ICF-Based Evaluation of the Upper Extremity in Children With Quadriparetic Cerebral Palsy

NCT ID: NCT06585397

Last Updated: 2024-09-19

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 20 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-08-01
• Study Completion Date: 2024-09-01

Brief Summary

Cerebral palsy (CP) is a neurodevelopmental disorder characterized by abnormalities in muscle tone, movement, and motor skills resulting from permanent, non-progressive damage to the developing brain before, during, or after birth. The worldwide prevalence of CP is 2-3 per 1000 live births. Spastic CP accounts for approximately 85% of all CP cases. Among the types of spastic CP, quadriparetic CP (QCP) is the most severe and accounts for 20% of spastic CP cases. Individuals diagnosed with quadriparetic cerebral palsy (QCP) are restricted from participating in daily life activities due to inadequate upper extremity function (spasticity, muscle weakness, inability to perform isolated movements, and limitation of supination movements). In order to correctly evaluate children diagnosed with QCP and determine treatment priorities, it is very important to evaluate them based on the International Classification of Functioning, Disability, and Health (ICF). In the literature, there is no study that evaluates the upper extremity of individuals with isolated QCP based on ICF. The aim of this study is to examine the upper extremity functions of individuals with isolated QCP diagnosis within the framework of ICF.

Detailed Description

It is an observational study. Purpose of the study: To examine the upper extremity functions of individuals with an isolated diagnosis of quadriparetic Cerebral Palsy (QCP) within the framework of ICF.

Participants: Children with quadriparetic CP between the ages of 0-17.

Questions:

• What is the relationship between upper extremity spasticity and manual dexterity in children with QCP?
• What is the relationship between manual skills and activities of daily living in children with QCP?

The upper extremities of the patients with QCP will be evaluated within the framework of ICF. Body structure and functions will be evaluated with the Modified Ashworth Scale (MAS), activities with the Manual Ability Classification System (MACS), and participation with the Functional Independence Measure for Children (WeeFIM). The evaluations will be made by physiotherapists experienced in children with CP.

Conditions

Upper Extremity Spasticity; Quadriplegic Cerebral Palsy

Study Design

• Observational Model Type: ECOLOGIC_OR_COMMUNITY
• Study Time Perspective: RETROSPECTIVE

Study Groups

Upper extremity evaluation of children with quadriparetic CP

Within the framework of ICF, the Modified Ashworth Scale, the Manual Ability Classification System and the Functional Independence Measure for Children will be applied to 20 quadriparetic children with CP.

Grup 1

Intervention Type: OTHER

Within the framework of ICF, the Modified Ashworth Scale, the Manual Ability Classification System and the Functional Independence Measure for Children will be applied to 20 quadriparetic children with CP.

Interventions

Grup 1

Within the framework of ICF, the Modified Ashworth Scale, the Manual Ability Classification System and the Functional Independence Measure for Children will be applied to 20 quadriparetic children with CP.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• The age of the cases is between 0-17,
• They have been diagnosed with quadriparetic CP,
• The participants and parents want to participate in the study voluntarily.

Exclusion Criteria

• Having different types of CP such as dyskinetic, ataxic and mixed type,
• Having spastic diparetic or hemiparetic type CP,
• Having any history of surgery on the musculoskeletal system,
• Having received Botulinum Toxin injection within the last 6 months.

• Maximum Eligible Age: 17 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Acıbadem Atunizade Hospital

OTHER

Sponsor Role: lead

Responsible Party

Neslihan Yildizdagi

Physiotherapist

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Neslihan Yıldızdağı

Role: PRINCIPAL_INVESTIGATOR

Acıbadem Atunizade Hospital

Locations

Acıbadem Altunizade Hospital

Istanbul, AA, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

Neslihan Yildizdagi

Identifier Type: -

Identifier Source: org_study_id