Clinical trial NCT06502639: Effects of Theraplay on Hand in Cerebral Palsy
Official title: Effects of Tharaplay Program on Hand Dexterity in Children With Hemiplegic Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hemiplegic Cerebral Palsy
Keywords: cp
hand dexterity
theraplay
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-07-16
Enrollment: 22
Sex: FEMALE
Minimum age (years): 6
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: it will randomized controlled trial in which non probability convenient sampling will be used. Two groups of 6-12 years will be performed in which participant will randomly divided. Group A will recieve conventional therapy and Group B will recieve conventional therapy with theraplay program.
Primary purpose: TREATMENT

Brief summary: Among the neurological conditions known as cerebral palsy are those that impact muscle tone, mobility, and cooperation. Cerebral palsy that affects only one side of the body is known as hemiplegic cerebral palsy. Damage to one side of the brain causes this disorder, which usually manifests as before, in the middle of, or soon after birth. The ability to use one\&#39;s hands with coordination and expertise to accomplish tasks that call for control and accuracy is known as hand dexterity. For those who have cerebral palsy, hand dexterity can be a major issue. Developing hand dexterity is crucial as it might augment an individual\&#39;s capacity to execute routine tasks and attain greater autonomy.Convenient sampling will be used to carry out a randomized control study.

Twenty two subjects will be divided into two groups at random. The experimental group will receive Theraplay therapy, which is a program that includes various play-based activities like playing with wooden puzzles, clay and blocks, making wraps, bubble tennis, and special handshakes, claps, and high fives, in addition to designed conventional therapy. The control group will receive designed conventional physical therapy exercises for the affected hand, such as hand weight-bearing exercises, stretching and strengthening exercises, and exercises using sponge balls.

The course of treatment will run for eight weeks. As outcome measures, the GMFCS and MACS scales, the box and block test, finger tapping, and the nine-hole peg test will be employed.

Data will be analyzed on SPSS version 25; the normality of the data will be checked and tests will be applied according to the normality of the data either it will be a parametric test or non parametric based on the normality.

Detailed description: Group A: The control group will receive a designed conventional physical therapy program for the affected hand like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises.

Group B: The experimental group will receive Theraplay therapy or a program and different play-based activities like playing with wooden puzzles and playing with clay and blocks, special handshake claps high fives, making wraps, and bubble tennis in addition to designed conventional therapy.

Eligibility criteria: Inclusion Criteria:

* Ages of both boys and girls range from 6 to 12 years
* Based on the Modified Ashworth Scale, the degree of spasticity is between 1 and 1+.
* Capable of grasping, releasing, and reaching with the afflicted hand
* Capable of comprehending and adhering to instructions

Exclusion Criteria:

* Children with mixed C.P., ataxic, athetoid, and mental retardation
* Visual and auditory issues
* Upper limb congenital malformations, Convulsions
* Youngsters who have recently sustained upper extremity trauma

Primary outcomes:
measure: modified ashworth scale
timeFrame: 8 weeks
measure: ABILHAND-KID
timeFrame: 8 Weeks
measure: Manual Ability Classification scale
timeFrame: 8 weeks
measure: Gross Motor Functional Classification Scale
timeFrame: 8 weeks
measure: Box And Block Test
timeFrame: 8 weeks
measure: Nine Hole Peg Test
timeFrame: 8 weeks
measure: Finger Tapping Test
timeFrame: 8 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Punjab
Study officials:
affiliation: Riphah International University
name: sidra jamal, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral Palsy: Current Opinions on Definition, Epidemiology, Risk Factors, Classification and Treatment Options. Neuropsychiatr Dis Treat. 2020 Jun 12;16:1505-1518. doi: 10.2147/NDT.S235165. eCollection 2020.
citation: Tahsin Z. Effect of hand activities group therapy program on ADL performance of children with cerebral palsy at CENTRE FOR THE REHABILITATION OF THE PARALYSED (CRP): Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2019.