Virtual Reality With Mirror Therapy on Upper Limb Function
NCT ID: NCT06728475
Last Updated: 2024-12-11
Study Results
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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NOT_YET_RECRUITING
NA
60 participants
INTERVENTIONAL
2024-12-10
2025-03-15
Brief Summary
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. The main question of the study is Are there any significant differences between the effects of virtual reality , mirror therapy and the combined effect of both techniques and on upper limb function in hemiplegic CP children?
Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program
Detailed Description
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. The main question of the study is Are there any significant differences between the effects of virtual reality (VR), mirror therapy (MR) and the combined effect of both techniques (VR) and (MR) on upper limb function in hemiplegic CP children?
Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
OTHER
TRIPLE
Study Groups
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Group (A) virtual reality group
this group will receive virtual reality intervention plus designed physical therapy program
virtual reality
In Xbox, we will choose suitable games that aim to improve upper limb function like boxing, Darts, tennis, goalkeeping, basketball, disc throwing, balling, and volleyball.
The Kinect sensor has the advantage of auto adjustment of its camera according to the child's position and height that's to say the child can perform the game in sitting or standing according to their abilities.
They will receive 30 minutes of VR intervention in addition to the time required for the designed physical therapy program.
Group (B) mirror therapy group
this group will receive mirror therapy intervention plus designed physical therapy program
mirror therapy
Mirror Therapy A mirror of 30 × 20 inches was used for the MT, which was large enough to cover the entire affected limb while still allowing the reflection of the non-affected limb to be seen. The child was seated in a chair with the forearms resting on the table. In the mid-sagittal plane, the mirror box was positioned at an angle of 70° to 80° to the trunk. The affected limb was placed behind the mirror. The child was asked to perform the exercises bilaterally and symmetrically as much as possible. Even if the affected side did not move easily or fully, the child was advised to synchronize the motions with both hands and arms. The researcher constantly reminded the child to concentrate on the movement of the non-affected limb in front of the mirror, which helped to increase the mirror illusion
Group (C) the compound effect of virtual reality and mirror therapy group
this group will receive virtual reality intervention , mirror therapy intervention plus designed physical threrapy program
virtual reality with mirror therapy
group C will receive combined effect of both techniques (virtual reality and mirror therapy)
Interventions
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virtual reality
In Xbox, we will choose suitable games that aim to improve upper limb function like boxing, Darts, tennis, goalkeeping, basketball, disc throwing, balling, and volleyball.
The Kinect sensor has the advantage of auto adjustment of its camera according to the child's position and height that's to say the child can perform the game in sitting or standing according to their abilities.
They will receive 30 minutes of VR intervention in addition to the time required for the designed physical therapy program.
mirror therapy
Mirror Therapy A mirror of 30 × 20 inches was used for the MT, which was large enough to cover the entire affected limb while still allowing the reflection of the non-affected limb to be seen. The child was seated in a chair with the forearms resting on the table. In the mid-sagittal plane, the mirror box was positioned at an angle of 70° to 80° to the trunk. The affected limb was placed behind the mirror. The child was asked to perform the exercises bilaterally and symmetrically as much as possible. Even if the affected side did not move easily or fully, the child was advised to synchronize the motions with both hands and arms. The researcher constantly reminded the child to concentrate on the movement of the non-affected limb in front of the mirror, which helped to increase the mirror illusion
virtual reality with mirror therapy
group C will receive combined effect of both techniques (virtual reality and mirror therapy)
Eligibility Criteria
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Inclusion Criteria
1. A medical diagnosis of spastic hemiplegic CP made by pediatric neurologists.
2. Children with spasticity grades ranged from 1 to 1+ according to MAS.
3. Their age range from 4 to 10 years.
4. Children level 1 and level 2 in gross motor functional classification (GMFC 1\&2)
Exclusion Criteria
1. They had a permanent deformity (bony or soft tissue contractures).
2. Children having visual or auditory defects.
3. Children who can not understand verbal commands
4. Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to wrist and hand.
4 Years
10 Years
ALL
No
Sponsors
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Kafrelsheikh University
OTHER
Responsible Party
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Khalid Esmail Mohamed Mohamed
Effect Of Virtual Reality with Mirror Therapy on Upper Limb Functions in Children with Hemiplegic Cerebral Palsy
Principal Investigators
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Mohamed B Ibrahim, Ass.Prof.
Role: STUDY_CHAIR
head of pediatric department in faculty of physical therapy Kafrelshiekh university
Osama A El-Agamy, Professor
Role: STUDY_DIRECTOR
Professor and head of department of pediatric department Faculty of medicine Kafrelshiekh university
Sara Y Abdel Elglil, Lecturer
Role: STUDY_DIRECTOR
Lecturer in pediatric department in faculty of physical therapy Kafrelshiekh University
Locations
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faculty of physical therapy Kafrelshiekh university
Kafr ash Shaykh, , Egypt
Countries
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Central Contacts
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Facility Contacts
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khalid E mohamed, demonstrator
Role: primary
References
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Atasavun Uysal S, Baltaci G. Effects of Nintendo Wii Training on Occupational Performance, Balance, and Daily Living Activities in Children with Spastic Hemiplegic Cerebral Palsy: A Single-Blind and Randomized Trial. Games Health J. 2016 Oct;5(5):311-317. doi: 10.1089/g4h.2015.0102. Epub 2016 Oct 5.
Other Identifiers
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KFSIRB200-254
Identifier Type: -
Identifier Source: org_study_id