Motivation's Effect on Home Exercise in Children With OBPP

Study Overview
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Brief Summary
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The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Detailed Description
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Home exercise program is widely used for treatment of OBPP children. The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Official Title
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Does Motivation of the Parents Affect the Efficiency of Home Exercises in Children With OBPP?

Conditions
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Obstetric Paralyses

Intervention / Treatment
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* Other: Motivation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being classified as Narakas type 2a or 2b Being aged between 0 - 18 months Not having regular physiotherapy and rehabilitation program Exclusion Criteria: Having a clinical condition such as upper motor neuron lesion that may affect child's affected arm or whole body, Having secondary surgery for orthopedic problems within last 6 months. Mother having an unidentified cognitive problem, Parents having another child with a disability, Parents not willing to participate.

Ages Eligible for Study
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Maximum Age: 18 Months

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: 33 children with obstetric brachial plexus palsy (OBPP) were randomized into control or intervention groups. Both groups parents were informed about OBPP, given home exercise and exercise diary. Intervention group was called via phone weekly in order to motivate and answer questions. Children's functional scores and parents motivation was measured.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Parents were informed about obstetric brachial plexus palsy, given home exercise program and exercise diary. | Other: Motivation<br>* Families were called via phone weekly and all questions were answered. Parents were motivated through phone.<br>|
| No Intervention: Control<br>Parents were informed about obstetric brachial plexus palsy, given home exercise program and exercise diary. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motivation change | Intrinsic motivation scale measurement: has 21 questions with likert scale rating 1 to 7. Lowest score 21; meaning not motivated at all, 84 means neutral and 147 means fully motivated. | From baseline to 12th week | 
| Scoring general arm function | Active Movement Scale was used for scoring arm function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status. | From baseline to 12th week | 
| Scoring shoulder function | Gilbert and Raimondi's scale was used for scoring shoulder function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status. | From baseline to 12th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scoring elbow function | Gilbert scale was used for scoring elbow function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status. | From baseline to 12th week | 
| Scoring hand function | Raimondi's scale was used for scoring hand function: scale is scored from 1 to 5, with 1 being the worst and 5 being best functional status. | From baseline to 12th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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obstetric paralysis, home exercise, motivation, rehabilitation, parents