Clinical trial NCT05491863: Effects of Trunk Stability Exercises on Hand Function in Children With Cerebral Palsy
Official title: Effects of Trunk Stability Exercises on Hand Function in Children With Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Keywords: trunk stability
hand function
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-08-08
Enrollment: 26
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: . Participants were randomly assigned to the experimental group or control group after a baseline assessment with a lottery ticket and an opaque envelope containing the same number of folded papers labeled "control" or "intervention." Each participant took a piece of paper that identified their group and gave it to the researchers without seeing what was written. Participants were not notified which group was assigned to
Primary purpose: TREATMENT

Brief summary: Rationale of this research is to evaluate the outcome of trunk stabilizing exercises on the fine motor skills of subjects with hemiplegic CP. The significance of this study is to identify how much core stability exercises improve hand function. This study will help gather evidence on the practice of core stabilizing exercises to improve hand function so that it can help both physicians and patients.

Detailed description: Cerebral palsy is a permanent damage in early brain in fetus which leads to movement disorder. The most frequent reason of bodily incapacity is cerebral palsy in pediatric population. CP children have difficulty maintaining dynamic and static trunk stability, which leads to affect sitting, standing, reaching and walking. Hemiplegic Cerebral palsy patients are challenged by fine motor skills, like gripping or object handling, which are essential for activities of daily life.the purpose of the study was to evaluate the effects of trunk stability exercises on hand function in children with cerebral palsy.It was a randomized, controlled trial, conducted among hemiplegic cerebral palsy patients. Sample size was 26 by using Epitool software. Participants were randomly assigned to the intervention or control group after a baseline assessment with a lottery ticket and an opaque envelope. All participants in both groups were evaluated on three occasions: (i) baseline (ii) post-intervention and (iii) after 4 weeks follow to assess long term effects.

Eligibility criteria: Inclusion Criteria:

* Both male and female were included
* Age group 6 to 18 years.
* Medical diagnosis of hemiplegic cerebral palsy assured.
* Unilateral Movement deficit (less than 2.5) on amount of use scale on MAL (motor activity log).
* Level 1 to 3 on manual ability classification system (MACS).
* Mild to moderate spasticity of upper extremity (MAS grade 1 to 2.)
* GMCS level I-II.
* Subjects were cognitively capable and competent to follow the instructions

Exclusion Criteria:

* Patients with altered conscious level.
* Previous surgery or pain in upper limbs.
* Rigid contracture and fixed deformities in the spine
* Auditory / vision problem.
* Previous Botulinum Toxin-A injections in upper limb.
* Cardio-respiratory problem

Primary outcomes:
measure: Trunk Control Meaurment Scale
timeFrame: 12 week
measure: ABILHAND-kids (Manual Ability Measure)
timeFrame: 12 week
measure: CHEQ (Children's hand-use experience's questionnaire)
timeFrame: 12 weeks
Secondary outcomes:
measure: UE MAL
timeFrame: 12 weeks
measure: Manual ability classification system
timeFrame: 12 weeks
measure: Modified ash worth scale (MAS)
timeFrame: 12 weeks
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Rising sun institute for special children
state: Punjab
Study officials:
affiliation: Riphah International University
name: Sidra Shafique, tDPT
role: PRINCIPAL_INVESTIGATOR
References: