Effectiveness of Routine Physical Therapy With Intensive Bimanual Training in Cerebral Palsy Children

Study Overview
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Brief Summary
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Effectiveness of Routine Physical Therapy With or Without Home Based Intensive Bimanual Training on Clinical Outcomes in Cerebral Palsy Children

Detailed Description
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Cerebral Palsy is one of the most common issue seen in pediatric rehabilitation .Home based intensive Bimanual training has proven to be one of the most effective rehabilitation training for improving motor. The study determines the effectiveness of routine physical therapy with or without home-based intensive bimanual training on coordination of hands and daily activities of daily living. A nine months randomized control trial was comprised of thirty children with unilateral spastic cerebral palsy aged between 4 to 7 years. One group received routine physical therapy and the other group received a goal specific bimanual training from their parents in their home setting for 3.5 hours per week for 6 weeks according to a modified set up. Follow up sessions were done at 6th week. Activities of daily living and coordination were measured using Pediatric motor log activity scale and ABILHAND respectively.

Official Title
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Effectiveness of Routine Physical Therapy With or Without Home Based Intensive Bimanual Training on Clinical Outcomes in Cerebral Palsy Children: A Randomized Controlled Trial

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: home based intensive bimanual training
* Other: Routine Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Spastic CP children Both male and female Age 4-7 years Actively grasp of objects from table i.e., stuff toys, making blocks One to one attention Exclusion Criteria: Cognitive delays preventing the child from following two-step instructions Health diagnoses unassociated with USCP. Parents unable to commit to entire duration of intervention. Visual difficulties preventing performance of intervention tasks.

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 7 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Home Based Intensive Bimanual training
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Experimental group<br>Intensive bimanual training with routine physical therapy | Other: home based intensive bimanual training<br>* Home Based Intensive Bimanual Training with Routine Physical Therapy bimanual training includes. functional activities play with ball, make a dough, make beads, make blocks .Routine Physical Therapy includes stretching spastic muscles, EMS, normalizing muscle tone.<br>|
| Other: control group<br>routine physical therapy | Other: Routine Physical Therapy<br>* Routine physical Therapy includes stretching spastic muscles, EMS, normalizing muscle tone.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ABILHAND | hand coordination | 6th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pediatric Motor Log Activity Scale | Activity of Daily Living | 6th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral Palsy, Bimanual Training