Additional Effects of Kinesiotape and Neuromuscular Electrical Stimulation on the Hand Activity.
Condition: Cerebral Palsy
MeSH terms: Cerebral Palsy
Study type: Interventional

Summary: 
      Children with cerebral palsy (CP) manifest several developmental disorders of movement and
      posture. CP children have functional limitations so this study investigates the additional
      effects of kinesio taping and neuromuscular electrical stimulation on hands joint range of
      motion, muscle tone and functional ability in children with hemiplegic cerebral palsy
    

Detailed description: 
      Hemiplegia is a form of spastic Cerebral Palsy (CP) in which one arm and leg on either the
      right or left side of the body is affected. It is the most common syndrome in children born
      at term and is second in frequency only to spastic diplegia among preterm infants. Patients
      with spastic hemiplegia have unilateral prehensile dysfunction as a consequence of lesions in
      the sensorimotor cortex and corticospinal tract. The upper limb is usually more severely
      involved than lower one. This limit reaching, grasping and object manipulation, interfering
      also with exploration, play, self-care and other activities of daily living. It is the most
      common cause of severe physical disabilities in childhood, in which hemiplegia is accounted
      for 36% of children with cerebral palsy. Children with hemiplegic cerebral palsy usually have
      the independent walking ability and intellectual capacity to attend regular school. However,
      impaired hand function restricts their activity and participation in lifestyle, educational,
      leisure and later vocational roles. The most common postures of the upper extremity in
      children with cerebral palsy are shoulder internal rotation, elbow flexion, forearm
      pronation, wrist flexion, finger flexion and thumb in palm is a very common problem seen in
      children with cerebral palsy (CP) and its solution is difficult. The deformity is complex and
      can include: contracture of the thumb metacarpophalangeal joint or global instability;
      contractures of the intrinsic muscles and spasticity; extrinsic motor imbalance with over
      lengthening and/or weakness of the extensor pollicus longus, extensor pollicus brevis, and
      abductor pollicus longus; and contracture and/or weakness of the flexor pollicus longus.
      Thumb in palm deformity can cause restrictions in functional ability and prevent
      somatosensory input in these children. Kinesio taping (KT) is a relatively new therapeutic
      tool used in rehabilitation program of children with cerebral palsy, although it has been
      used for a long time in sport or orthopedic fields, and has been approved as a supplemental
      intervention for other functional impairments. Kinesio tape is a specialized elastic-like
      tape made of latex-free cotton fibers having no medication effect and designed to mimic the
      elasticity properties of the muscle, skin and fascia. By proper taping, the elasticity of the
      tape not only does not restrict the soft tissue, but also supports the weak muscles and
      creates a full ROM.(8) An adjunct therapy, which has gained increasing support for CP in the
      1970s is neuromuscular electrical stimulation (NMES). With NMES, electrical stimulation of
      sufficient intensity generally to produce visible muscle contraction is applied at the muscle
      motor point. Several case studies have reported improvement in hand function
    

Intervention name(s): Experimental: KTT group; Active Comparator: conventional treatment
Intervention type(s): Other; Other
Intervention description(s): This group will receive neurodevelopmental treatment along with kinesotape and neuromuscular electrical stimulation; Group B will receive neurodevelopment treatment along with neuromuscular electrical stimulation.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment