Effects of Theraplay on Hand in Cerebral Palsy

NCT ID: NCT06502639

Last Updated: 2024-12-27

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-01

Study Completion Date

2024-08-08

Brief Summary

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Among the neurological conditions known as cerebral palsy are those that impact muscle tone, mobility, and cooperation. Cerebral palsy that affects only one side of the body is known as hemiplegic cerebral palsy. Damage to one side of the brain causes this disorder, which usually manifests as before, in the middle of, or soon after birth. The ability to use one\'s hands with coordination and expertise to accomplish tasks that call for control and accuracy is known as hand dexterity. For those who have cerebral palsy, hand dexterity can be a major issue. Developing hand dexterity is crucial as it might augment an individual\'s capacity to execute routine tasks and attain greater autonomy.Convenient sampling will be used to carry out a randomized control study.

Twenty two subjects will be divided into two groups at random. The experimental group will receive Theraplay therapy, which is a program that includes various play-based activities like playing with wooden puzzles, clay and blocks, making wraps, bubble tennis, and special handshakes, claps, and high fives, in addition to designed conventional therapy. The control group will receive designed conventional physical therapy exercises for the affected hand, such as hand weight-bearing exercises, stretching and strengthening exercises, and exercises using sponge balls.

The course of treatment will run for eight weeks. As outcome measures, the GMFCS and MACS scales, the box and block test, finger tapping, and the nine-hole peg test will be employed.

Data will be analyzed on SPSS version 25; the normality of the data will be checked and tests will be applied according to the normality of the data either it will be a parametric test or non parametric based on the normality.

Detailed Description

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Group A: The control group will receive a designed conventional physical therapy program for the affected hand like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises.

Group B: The experimental group will receive Theraplay therapy or a program and different play-based activities like playing with wooden puzzles and playing with clay and blocks, special handshake claps high fives, making wraps, and bubble tennis in addition to designed conventional therapy.

Conditions

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Hemiplegic Cerebral Palsy

Keywords

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cp hand dexterity theraplay

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

it will randomized controlled trial in which non probability convenient sampling will be used. Two groups of 6-12 years will be performed in which participant will randomly divided. Group A will recieve conventional therapy and Group B will recieve conventional therapy with theraplay program.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
participant will get seperate treatment protocols and possible efforts will be put to mask the both group about the treatment

Study Groups

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conventional therapy

The control group will receive a designed conventional physical therapy program for the affected hand like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises.

Group Type ACTIVE_COMPARATOR

conventional physical therapy

Intervention Type OTHER

conventional physical therapy program for like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises

conventional therapy along with theraplay program

The experimental group will receive Theraplay therapy or a program and different play-based activities like playing with wooden puzzles and playing with clay and blocks, special handshake claps high fives, making wraps, and bubble tennis in addition to designed conventional therapy.

Group Type EXPERIMENTAL

theraplay program

Intervention Type OTHER

A play therapy method called "thermaplay" aids in children's development of stronger bonds and relationships with others. It emphasizes the parts of communication that are nonverbal. When it comes to giving cerebral palsy children with hand therapy that is both effective and motivating, fun approaches have been shown to be both successful and appealing.

Interventions

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theraplay program

A play therapy method called "thermaplay" aids in children's development of stronger bonds and relationships with others. It emphasizes the parts of communication that are nonverbal. When it comes to giving cerebral palsy children with hand therapy that is both effective and motivating, fun approaches have been shown to be both successful and appealing.

Intervention Type OTHER

conventional physical therapy

conventional physical therapy program for like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Ages of both boys and girls range from 6 to 12 years
* Based on the Modified Ashworth Scale, the degree of spasticity is between 1 and 1+.
* Capable of grasping, releasing, and reaching with the afflicted hand
* Capable of comprehending and adhering to instructions

Exclusion Criteria

* Children with mixed C.P., ataxic, athetoid, and mental retardation
* Visual and auditory issues
* Upper limb congenital malformations, Convulsions
* Youngsters who have recently sustained upper extremity trauma
Minimum Eligible Age

6 Years

Maximum Eligible Age

12 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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sidra jamal, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Riphah International University

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020 Jun 12;16:1505-1518. doi: 10.2147/NDT.S235165. eCollection 2020.

Reference Type BACKGROUND
PMID: 32606703 (View on PubMed)

Tahsin Z. Effect of hand activities group therapy program on ADL performance of children with cerebral palsy at CENTRE FOR THE REHABILITATION OF THE PARALYSED (CRP): Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2019.

Reference Type BACKGROUND

Other Identifiers

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REC/RCR&AHS/23/0777

Identifier Type: -

Identifier Source: org_study_id