Synchronous Telerehabilitation vs Face to Face Method for Upper Extremity Functions in Children With Hemiparetic CP
NCT ID: NCT05522452
Last Updated: 2023-06-15
Study Results
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Basic Information
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COMPLETED
NA
42 participants
INTERVENTIONAL
2022-10-19
2023-04-10
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
SINGLE
Study Groups
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Telerehabilitation group
The telerehabilitation group will participate in the treatment in their homes. While the participants are performing the activities in their own homes, applications will be made via webcam-based software (Zoom) and synchronous access via video and audio from the physiotherapist's computer screen. The activities determined by the physiotherapist will be directed to the family, and the activities will be adapted and implemented according to the child's needs and functional level.
Physiotherapy program will include the following applications:
* Tone regulation
* Active stretching and strengthening exercises
* Gross and fine motor activities to improve bilateral hand use
* Daily living activities to improve upper extremity functional skills such as dressing, eating, and buttoning.
* Arts and crafts activities
Telerehabilitation
Telerehabilitation program: Intervention will be applied by video interview for 12 weeks, 2 days a week, 45 minutes a day through the Zoom application. The application is free and can be installed on desktop or laptop computers, tablets and smartphones. The content of the activities to be done for that session by phone call to the parent before the interventions; Information will be given about the preparations such as keeping the materials on the table, suitable environment for that week's session and camera angle. Instructions and tips for parent support during the intervention will be given before and during the session. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.
Face to face group
The face-to-face group will be treated in the clinic. To this group; The activities determined by the physiotherapist will be applied face to face.
Physiotherapy program will include the following applications:
* Tone regulation
* Active stretching and strengthening exercises
* Gross and fine motor activities to improve bilateral hand use
* Daily living activities to improve upper extremity functional skills such as dressing, eating, and buttoning.
* Arts and crafts activities
Face to face rehabilitation
Face to face program: Intervention will be applied by physiotherapist for 12 weeks, 2 days a week, 45 minutes a day in clinic. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.
Interventions
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Telerehabilitation
Telerehabilitation program: Intervention will be applied by video interview for 12 weeks, 2 days a week, 45 minutes a day through the Zoom application. The application is free and can be installed on desktop or laptop computers, tablets and smartphones. The content of the activities to be done for that session by phone call to the parent before the interventions; Information will be given about the preparations such as keeping the materials on the table, suitable environment for that week's session and camera angle. Instructions and tips for parent support during the intervention will be given before and during the session. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.
Face to face rehabilitation
Face to face program: Intervention will be applied by physiotherapist for 12 weeks, 2 days a week, 45 minutes a day in clinic. Intervention will be focused on upper extremity skills and activities of daily life of the individuals.
Eligibility Criteria
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Inclusion Criteria
* Manual Ability Classification System ≤ 3
* Age between 6 and 18
* Absence of major visual and/or auditory deficits
* Sufficient cooperation to comprehend and complete the test procedure and participate in treatment
* Family members being active mobile phone or computer and internet users
Exclusion Criteria
* Surgery and/or botulinum toxin-A injections in the upper limb within 6 months prior to the baseline assessment
* Having a disabling behavioral disorder to treatment
* Family's discontinuation of treatment
6 Years
18 Years
ALL
No
Sponsors
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Istanbul University - Cerrahpasa
OTHER
Responsible Party
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Gamze Polen Altun
Principal Investigator
Principal Investigators
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AYSE ZENGIN ALPOZGEN, PhD
Role: PRINCIPAL_INVESTIGATOR
Istanbul University - Cerrahpasa
Locations
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İstanbul University Cerrahpasa
Istanbul, , Turkey (Türkiye)
Countries
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References
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Camden C, Pratte G, Fallon F, Couture M, Berbari J, Tousignant M. Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review. Disabil Rehabil. 2020 Dec;42(24):3424-3436. doi: 10.1080/09638288.2019.1595750. Epub 2019 Apr 12.
Other Identifiers
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PhD thesis
Identifier Type: -
Identifier Source: org_study_id
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