Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic CP

Study Overview
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Brief Summary
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The aim of the work was to find out the effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy.

Detailed Description
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The significance of this study is that there was paucity of literature in finding the comparative effects of sensorimotor training and constraint induced movement therapy on upper extremity function in children with hemiplegic cerebral palsy. The aim is to find out the effects of sensorimotor training on motor functioning of the upper extremity in comparison of constraint induced movement therapy.

Official Title
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Comparison of Sensorimotor Training and Constraint Induced Movement Therapy on Upper Extremity Function in Children With Hemiplegic Cerebral Palsy

Conditions
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Hemiplegic Cerebral Palsy

Intervention / Treatment
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* Other: sensorimotor training
* Other: constraint induced movement therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: subjects who were fully oriented children diagnosed with hemiplegic cerebral palsy no history of intramuscular botulinum injections past one year Exclusion Criteria: children with epilepsy gross deformity of upper limb children with contractures

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 15 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: sensorimotor training<br>sensorimotor training group did sensorimotor activities e.g play with dough,peg games 5 days a week for 4 weeks. | Other: sensorimotor training<br>* sensorimotor training include activities like play with dough, peg games, puzzles for 5 days a week for 4 week.<br>|
| Experimental: constraint induced movement therapy<br>constraint induced movement therapy group in which affected arm was constraint for 6 hours a day for 5 days a week for 4 weeks. | Other: constraint induced movement therapy<br>* constraint induced movement therapy in which arm was constraint for 6 hours a day for 5 days a week for 4 week.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| nine hole peg test | nine hole peg test to check hand dexterity and grip. The patient is seated at a table with a container holding nine pegs and a wood/plastic block containing nine empty holes and asked to put the nine pegs in nine holes in a block one by one and then remove the pegs one at a time from the holes and the time is recorded. patient should do the test with both hands independently. | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| manual ability classification system | it describes how CP child uses his or her hands to handle objects in daily activities with qualitative analysis by care taker, it has five levels. in level 1 child holds objects easily and succesfully. in level 2 child handles most object but with some reduced quality or speed. in level 3 the objects are handled with difficulty and child needs help to prepare or modify activities. in level 4 child handles a limited selection of easily managed objects and always requires some help from others. in level 5 child is not able to handle objects or to complete even simple actions with their hands. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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constraint induced movement therapy, sensorimotor training, motor function