
* They were able to follow instructions and understand commands included in both assessment and training procedures.
* They were able to sit independent with trunk control.

Exclusion Criteria

* Children exposed to orthopedic surgeries or potolinium toxins injection in the last 6 mounth before intervention.
* Children with fixed upper limb deformities
* Children with hearing or visual impairments.
Minimum Eligible Age

3 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Mai Elsayed Abbass

Mai Elsayed Abbass

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mai Abbass, Ph.D.

Role: STUDY_DIRECTOR

Cairo University

Ahmed Mahrous, Msc

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Elham Salem, Ph.D.

Role: STUDY_CHAIR

Cairo University

Locations

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Faculty of physical therapy, Cairo university

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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P.T.REC\012\001765

Identifier Type: -

Identifier Source: org_study_id