Clinical trial NCT04246645: Effect of Core Stability Exercises on Hand Functions in Children With Hemiparesis
Official title: Effect of Core Stability Exercises on Hand Functions in Children With Hemiparesis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Lead sponsor: Badr University
Sponsor class: OTHER
First posted: 2020-01-29
Enrollment: 52
Sex: ALL
Minimum age (years): 6
Maximum age (years): 8
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Jebsen Taylor Test
timeFrame: 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 outcomes:
measure: Box and Block Test
timeFrame: Box and Block Test used to asses gross manual dexterity pre and after 3 months of intervension
measure: Quality Upper Extremity Skill Test
timeFrame: Quality Upper Extremity Skill Test scale used to asses skills of the upper extremity pre and after 3 months of intervension
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Badr Univesity in Cairo (BUC)
Study officials:
References: