Kinesiotaping the Hand in Cerebral Palsy

Study Overview
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Brief Summary
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BACKROUNDS: Thumb in palm deformity restricts hand function by prevent somatosensory input in the children with cerebral palsy who have spasticity in their hands. OBJECTİVES: To investigate the effects of thenar palmar kinesiotape application with and without pressure on hand function in children with cerebral palsy. METHOD: 45 children were randomly allocated to one of the thenar taping groups either with or without pressure or to the control group. Nine hole peg test and nine parts puzzle test were used to measure hand function. The two study groups were evaluated initially, with taping 20 minutes later and 20 minutes after taping was removed.

Detailed Description
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BACKROUNDS: Thumb in palm deformity restricts hand function by prevent somatosensory input in the children with cerebral palsy who have spasticity in their hands. OBJECTİVES: To investigate the effects of thenar palmar kinesiotape application with and without pressure on upper extremity function in children with cerebral palsy. METHOD: 45 children were randomly allocated to one of the thenar taping groups either with or without pressure or to the control group. Nine hole peg test and nine parts puzzle test were used to measure upper extremity function. The two study groups were evaluated initially, with taping 20 minutes later and 20 minutes after taping was removed.

Official Title
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Effects of Kinesiotaping the Hand of Children With Cerebral Palsy

Conditions
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Spasticity

Intervention / Treatment
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* Device: Kinesiotape plus thenar pressure (PPTG)
* Device: Taping Group (TG)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Clinical diagnosis of Cerebral Palsy Stable clinical status Hand and/ or wrist spasticity No passive movement limitation Receiving regular neurodevelopmental rehabilitation Sufficient cognitive level Exclusion criteria: Surgery of the upper extremity Orthotic treatment Sensory deficit

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 14 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: kinesiotape plus thenar pressure (PPTG)<br>In the kinesiotape plus thenar pressure (PPTG). Kinesiotape was applied which controled the cortical thumb sign. In addition a piece of plastazote aiming to give thenar pressure was also applied. The amount of pressure was regulated so that the child felt the pressure without being irritated and without restriction in grasping functions. | Device: Kinesiotape plus thenar pressure (PPTG)<br>* In the kinesiotape plus thenar pressure (PPTG). Kinesiotape was applied to control the cortical thumb sign. In addition a piece of plastazote aiming to give thenar pressure was also applied. The amount of pressure was regulated so that the child felt the pressure without being irritated and without restriction in grasping functions.<br>|
| Experimental: Taping Group (TG)<br>In the taping group (TG) kinesiotape was applied to control the cortical thumb sign. | Device: Taping Group (TG)<br>* In the taping group (TG) kinesiotape was applied to control the cortical thumb sign.<br>|
| No Intervention: Control Group (CG)<br>No application. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Nine hole peg test |  | at baseline (before application), at 20 minutes after application, at 20 minutes after application removed | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| nine parts puzzle test |  | at baseline (before application), at 20 minutes after application, at 20 minutes after application removed | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Spasticity, Hand Function, Cerebral Palsy, Kinesiotape