Clinical trial NCT04132752: Motivation's Effect on Home Exercise in Children With OBPP
Official title: Does Motivation of the Parents Affect the Efficiency of Home Exercises in Children With OBPP?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obstetric Paralyses
Keywords: obstetric paralysis
home exercise
motivation
rehabilitation
parents
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2019-10-21
Enrollment: 33
Sex: ALL
Maximum age (years): 18
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 33 children with obstetric brachial plexus palsy (OBPP) were randomized into control or intervention groups. Both groups parents were informed about OBPP, given home exercise and exercise diary. Intervention group was called via phone weekly in order to motivate and answer questions. Children's functional scores and parents motivation was measured.
Primary purpose: TREATMENT

Brief summary: The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Detailed description: Home exercise program is widely used for treatment of OBPP children. The present study examined the effect of motivation on home exercise program and children's functional scores. 33 OBPP children (Narakas Type 2) aged between 0-18 months were divided into two groups. Intervention group was motivated via phone. Both groups were informed about OBPP, performed home exercises and filled exercise diary. Intrinsic Motivation Scale was used for measuring motivation and Gilbert and Raimondi Scoring and Active Movement Scoring were used for evaluating functional improvements at first assessment, 6th week and 12th week. For final comparison, parents were divided into two more groups (highly motivated and motivated group) based on motivation scores.

Eligibility criteria: Inclusion Criteria:

* Being classified as Narakas type 2a or 2b
* Being aged between 0 - 18 months
* Not having regular physiotherapy and rehabilitation program

Exclusion Criteria:

* Having a clinical condition such as upper motor neuron lesion that may affect child's affected arm or whole body,
* Having secondary surgery for orthopedic problems within last 6 months.
* Mother having an unidentified cognitive problem,
* Parents having another child with a disability,
* Parents not willing to participate.

Primary outcomes:
measure: Motivation change
timeFrame: From baseline to 12th week
measure: Scoring general arm function
timeFrame: From baseline to 12th week
measure: Scoring shoulder function
timeFrame: From baseline to 12th week
Secondary outcomes:
measure: Scoring elbow function
timeFrame: From baseline to 12th week
measure: Scoring hand function
timeFrame: From baseline to 12th week
Other outcomes:
Locations:
Study officials:
References:
citation: Curtis C, Stephens D, Clarke HM, Andrews D. The active movement scale: an evaluative tool for infants with obstetrical brachial plexus palsy. J Hand Surg Am. 2002 May;27(3):470-8. doi: 10.1053/jhsu.2002.32965.
citation: James MA. Use of the Medical Research Council muscle strength grading system in the upper extremity. J Hand Surg Am. 2007 Feb;32(2):154-6. doi: 10.1016/j.jhsa.2006.11.008. No abstract available.
citation: Nijenhuis SM, Prange GB, Amirabdollahian F, Sale P, Infarinato F, Nasr N, Mountain G, Hermens HJ, Stienen AH, Buurke JH, Rietman JS. Feasibility study into self-administered training at home using an arm and hand device with motivational gaming environment in chronic stroke. J Neuroeng Rehabil. 2015 Oct 9;12:89. doi: 10.1186/s12984-015-0080-y.
citation: Bialocerkowski A, Kurlowicz K, Vladusic S, Grimmer K. Effectiveness of primary conservative management for infants with obstetric brachial plexus palsy. Int J Evid Based Healthc. 2005 Mar;3(2):27-44. doi: 10.1111/j.1479-6988.2005.00020.x.