Virtual Reality in Children With Hemiparesis

Study Overview
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Brief Summary
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children with cerebral palsy have impaired selective motor control and upper limb functions that affect their performance

Detailed Description
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Twenty volunteer children diagnosed with hemiparetic cerebral palsy will be recruited from national institute of neuromotor system. they will be randomly assigned to intervention and control group.

Official Title
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Effect of Virtual Reality on Selective Motor Control and Upper Limb Functions in Children With Hemiparesis: A Pilot Study

Conditions
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Physical Disability

Intervention / Treatment
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* Other: designed occupational therapy program
* Other: Wii virtual reality games


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Age between 7 and 11 years spasticity grade of 1+ or 2 on MAS level I and II on GMFCS level II and III on MACS Being able to cooperate and being motivated Exclusion Criteria: visual or auditory problems Severe spasticity (an Ashworth spasticity score of 4 in any upper or lower extremities) Severe mental retardation surgeries for spasticity within the past 12 months, toxin injection within the past six months. Structural or fixed soft tissue deformities in the affected upper extremity

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 11 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
Interventional Model Description: Control grouprecivedvDesigned occupational therapy programe including Exercises facilitating hand skill patterns will include basic reach, grasp, carry and release and the more complex skills of in-hand manipulation and bilateral hand use. • study group will recieve Wii virtual reality games Bowling Frisbee Basketball Boxing
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: control group<br>receive occupational therapy program | Other: designed occupational therapy program<br>* Exercises facilitating hand skill patterns will include basic reach, grasp, carry and release and the more complex skills of in-hand manipulation and bilateral hand use.<br>|
| Experimental: study group<br>receive wii virtual reality | Other: Wii virtual reality games<br>* Bowling Frisbee Basketball Boxing<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Selective voluntary motor control of upper extremity | Test of Arm Selective Control will be used to assess selective voluntary motor control of upper extremityIt was developed to quantify the extent to which children with cerebral palsy have selective voluntary motor control. It will be used to assess movement of shoulder, elbow, forearm, wrist, finger and thumb by using simple tools for grasp items from two starting sitting positions | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand grip strength | it will be assessed by hand held dynamometer | 6 weeks | 
| - Upper limb function | it will be assessed by Bruinink-Oseretsky test for motor proficiency subset 7 of upper limb coordination | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebral palsy, selective motor control, upper limb coordination, virtual reality