Effectiveness of Routine Physical Therapy With Intensive Bimanual Training in Cerebral Palsy Children

NCT ID: NCT04755556

Last Updated: 2021-02-16

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

2020-03-06

Study Completion Date

2020-12-06

Brief Summary

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Effectiveness of Routine Physical Therapy With or Without Home Based Intensive Bimanual Training on Clinical Outcomes in Cerebral Palsy Children

Detailed Description

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Cerebral Palsy is one of the most common issue seen in pediatric rehabilitation .Home based intensive Bimanual training has proven to be one of the most effective rehabilitation training for improving motor. The study determines the effectiveness of routine physical therapy with or without home-based intensive bimanual training on coordination of hands and daily activities of daily living. A nine months randomized control trial was comprised of thirty children with unilateral spastic cerebral palsy aged between 4 to 7 years. One group received routine physical therapy and the other group received a goal specific bimanual training from their parents in their home setting for 3.5 hours per week for 6 weeks according to a modified set up. Follow up sessions were done at 6th week. Activities of daily living and coordination were measured using Pediatric motor log activity scale and ABILHAND respectively.

Conditions

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Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Home Based Intensive Bimanual training
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Experimental group

Intensive bimanual training with routine physical therapy

Group Type OTHER

home based intensive bimanual training

Intervention Type OTHER

Home Based Intensive Bimanual Training with Routine Physical Therapy bimanual training includes. functional activities play with ball, make a dough, make beads, make blocks .Routine Physical Therapy includes stretching spastic muscles, EMS, normalizing muscle tone.

control group

routine physical therapy

Group Type OTHER

Routine Physical Therapy

Intervention Type OTHER

Routine physical Therapy includes stretching spastic muscles, EMS, normalizing muscle tone.

Interventions

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home based intensive bimanual training

Home Based Intensive Bimanual Training with Routine Physical Therapy bimanual training includes. functional activities play with ball, make a dough, make beads, make blocks .Routine Physical Therapy includes stretching spastic muscles, EMS, normalizing muscle tone.

Intervention Type OTHER

Routine Physical Therapy

Routine physical Therapy includes stretching spastic muscles, EMS, normalizing muscle tone.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Spastic CP children

* Both male and female
* Age 4-7 years
* Actively grasp of objects from table i.e., stuff toys, making blocks
* One to one attention

Exclusion Criteria

* Cognitive delays preventing the child from following two-step instructions

* Health diagnoses unassociated with USCP.
* Parents unable to commit to entire duration of intervention.
* Visual difficulties preventing performance of intervention tasks.
Minimum Eligible Age

4 Years

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Lahore

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fatima Ejaz, MS-PT

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Locations

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University of lahore

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013 Jun;55(6):509-19. doi: 10.1111/dmcn.12080. Epub 2013 Jan 24.

Reference Type BACKGROUND
PMID: 23346889 (View on PubMed)

Tronnes H, Wilcox AJ, Lie RT, Markestad T, Moster D. Risk of cerebral palsy in relation to pregnancy disorders and preterm birth: a national cohort study. Dev Med Child Neurol. 2014 Aug;56(8):779-85. doi: 10.1111/dmcn.12430. Epub 2014 Mar 13.

Reference Type BACKGROUND
PMID: 24621110 (View on PubMed)

Patel DR, Neelakantan M, Pandher K, Merrick J. Cerebral palsy in children: a clinical overview. Transl Pediatr. 2020 Feb;9(Suppl 1):S125-S135. doi: 10.21037/tp.2020.01.01.

Reference Type RESULT
PMID: 32206590 (View on PubMed)

He P, Chen G, Wang Z, Guo C, Zheng X. Children with motor impairment related to cerebral palsy: Prevalence, severity and concurrent impairments in China. J Paediatr Child Health. 2017 May;53(5):480-484. doi: 10.1111/jpc.13444. Epub 2017 Jan 17.

Reference Type RESULT
PMID: 28094881 (View on PubMed)

Other Identifiers

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IRB-UOL-FAHS/718-XI/2020

Identifier Type: -

Identifier Source: org_study_id

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