Clinical trial NCT06203366: Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral Palsy
Official title: Effect of Vojta Therapy on Upper Extremity Function of Children With Cerebral
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Upper Extremity
Vojta Therapy
Lead sponsor: Mahidol University
Sponsor class: OTHER
Collaborators: name: Srisangwan School
name: SRI International
name: the royal patronage of crippled children
First posted: 2024-01-12
Enrollment: 20
Sex: ALL
Minimum age (years): 7
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The goal of this pilot study is to study the effect of Vojta therpy on upper extremity function in children with cerebral palsy. The main questions are:

* to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of range of motion and function
* to study the effect of Vojta therapy on upper extremity function in children with cerebral palsy in terms of motion analysis while perform function

Detailed description: Vojta therapy is an old treatment method which was discovered by Professor Vaclav Vojta, a neurologist and pediatrician. It has been used to treat children with impair motor function in Thailand since 2011. Vojta therapy encourage the movement of children via positioning and stimulate the specified zone.

Eligibility criteria: Inclusion Criteria:

* spastic diplegia (MACS II-III)
* can pick box and block test at least 1 block
* has good trunk stability while sitting
* can follow command
* participant and guardian consent to the study

Exclusion Criteria:

* no Vojta therapy in last 2 months
* no history of anti-spastic injection in last 6 months
* do not receive prednisolone nor adrenocorticotropic hormone (ACTH)
* cannot control seizure
* got the specific disease such as osteogenesis imperecta, cardiac disease
* Participant and guardians do not consent to the study.

Primary outcomes:
measure: Box and block test
timeFrame: Baseline (before) and within 1 week after the final treatment
Secondary outcomes:
measure: active range of motion of upper extremity
timeFrame: Baseline (before) and within 1 week after the final treatment
measure: Nine hole peg test
timeFrame: Baseline (before) and within 1 week after the final treatment
measure: 3D motion analysis of upper extremity
timeFrame: Baseline (before) and within 1 week after the final treatment
measure: Video recording
timeFrame: Baseline (before) and within 1 week after the final treatment
Other outcomes:
measure: Kinect sensor
timeFrame: This outcome will be measured only in the intervention group. It will be measured immediately or not longer than 1 week after finish the intervention.
Locations:
city: Nonthaburi
country: Thailand
facility: Srisangwan School Foundation for the Welfare of the Crippled under Royal Patronage of Her Royal Highness the Princess Mother
Study officials:
References:
citation: Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D; Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005 Aug;47(8):571-6. doi: 10.1017/s001216220500112x.
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: Prusmetikul S, Vongpipatana S, Woratanarat P, Tuntiyatorn P, Tamonsawatruk T. Correlation of range of motion and functional performance of upper extremities in children with cerebral palsy. J Med Assoc Thai 2018;101;Suppl.3
citation: Peeters LHC, de Groot IJM, Geurts ACH. Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk - A review. Gait Posture. 2018 May;62:46-55. doi: 10.1016/j.gaitpost.2018.02.028. Epub 2018 Mar 6.
citation: Kara OK, Yardimci BN, Sahin S, Orhan C, Livanelioglu A, Soylu AR. Combined Effects of Mirror Therapy and Exercises on the Upper Extremities in Children with Unilateral Cerebral Palsy: A Randomized Controlled Trial. Dev Neurorehabil. 2020 May;23(4):253-264. doi: 10.1080/17518423.2019.1662853. Epub 2019 Sep 13.
citation: Sirindhorn National Medical Rehabilitation Centre. Vojta therapy in childhood. Bangkok: Department of Medical Services, Ministry of Public Health; October 2556.
citation: Sung YH, Ha SY. The Vojta approach changes thicknesses of abdominal muscles and gait in children with spastic cerebral palsy: A randomized controlled trial, pilot study. Technol Health Care. 2020;28(3):293-301. doi: 10.3233/THC-191726.
citation: Khiewcham P., Vongpipatana S., Wongphaet P., Thipsook K. Effect of Vojta Therapy on Gait of Children with Cerebral Palsy. J Thai Rehabil Med 2016; 26(3): 91-97
citation: Lim H, Kim T. Effects of vojta therapy on gait of children with spastic diplegia. J Phys Ther Sci. 2013 Dec;25(12):1605-8. doi: 10.1589/jpts.25.1605. Epub 2014 Jan 8.
citation: Matic-Tec.de, S.R.| Therapie, Vojta. Available at: https://www.vojta.com/de/vojta-prinzip/vojtatherapie (Accessed: February 15, 2023).