Bimanual Task Training and Constraint-Induced Movement Therapy in Hemiplegic Cerebral Palsy Children
Condition: Hemiplegic Cerebral Palsy
MeSH terms: Paralysis; Cerebral Palsy
Study type: Interventional

Summary: 
      Various studies have been done comparing the individual effects of the two interventions of
      Constraint-Induced Movement Therapy and Bimanual Task Training in Hemiplegic Cerebral Palsy
      Children, but this study will compare the effects of combined interventions with a single
      intervention. This study will contribute to the upper motor function in hemiplegic cerebral
      palsy children i.e. manual dexterity, grasp and release function, quality and efficacy of
      movement, combined bimanual use of both hands and coordination, as a result of two
      intervention protocols.
    

Detailed description: 
      Various studies have been done comparing the individual effects of these two interventions of
      Constraint-Induced Movement Therapy and Bimanual Task Training in Hemiplegic Cerebral Palsy
      Children. But the literature comparing the effects of combined interventions of these two
      with either of the single intervention is sparse and limited, utilizing different clinical
      experiences and tools for the respective study. This study will contribute to the upper motor
      function in hemiplegic cerebral palsy children by comparing the effects of combined
      interventions with a single intervention with its overall effects in the respective
      population i.e. manual dexterity, grasp and release function, quality and efficacy of
      movement, combined bimanual use of both hands and coordination, as a result of two
      intervention protocols. A total of 54 patients diagnosed with Hemiplegic Cerebral Palsy will
      be selected for data collection according to the inclusion criteria. Patients will be divided
      into two groups, Group A and Group B. Group A will receive Bimanual Task Training and
      Constraint-Induced Movement Therapy (CIMT) and Group B will receive Bimanual Task Training
      alone. Constraint-Induced Movement Therapy (CIMT) will be performed 1.5 hours daily, with the
      constraint of 6 hours applied daily, thrice-weekly sessions, with a total of 10 to 12
      sessions, for 4 weeks, along with, Bimanual Task Training with the practice of each task for
      15 to 30 minutes, 1.5 hours daily, thrice-weekly sessions, with a total of 10 to 12 sessions,
      for 4 weeks respectively in Group A, whereas, Bimanual Task Training will be performed with
      the practice of each task for 15 to 30 minutes, 1.5 hours daily, thrice-weekly sessions, with
      a total of 10 to 12 sessions, for 4 weeks in Group B. Data will be collected at baseline, at
      2 weeks and at 4 weeks after intervention from both groups. Upper Limb Functions will be
      measured using the Melbourne Assessment of Unilateral Upper Limb Function (MUUL) and Canadian
      Occupational Performance Measure (COPM) and Quality of life will be measured using Cerebral
      Palsy Quality Of Life measure (CP-QOL).
    

Intervention name(s): Constraint Induced Movement Therapy and Bimanual Task Training; Bimanual Task Training
Intervention type(s): Other; Other
Intervention description(s): Constraint-Induced Movement Therapy and Bimanual Task Training will be performed. Constraint-Induced Movement Therapy has been shown to improve the uni-manual capacity of the impaired limb as well as improvement in quality and efficiency of movement and greater grasp function, whereas Bimanual Task Training has been shown to improve bimanual task performance, bilateral spontaneous use of affected limb and better bimanual coordination during daily life activities.; Bimanual Task Training will be performed. Bimanual Task Training has been shown to improve bimanual task performance, bilateral spontaneous use of affected limb and better bimanual coordination during daily life activities.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Constraint Induced Movement Therapy; Bimanual Task Training; Cerebral Palsy