Effects of Constraints Induced Movement Therapy Versus Mirror Therapy in Children With Hemiplegic Cerebral Palsy

Study Overview
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Brief Summary
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The aim of this study is to find Effects of constraints induced movement therapy (CIMT) versus mirror therapy (MT) on hand dexterity and grip strength in children with hemiplegic cerebral palsy.

Detailed Description
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Although quite number of research has been done on effects of CIMT and mirror therapy but most of the studies included stroke population. There was no literature on comparative effect of both CIMT and Mirror therapy in children with hemiplegic cerebral palsy. This study will be covering specifically cerebral palsy children to have better treatment techniques to be introduced in therapeutic programs of hemiplegic cerebral palsy children.

Official Title
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Effects of Constraints Induced Movement Therapy Versus Mirror Therapy on Hand Dexterity and Grip Strength in Children With Hemiplegic Cerebral Palsy

Conditions
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Cerebral Palsy, Hemiplegic Cerebral Palsy

Intervention / Treatment
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* Other: Constraint Induced Movement Therapy (CIMT)
* Other: Mirror Therapy (MT)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children of age range 9-14 year Children with diagnosed hemiplegic cerebral palsy Children who can perform active extension of affected wrist and more than two fingers at an angle of more than 10 degrees Active abduction of affected thumb at an angle of 10 degrees Children who can respond to simple communication- Exclusion Criteria: Children with uncontrolled seizures Botulinum toxin injections or orthopedic surgery in the upper or lower extremities within the previous 12 months or planned within the study period Children with depression who were unable to cooperate in treatment Children who are unable to perform active task training

Ages Eligible for Study
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Minimum Age: 9 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: Treatment Group<br>Constraint Induced Movement Therapy | Other: Constraint Induced Movement Therapy (CIMT)<br>* I will apply CIMT on effected hand to observe the hand dexterity and grip strength<br>* Other names: CIMT;|
| Experimental: Control Group<br>Mirror Therapy | Other: Mirror Therapy (MT)<br>* I will apply Mirror Therapy on effected hand to obeserve the hand dexterity and grip strength<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 9 Hole pegboard test: | The 9 hole peg test is a standardized quantitative assessment used to measure finger dexterity in patients with various neurological diagnosis. | 3 months | 
| Haptic (Tactile) Recognition Test: | it's a quantitative measure of haptic (tactile) object recognition design to test one's ability to recognize everyday objects across seven sensory attributes using 14 sets of objects. Haptic recognition of everyday objects is quite fast and highly accurate with 96% correctly named: 68% in less than 3 s and 94% within 5 sec. | 3 months | 
| Hand Dynamometer: | Hand Dynamometer: Hand dynamometer is an evaluation tool that is used to measure isometric grip force. . Once the grip position is adjusted, the user holds the handle and squeezes the handle | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebral palsy, constraints induced movement therapy, mirror therapy