Trunk and Upper Extremities Program Effect in Decreasing Compensation Patterns in Unilateral Cerebral Palsy Children

Study Overview
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Brief Summary
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The goal of this clinical trial is to test the effectiveness of a trunk and upper extremities exercise program. The main questions it aims to answer are: Whether the program decreases compensation patterns in unilateral cerebral palsy children Whether the program decreases pain in unilateral cerebral palsy children Whether the program improves bimanual ability in unilateral cerebral palsy children Participants will undertake and 8-week program exercise at home If there is a comparison group: Researchers will compare with the control group to see if this program decreases compensation patterns.

Detailed Description
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Children in control group will continue with their daily activities. Children in experimental group, apart from their daily activities, will undertake an 8-week program exercise at home for strengthening the trunk and the proximal part of both upper extremities. It contains 3 progressions that can be applied if needed.

Official Title
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Trunk and Upper Extremities Program Effect in Decreasing Compensation Patterns in Unilateral Cerebral Palsy Children: Randomized Control Trial

Conditions
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Cerebral Palsy Infantile, Chronic Pain, Upper Extremity Dysfunction

Intervention / Treatment
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* Other: TUPEX


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unilateral cerebral palsy diagnostic Level I or II of the Manual Ability Scale Classification Exclusion Criteria: Have received any intervention with botulinum toxin or shock waves in the previous six months or have them scheduled during the intervention Are undergoing treatment with intensive therapies. To have known alteration in the hips Have very serious attention or comprehension difficulties that prevent them from following instructions. Suffer uncontrolled epilepsies Suffer from severe visual problems.

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 16 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard group<br>Children in this group will continue with their daily activities such as conventional physiotherapy and occupational therapy, even psychology, and their physical activities such as swimming or playing football. | |
| Experimental: TUPEX group<br>Children in this group will continue with their daily activities and will add the TUPEX program during 8 weeks. | Other: TUPEX<br>* This program contains exercises with their own body weight or with Thera-bands for gaining strength in their shoulder and trunk muscles. It contains some progression exercise if needed. Each session can last between 20 and 30 minutes. Children have to do each session three times a week during 8 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of variance of the Compensation patterns | DeepLabCut (DLC) (Artificial Intelligence). Calculate the kinematic difference of the body marks during the activities | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intensity of pain | Face Pain Scale - Revised (FPS-R). The face marked is compared before and after the treatment. 0 is the minimum scores, meaning no pain, and 10 is the maximum score, meaning really severe pain. | 8 weeks | 
| Location of pain | In the Body Diagram. The location of the pain is compared before and after the treatment | 8 weeks | 
| Bimanual ability | Children Hand-Use Experience Questionaire 2.0 (CHEQ 2.0). Whether they are more capable of doing more bimanual activities or not. The maximum score in each question is 100 and the minimum is 0. 100 means children use their hands like the neurotypical children, and 0 means they can't use the affected hand at all. | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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compensation patterns, unilateral cerebral palsy