Clinical trial NCT04651283: Effect of Using Adaptive Seating Equipment on Hand Function
Official title: Effect of Using Adaptive Seating Equipment on Grasping and Visual Motor Integration in Children With Hemiparetic Cerebral Palsy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2020-12-03
Enrollment: 30
Sex: ALL
Minimum age (years): 3
Maximum age (years): 6
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: study group and control group
Primary purpose: TREATMENT

Brief summary: Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into control and study groups of equal numbers each consisted of fifteen children (n=15). Methods: Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment (3 sessions per week), to assess 2 subtests (the grasping skills and visual motor integration skills) for all children of both groups. Control group who received a specially selected physical therapy program for hand function on a standard chair seating. Study group who received the same selected program for hand function on adaptive swiss ball seating.

Detailed description: The aim of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis.

In this study, a total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls) aged 3-6 years, they were selected from general hospitals and private centers in kafr El-Sheikh government, randomly assigned to either the control group (n=15), who received a specially selected physical therapy program for hand function on standard chair seating, or the study group (n=15), who received the same selected program for hand function but on adaptive Swiss ball seating. Both groups received 3 sessions per week for 3 successive months. Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment, to assess 2 subtests (grasping skills and visual motor integration skills).

Eligibility criteria: Inclusion Criteria:

* Children with hemiparetic cerebral palsy.
* The age of the selected children ranged from 3 to 6 years old.
* Degree of spasticity ranged from 1 to 1+, according to Modified Ashworth' Scale (Bohannon and Smith, 1987)
* They were able to follow instructions and understand commands included in both assessment and training procedures.
* They were able to sit independent with trunk control.

Exclusion Criteria:

* Children exposed to orthopedic surgeries or potolinium toxins injection in the last 6 mounth before intervention.
* Children with fixed upper limb deformities
* Children with hearing or visual impairments.

Primary outcomes:
measure: change is being assessed in grasping score
timeFrame: Change from Baseline grasping score assessed at 3 months
measure: change is being assessed in visual motor integration score
timeFrame: Change from Baseline visual motor integration score assessed at 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Faculty of physical therapy, Cairo university
Study officials:
affiliation: Cairo University
name: Mai Abbass, Ph.D.
role: STUDY_DIRECTOR
affiliation: Cairo University
name: Ahmed Mahrous, Msc
role: PRINCIPAL_INVESTIGATOR
affiliation: Cairo University
name: Elham Salem, Ph.D.
role: STUDY_CHAIR
References: