NCT05115695

The Effect of Upper Extremity Strengthening on Functionality, Muscle Strength and Trunk in Children With Cerebral Palsy

Completed NA Last updated 11 October 2023

What this trial tests

NA trial testing traditional physiotherapy approach in Cerebral Palsy in 30 participants. Completed in 30 January 2023.

Timeline

1 March 2022

Primary endpoint
15 January 2023

30 January 2023

Quick facts

Lead sponsor	Kahramanmaras Sutcu Imam University
Phase	NA
Status	Completed
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	single
Primary purpose	treatment
Enrollment	30
Start date	1 March 2022
Primary completion	15 January 2023
Estimated completion	30 January 2023
Sites	1 location across Turkey (Türkiye)

Drugs / interventions tested

• traditional physiotherapy approach
• muscle strengthening exercise/Proprioceptive Neuromuscular Facilitation (PNF)

Conditions studied

• Cerebral Palsy — all drugs for Cerebral Palsy →
• Upper Extremity Dysfunction — all drugs for Upper Extremity Dysfunction →
• Upper Extremity Functions — all drugs for Upper Extremity Functions →
• Muscle Strength — all drugs for Muscle Strength →

Sponsor

Kahramanmaras Sutcu Imam University

Who can join

Adults 8 to 18, any sex, with Cerebral Palsy or Upper Extremity Dysfunction. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Cerebral Palsy (CP) is an activity limitation, movement and posture deficiencies in early stage of life. In 80% of these children, upper extremity (UE) dysfunctions are observed, which leads to loss of quality of life, resulting in limited participation in activities of daily living (ADL). When the hands are affected in UE, fine motor skills such as grasping, writing and object manipulation are usually limited. This results in inadequate use of the extremities in functional activities. Although all children with CP are known to be affected by UE, studies in terms of physiotherapy and rehabilitation methods mostly focused on children with hemiparetic CP. Similar problems are observed in children with bilateral involvement. However, a wide variation is observed in the bimanual performance of children with hemiparetic and bilateral involvement. Studies evaluating UE activities in children with CP; emphasized that the inability to manipulate objects manually is one of the most important reasons for the restriction of participation in ADLs. Physiotherapy and rehabilitation programs include many neurodevelopmental treatment approaches including stretching, strengthening, positioning, splinting, casting, orthosis selection and movement facilitation. However, it is known that studies investigating the current efficacy of these treatments on UE functions mostly focus on unilateral CP. Interventions that focus on improving UE functions in children with bilateral CP are limited. In UE rehabilitation in bilateral CP; states that target-focused therapy, bimanual intensive task specific training programs and trainings such as HABIT (intensive bimanual training of the upper extremity) involving the lower extremity have been used, but there is only evidence for HABIT-ILE (HABIT involving the lower extremity). In the literature, it is observed that strengthening training with the Proprioceptive Neuromuscular Facilitation (PNF) method, which makes a significant contribution to muscle strength balance, is mostly used in lower extremity rehabilitation in these children. In this study, in the UE rehabilitation of children with hemiparetic and diparetic CP; in order to stimulate motor responses and improve neuromuscular control and function, the superiority of the PNF approach applied with scapular and UE patterns over the traditional Neurodevelopmental Therapy (NGT-Bobath) method will be determined.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.