Effect of Mechanical Vestibular Stimulation On Hand Function In Hemiparetic Children

NCT ID: NCT05782413

Last Updated: 2024-04-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-03
• Study Completion Date: 2024-03-31

Brief Summary

The current study will be directed to determine the effect of mechanical vestibular stimulation on fine motor skills and pinch strength in children with hemiparesis. Hemiplegic cerebral palsy causes problems with contraction, sensation, and muscular strength in the upper limbs, and its effective use of muscles for reaching, grasping, releasing, and manipulating objects is often compromised

Conditions

Cerebral Palsy

Study Design

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

Study Groups

Group A

The child will receive a design exercise program. The therapy was based on the principles of NDTBobath neurodevelopmental therapy.

Group Type: EXPERIMENTAL

The design exercise program

Intervention Type: OTHER

A selected therapeutic exercises program was based on the principles of NDTBobath neurodevelopmental therapy, which is effective in controlling spasticity in children with cerebral palsy and improving motor function.

i. Preparation of structures and mobilizations of the scapula, shoulder joint, and chest according to the NDT-Bobath concept ii. Exercises to increase shoulder mobility and elbow joint extension. iii. Fine motor skill exercises, wrist, and hand

Group B

The child will receive a design exercise program for 45 min then mechanical vestibular exercise for 15 mins.

Group Type: EXPERIMENTAL

mechanical vestibular stimulation

Intervention Type: OTHER

Device produces mechanical vestibular stimulation. The child was placed in a sitting position on the swing and his hands grasping the ropes at the sides then the therapist stood behind him and begin pushing the platform in fast and jerky movements in back and front, side to side, and in spinning directions with the child trying to maintain his balance in all different directions.

The design exercise program

Intervention Type: OTHER

A selected therapeutic exercises program was based on the principles of NDTBobath neurodevelopmental therapy, which is effective in controlling spasticity in children with cerebral palsy and improving motor function.

i. Preparation of structures and mobilizations of the scapula, shoulder joint, and chest according to the NDT-Bobath concept ii. Exercises to increase shoulder mobility and elbow joint extension. iii. Fine motor skill exercises, wrist, and hand

Interventions

mechanical vestibular stimulation

Device produces mechanical vestibular stimulation. The child was placed in a sitting position on the swing and his hands grasping the ropes at the sides then the therapist stood behind him and begin pushing the platform in fast and jerky movements in back and front, side to side, and in spinning directions with the child trying to maintain his balance in all different directions.

Intervention Type: OTHER

The design exercise program

A selected therapeutic exercises program was based on the principles of NDTBobath neurodevelopmental therapy, which is effective in controlling spasticity in children with cerebral palsy and improving motor function.

i. Preparation of structures and mobilizations of the scapula, shoulder joint, and chest according to the NDT-Bobath concept ii. Exercises to increase shoulder mobility and elbow joint extension. iii. Fine motor skill exercises, wrist, and hand

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children will be included in the study if they fulfil the following criteria:

1. Diagnosed with hemiparetic cerebral palsy.

2. Age ranged from 4 to 6 years.

3. Children with spasticity grades ranged from 1 to 1+ according to Modified Ashworth Scale

4. Both genders will be included.

5. The child will be able to follow verbal commands and instructions.

Exclusion Criteria

• Children will be excluded from the study if:

1. Any congenital or developmental disorders in addition to hemiplegia cerebral palsy.

2. Current hospitalization for urgent medical reasons.

3. Severe mental retardation.

4. Children having visual or auditory defects.

5. Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to the wrist and hand.

• Minimum Eligible Age: 4 Years
• Maximum Eligible Age: 6 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ahmed Mohamed Abd El Haleem Ghoniem

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Mohamed Abd El Haleem Ghoniem

Principal Investigator, faculty of physical therapy

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Physical Therapy

Kafr ash Shaykh, Kafrelsheikh, Egypt

Countries

Egypt

Other Identifiers

EG, KFS lab 2 Research

Identifier Type: -

Identifier Source: org_study_id