Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

NCT ID: NCT05596513

Last Updated: 2023-04-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-10-30
• Study Completion Date: 2023-02-28

Brief Summary

Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.

Detailed Description

Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion.

A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint.

Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles.

Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.

Conditions

Hemiplegia; Spastic

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

control group

received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).

Group Type: ACTIVE_COMPARATOR

motor learning and occupational therapy

Intervention Type: OTHER

1. Constraint-induced movement therapy (CIMT)

2. Hand-arm bimanual intensive training (HABIT)

study group

received the intensive motor-learning approaches of the control group but from a vertical surface

Group Type: EXPERIMENTAL

Motor Learning Approaches From Working on a Vertical Surface

Intervention Type: OTHER

1. Ball on wall, kneel to stand

2. Kneel walk cross over

3. Vertical playground puzzles and games

4. Color on big boxes

5. Fridge magnets

6. Erasing a whiteboard or chalkboard

7. Tactile feedback from textured walls

Interventions

motor learning and occupational therapy

1. Constraint-induced movement therapy (CIMT)

2. Hand-arm bimanual intensive training (HABIT)

Intervention Type: OTHER

Motor Learning Approaches From Working on a Vertical Surface

1. Ball on wall, kneel to stand

2. Kneel walk cross over

3. Vertical playground puzzles and games

4. Color on big boxes

5. Fridge magnets

6. Erasing a whiteboard or chalkboard

7. Tactile feedback from textured walls

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Children diagnosed with spastic hemiplegic cerebral palsy

2. Age 5 to 9 years

3. Manual Ability Classification System (MACS)19 scores I, II.

4. Children who can understand and cooperate with researcher's instructions

5. Children with no visual or hearing impairment

Exclusion Criteria

1. Children with any surgical interference in the upper limb.

2. Intellectual disability such that simple tasks could not be understood or executed.

3. Inability to combine the study protocol with the regular school program

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 9 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Omnya Samy Abdallah Ghoneim

OTHER

Sponsor Role: lead

Responsible Party

Omnya Samy Abdallah Ghoneim

Lecturer, Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University in Cairo, Egypt.

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Omnya samy, PHD

Role: PRINCIPAL_INVESTIGATOR

lecturer

Locations

Badr University

Badr, Cairo Governorate, Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/003981

Identifier Type: -

Identifier Source: org_study_id