Clinical trial NCT05213715: The Effect Of Somatosensory Perceptıon And Proprıoceptıon On Upper Extremıty Functıonal Skılls
Official title: The Effect Of Somatosensory Perception And Proprioception On Upper Extremity Functional Skills In Children With Hemiparetic And Diparetic Cerebral Palsy
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cerebral Palsy
Somatosensory Disorders
Upper Extremity Dysfunction
Proprioceptive Disorders
Lead sponsor: Kahramanmaras Sutcu Imam University
Sponsor class: OTHER
First posted: 2022-01-28
Enrollment: 45
Sex: ALL
Minimum age (years): 6
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: children with cerebral palsy and healty peer aged children

Brief summary: Cerebral Palsy (CP) is a non-progressive neurodevelopmental disorder characterized by posture and movement disorders as a result of damage to the immature brain for any reason before, during or after birth.In addition to tone, postural and neuromuscular control in children with Cerebral Palsy; Problems are also observed in communication skills, perceptual and cognitive systems and sensory systems.

Detailed description: In neurodevelopmental theory, sensory and motor systems mutually support the development of each other. In addition to the motor problems observed in SP; Sensory-motor impairment, which occurs with the effects of systems such as proprioception, tactile (touch), and vestibular (balance), emerges as the main problem. With the involvement of the central nervous system (CNS) in CP, the sensory systems are also affected along with the motor systems. The involvement of the sensory system is seen in 45% of these children and presents with a white matter lesion. One of the important factors affecting the activities of daily living (ADL) in children with Cerebral Palsy is the deficiencies in their functions as a result of the affected upper extremity. Deficiencies in sensory input can cause delays in learning new motor movements. This can result in disuse of the extremities and sensitivity. The somatosensory cortex, which is important for sensory integration; It is the area of the brain that is sensitive to tactile sensations from the body. It is known that the somatosensory system, which carries these tactile stimuli to the somatosensory cortex, is active from the early stage of life. Sensory and motor interactions experienced in the early stages of life are important for motor development even in the early stages. The improvement in measurable cortical responses of the tactile system; It starts from the 8th week of intrauterine and continues until the postpartum period. In the newborn period, the infant's responses to tactile and proprioceptive stimuli play an important role in the development of motor, cognitive, social and communication skills during infancy and early childhood. The aim of this study is to investigate the effects of somatosensory perception and proprioception on upper extremity functional skills in children with hemiparetic and diparetic CP.

Eligibility criteria: Inclusion Criteria:

* Diagnosed with Hemiparetic and Diparetic CP with Gross Motor Function Classification System (GMFCS) Level ≤ 3
* Children with ≤ 2 upper extremity muscles according to the Modified Ashworth Scale (MAS)
* Children with Manual Skills Classification System (MACS) ≤ 3
* Not being diagnosed with mental disability by the RAM (Guidance Research Center)
* Children with CP aged 6-18 years
* Not receiving surgery or Botox (Botulinum Toxin) treatment in the last 6 months
* Children with CP with parental approval

Exclusion Criteria:

* Joint contracture in the shoulder, elbow and hand-wrist
* Having any hearing or vision problems

Primary outcomes:
measure: upper extremity proprioseption test
timeFrame: first day of assessment
measure: Kinesthesia Test
timeFrame: first day of assessment
measure: somatosensory perception of upper extremity (touch stimulus localization test)
timeFrame: first day of assesment
measure: somatosensory perception of upper extremity (double-touch stimulus localization test)
timeFrame: first day of assesment
measure: somatosensory perception of upper extremity (finger recognition test)
timeFrame: first day of assesment
measure: somatosensory perception of upper extremity (right-left discrimination test)
timeFrame: first day of assesment
measure: The Jebsen Taylor Hand Function Test (JTHFT)
timeFrame: first day of assesment
Secondary outcomes:
measure: manuel ability classification system (MACS)
timeFrame: first day of assessment
measure: Gross Motor Function Classification System(GMFCS)
timeFrame: first day of assessment
measure: demographic information
timeFrame: first day of assessment
Other outcomes:
Locations:
city: Kahramanmaras
country: Turkey
facility: Hatice Adıgüzel
state: Dulkadiroglu
Study officials:
affiliation: Kahramanmaras Sutcu Imam University
name: hatice adıgüzel, PhD
role: STUDY_CHAIR
References: