Effect of Using Adaptive Seating Equipment on Hand Function
Condition: Cerebral Palsy
MeSH terms: Cerebral Palsy
Study type: Interventional

Summary: 
      Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball
      seating as an alternative for standard chair seating on hand function in children with
      hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys
      and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into
      control and study groups of equal numbers each consisted of fifteen children (n=15). Methods:
      Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually
      before and after three successive months of treatment (3 sessions per week), to assess 2
      subtests (the grasping skills and visual motor integration skills) for all children of both
      groups. Control group who received a specially selected physical therapy program for hand
      function on a standard chair seating. Study group who received the same selected program for
      hand function on adaptive swiss ball seating.
    

Detailed description: 
      The aim of this study was to evaluate the effect of adaptive swiss ball seating as an
      alternative for standard chair seating on hand function in children with hemiparesis.

      In this study, a total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11
      girls) aged 3-6 years, they were selected from general hospitals and private centers in kafr
      El-Sheikh government, randomly assigned to either the control group (n=15), who received a
      specially selected physical therapy program for hand function on standard chair seating, or
      the study group (n=15), who received the same selected program for hand function but on
      adaptive Swiss ball seating. Both groups received 3 sessions per week for 3 successive
      months. Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child
      individually before and after three successive months of treatment, to assess 2 subtests
      (grasping skills and visual motor integration skills).
    

Intervention name(s): Traditional seat group; Adaptive seating equipment group
Intervention type(s): Other; Other
Intervention description(s): Each child in the control group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day):
Building towers and shapes with different textures weights and bright colors.
Inserting different shapes in the correct hole.
Dropping pellets.
Stringing beads.
Copying square and triangle.
Opening the bottle and close it.
Folding and Crumpling paper.
Cutting paper by scissors.
Tracing line and connecting dots.
Reaching above the level of shoulder.
Reaching across the midline.
Squeezing water out of a sponge.
Buttoning and unbuttoning button.
Playing clapping games.
Turning pages in a book.
Lacing string.
Picking up a small piece of food and bringing it into the palm.
Moving a penny from the palm to the fingers.
Removing socks.
Brush the teeth.; Each child in the study group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day):
Building towers and shapes with different textures weights and bright colors.
Inserting different shapes in the correct hole.
Dropping pellets.
Stringing beads.
Copying square and triangle.
Opening the bottle and close it.
Folding and Crumpling paper.
Cutting paper by scissors.
Tracing line and connecting dots.
Reaching above the level of shoulder.
Reaching across the midline.
Squeezing water out of a sponge.
Buttoning and unbuttoning button.
Playing clapping games.
Turning pages in a book.
Lacing string.
Picking up a small piece of food and bringing it into the palm.
Moving a penny from the palm to the fingers.
Removing socks.
Brush the teeth.
Other intervention name(s): Occupational therapy program for upper limb while the child sitting on chair; Occupational therapy program for upper limb while the child sitting on adaptive seating equipment ( swiss ball)
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: study group and control group
Masking: None (Open Label)
Primary purpose: Treatment