Effect of Biofeedback and Functional Electrical Stimulation in Children

NCT ID: NCT06729190

Last Updated: 2024-12-20

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

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-31

Study Completion Date

2025-03-31

Brief Summary

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40 children with hemiplegia cerebral palsy from both sex will be recruited from outpatient clinic of abo resh hospital ,their age ranged from 5-10 years

Detailed Description

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40 children with hemiplegia cerebral palsy from both sex will be recruited ,their age ranged from 5-10 years, treatment includes functional electrical nerve stimulation and biofeedback to assess their combined effect on upper limb function

Conditions

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Hemiplegia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A

Physical therapy program The exercise session for one hour for each child , conducted 3times/ week for 3 successive months.

1. Flexibility exercises for shorted muscles and spastic muscles.
2. Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles.
3. Postural control exercise in different positions and different surfaces
4. General endurance training
5. Exercises to facilitate hand function
6. Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand

Group Type PLACEBO_COMPARATOR

Physical therapy program

Intervention Type PROCEDURE

Flexibility exercises for shorted muscles and spastic muscles, Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles, Postural control exercise in different positions and different surfaces, General endurance training, Exercises to facilitate hand function, Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand

Group B

The exercise session for one hour for each child same as group A, conducted 3times/ week for 3 successive months plus the combined biofeedback therapy and FES at anti spastic muscles (shoulders flexors, elbow and wrist extensors

Group Type EXPERIMENTAL

biofeedback

Intervention Type DEVICE

biofeedback therapy and FES at anti spastic muscles(shoulders flexors, elbow and wrist extensors) while doing specific exercises (including basic reaching, grasping, carrying, release

Physical therapy program

Intervention Type PROCEDURE

Flexibility exercises for shorted muscles and spastic muscles, Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles, Postural control exercise in different positions and different surfaces, General endurance training, Exercises to facilitate hand function, Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand

Interventions

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biofeedback

biofeedback therapy and FES at anti spastic muscles(shoulders flexors, elbow and wrist extensors) while doing specific exercises (including basic reaching, grasping, carrying, release

Intervention Type DEVICE

Physical therapy program

Flexibility exercises for shorted muscles and spastic muscles, Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles, Postural control exercise in different positions and different surfaces, General endurance training, Exercises to facilitate hand function, Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Their age will range from 5 to 10 years.
* Spasticity grade range from 1+ to 2, according to Modified Ashworth Scale (MAS) (Bohannon and Smith, 2011).
* Their UL ability function will be at level II according to Manual Ability Classification System (MACS) (Penta et al., 2001).
* They will be able to follow instructions.

Exclusion Criteria

* Loss of sensation
* The presence of visual or auditory impairments.
* Musculoskeletal problems or fixed deformities in the upper extremities.
* Seizures.
* Surgical interference in upper limbs.
* Botulinum toxin injections in the last 6 months.
Minimum Eligible Age

5 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Alaa Eldin Taha Ramadan

Assisstant lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Khaled A Mamdouh, PHD

Role: STUDY_DIRECTOR

professor of physical therapy

Eman I Alhadedy, PHD

Role: STUDY_DIRECTOR

Professor of physical therapy

Amira I Fathi

Role: STUDY_DIRECTOR

Lecturer of physical therapy

Locations

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Cairo University

Giza, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Alaa T Ramadan, M.SC

Role: CONTACT

Phone: 01019320008

Email: [email protected]

Other Identifiers

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012/005003

Identifier Type: -

Identifier Source: org_study_id