Effect of Core Stability Exercises on Hand Functions in Children With Hemiparesis

Study Overview
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Brief Summary
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Background: Impaired upper extremity is the major disability facing the children with hemiplegia as the inability to use hands for reach; grasp and manipulation affect their daily life activities. little attention has been given to gain perspective about abnormal movements that are detectable in hemiplegic cerebral palsy that are related to one's level of core stability and how they affect their hand functions.

Detailed Description
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Background: Impaired upper extremity is the major disability facing the children with hemiplegia as the inability to use hands for reach; grasp and manipulation affect their daily life activities. little attention has been given to gain perspective about abnormal movements that are detectable in hemiplegic cerebral palsy that are related to one's level of core stability and how they affect their hand functions. Objective: The purpose was to investigate the effectivness of core stability exercises on hand functions in hemiplegic cerebral palsy. Methods: Thirty hemiparetic cerebral palsied children of both sexes, ranged in age from 6 to 8 years enrolled in this study. They randomly assigned into two groups of equal number. Group (A) received the selective physiotherapy exercises and group (B) received the same selective physiotherapy exercises program in addition to core stability exercises three times/week for 60 min for 12 weeks. Time motor performance, gross manual dexterity and skills of the upper extremity were assessed by using Jebsen Taylor Test (JTHFT), Box and Block Test (BBT) and Quality Upper Extremity Skill Test (QUEST) respectively before and after treatment.

Official Title
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Effect of Core Stability Exercises on Hand Functions in Children With Hemiparesis

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: CORE STABILITY EXERCISES


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The level of gross motor function ranged from II to III, according to Gross Motor Function Classification System All participants are cognitively capable and competent of interpreting and following instructions Exclusion Criteria: if they had fixed contractures or deformities of the spine, upper or lower extremities, visual or respiratory disorders, orthopedic surgery on their involved upper extremity; dorsal rhizotomy; botulinum toxin therapy in the upper extremity musculature during the past 6 months who wished to receive it within the period of study

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 8 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: CONTROL GROUP<br>received the selective physiotherapy exercises | |
| Experimental: STUDY GROUP<br>received the same selective physiotherapy exercises program in addition to core stability exercises three times/week for 60 min for 12 weeks | Other: CORE STABILITY EXERCISES<br>* SELECTED CORE EXERCISES<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Jebsen Taylor Test | scale used to asses gross manual dexterity | Jebsen Taylor Test used to assess gross manual dexterity before the intervention and after three months of the intervention . the loweest score indicate improvement | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Box and Block Test | scale used to asses gross manual dexterity | Box and Block Test used to asses gross manual dexterity pre and after 3 months of intervension | 
| Quality Upper Extremity Skill Test | scale used to asses skills of the upper extremity | Quality Upper Extremity Skill Test scale used to asses skills of the upper extremity pre and after 3 months of intervension |