Strength and Dexterity of Less Affected Hand of Hemiparetic Cerebral Palsy Children

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

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-10-01

Study Completion Date

2023-09-30

Brief Summary

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The contralateral hand deficits are often masked by the complex clinical presentation of the more affected hand in children with spastic hemiparesis. Thus, intervention targeting the contralateral hand is not often a component of the child's rehabilitation plan of care. The presence of bilateral hand deficits, even if subtle in the contralateral hand, may limit the transfer of unimanual gains following rehabilitation to bimanual activities of daily living tasks. However, conservation of upper-limb function of the less-affected side is highly important for individuals with hemiparesis, because this side is often employed as a compensatory 'tool' in performing activities of daily living . Therefore, the current study will be conducted to determine and compare the motor abilities of the less affected hand of children with hemiparesis.

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Detailed Description

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An impairment of the less affected hand of hemiparetic cerebral palsy children can be detrimental to the development of bimanual skills. It would be beneficial to identify and quantify the severity of any impairment of the less affected hand of hemiparetic cerebral palsy children. Hemiparetic cerebral palsy may present with substantial deficits in hand function, because bimanual activities involve the ability to use the affected and contralateral hands together for grasp and stabilization. Several authors have evaluated bimanual involvement in cerebral palsy but these studies have not compared the contralateral hand with norms. The less affected hand is widely regarded as "normal" or "unaffected" and is consequently rarely evaluated.

Several authors have reported incidental findings of subtle deficits in the less affected extremity, noted that hemiparetic children "also presented motor impairments in their non-paretic hand, especially in dexterity.

The purpose of this study is to assess the grip ,pinch strength and dexterity of less affected hand of hemiparetic cerebral palsy children and compare with dominant hand of normal peers

Conditions

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Cerebral Palsy

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Hemiparetic group

This group will contains 60 children with hemiparesis

Assessment of hand grip strength

Intervention Type OTHER

Assessment of hand grip strength

Assessment of pinch strength

Intervention Type OTHER

Assessment of pinch strength

Assessment of upper limb dexterity

Intervention Type OTHER

Assessment of upper limb dexterity

Normal group

This group will contains 60 children with normal children

Assessment of hand grip strength

Intervention Type OTHER

Assessment of hand grip strength

Assessment of pinch strength

Intervention Type OTHER

Assessment of pinch strength

Assessment of upper limb dexterity

Intervention Type OTHER

Assessment of upper limb dexterity

Interventions

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Assessment of hand grip strength

Intervention Type OTHER

Assessment of pinch strength

Intervention Type OTHER

Assessment of upper limb dexterity

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Children will be recruited according to the following criteria:
* Age range between 6 and 10 years.
* Both sexes
* The degree of spasticity rang from grade 1 to 1+ according to Modified Ashworth scale (Appendix II).
* They can follow the order during the testing.

Exclusion Criteria

* Significant visual or auditory defect that may affect their performance.
* Previous orthopedic surgery for upper extremity.
* Injection with Botulinium toxin in the last 6 months.
* Structural deformities in any joint or bone of the upper limbs.
* Practicing any form of sports.

Minimum Eligible Age

6 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes