Application of Vibration Wave Therapy to the Children Suffering From Cerebral Palsy and Tongue Spastic Dysarthria

Study Overview
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Brief Summary
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Vibration therapy is the widely used in many neurological disorders for different type of problems. Recently, it is being used by researchers for the betterment of motor disorders and muscle movements of the cerebral palsy patients and significant results are obtained. Investigators are conducting this research to explore that whether this therapy can have some effect on the Spastic Tongue Dysarthria of the Cerebral Palsy patients.

Detailed Description
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This study is going to be conducted in collaboration with Shahbaz Khalid Ranjha , Speech Language Pathologist, Family Health Hospital Islamabad who is the main person for the idea of the study and National University of Science & Technology. This study is funded by Higher Education Commission of Pakistan. Recruitment and Intervention Work will be carried out in Family Health Hospital. Special device is being designed for transmission of Vibration waves in Lab of the university. The device is capable to transmit vibration waves to the patient. Urdu language phonological and articulation test(TAAPU) will be used for assessment as it is specially designed for Urdu language population which will be the main focus. Investigators have defined speech parameters for analysis which will be collected before application of intervention, after 3 months and then at the end of the study. Parents assessment will be collected and noted through out the intervention.

Official Title
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Application of Vibration Wave Therapy to the Speech of Children Suffering From Cerebral Palsy and Dysarthria Using Neuro Transmission Cognitive Theory: Single Group Experimental Study

Conditions
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Cerebral Palsy, Spastic Dysarthria

Intervention / Treatment
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* Device: Vibro Tactile Gadget


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: children having dysarthria due to cerebral Palsy Dysarthria due to damage in motor speech area/ broca area. Children having type Spastic Dysarthria Exclusion Criteria: Children diagnosed with following are excluded from our study Any speech disorders hearing impairments cleft palate tongue tie.

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 8 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: spastic Tongue Dysarthria<br>The purpose of gadget is to transmit the mechanical vibration waves to the brain of the subjects. | Device: Vibro Tactile Gadget<br>* The concept is to apply vibro tactile gadget to different nerve points which when applied transmit waves to the focused parts of brain which will result in blood flow and activation of dead cells. As a result some disabled part of the body because of those dead cells can show improvement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child Historical Treatment Measurement | Socio demographic and Health related data is collected so that that efficacy of treatment under study can be calculated w.r.t pre treatment assessments | At Enrollment | 
| Change in phonological disorders using TAAPU Test for assessment of articulation and phonology in urdu language | Scores for fronting, stopping, phonological disorders, final consonant deletion, Nasal assimilation and de-palatalization is calculated pre and post assessment through TAAPU(Test for assessment of articulation and phonology in urdu language). | At month 0, At month 03 and at month 06 | 
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 0 | 
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 3 | 
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 6 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 01 | 
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 02 | 
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 04 | 
| Parent Assessment Checklist | A questionnaire is prepared for the child assessment by the parent. | At month 05 | 
| Change in phonological disorders using TAAPU Test for assessment of articulation and phonology in urdu language | Scores for fronting, stopping, phonological disorders, final consonant deletion, Nasal assimilation and de-palatalization is calculated pre and post assessment through TAAPU(Test for assessment of articulation and phonology in urdu language). | At month 01 and At month 02 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Neurorehabilitation, Vibration, Neurotransmission, cerebral palsy, Dysarthria