Clinical trial NCT06240988: Effects of CIMT With and Without MIT on Upper Limb of Children With Hemiparetic CP
Official title: Effects of Constraint Induced Movement Therapy With and Without Motor Imagery Technique on Upper Limb of Children With Hemiparetic Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Keywords: MCIMT, Motor Imagery Technique, Hemiparetic CP, RCT
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-02-05
Enrollment: 22
Sex: ALL
Minimum age (years): 6
Maximum age (years): 14
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: It will be Randomized Controlled Trial in which non probability convenient sampling technique will be used. two groups of 6 to 14 years of age will be formed in which participants will be randomly divided. Group A will be given Modified CIMT and the other group B will receive motor imagery technique on upper limb in hemiparetic CP.
Primary purpose: TREATMENT

Brief summary: Cerebral Palsy (CP) is a major cause of motor disability in children. Among these CP children, approximately one third have hemiparetic cerebral palsy. Hemiparetic cerebral palsy is more impairment of one side of the body as a result of non-progressive disturbances in premature brain.To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.

Detailed description: To determine the effects of implementing a practice period of modified constraint induced movement therapy in a virtual environment on hand function in chidren with hemiparetic cerebral palsy.The term Modified constraint-induced movement therapy is a form of rehabilitation therapy that limits the less paretic side, and through repeated and concentrated training improve the upper limb function of the paretic side. Motor imagery is a cognitive process in which a subject imagines that he or she performs a movement without actually performing the movement and without even tensing the muscles. Modified Constraint induced movement therapy can be utilized in both the lower and upper extremities with the motor imagery technique for psychological or occupational therapy and in affecting which one is better for speedy recovery.

Eligibility criteria: Inclusion Criteria:

* Age 6 to 14 years were included.
* Diagnosed of hemiparetic cerebral palsy and typically developing controls.
* Both gender is included i-e, male and female.
* Children included having motor impairments of upper limb.
* All children had normal or corrected vision and the ability to discriminate between right and left.

Exclusion Criteria:

* History of neurosensory and neuropsychiatric impairments.
* Presence of contractures in the affected upper limb.
* Surgery in the previous six months.
* Uncontrolled epilepsy

Primary outcomes:
measure: QUEST (Quality of Upper Extremity Skills Test)
timeFrame: 8 weeks
Secondary outcomes:
measure: Box and Block Test (BBT)
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Punjab
Study officials:
affiliation: Riphah International University
name: Khansa Khalid, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Humphreys P, Whiting S, Pham B. Hemiparetic cerebral palsy: clinical pattern and imaging in prediction of outcome. Can J Neurol Sci. 2000 Aug;27(3):210-9.
citation: Steenbergen B, Gordon AM. Activity limitation in hemiplegic cerebral palsy: evidence for disorders in motor planning. Dev Med Child Neurol. 2006 Sep;48(9):780-3. doi: 10.1017/S0012162206001666.