Camp High 5: Evaluation of the Effect on Upper Limb Function

NYU Langone Health

Status: Completed

Conditions: Hemiplegia; Neurological Injury

Treatments: Behavioral: Hand-arm bimanual intensive training (HABIT); Behavioral: Constraint induced movement therapy (CIMT)

Study type: Interventional

Funder types: Other

Identifiers

NCT02875054

16-00990

Details and patient eligibility

About

Randomized control trial to evaluate uni-manual and bimanual upper limb function as well as compare outcomes of varied cast wear in children with hemiplegic cerebral palsy (CP) following a hybrid camp model of modified constraint induced movement therapy (mCIMT) and hand-arm bimanual intensive training (HABIT).

Enrollment: 10 patients

Sex: All

Ages: 2 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants will range from 2 years to 11 years 11 months of age at time of enrollment. Children under 5 years of age will attend a morning session and children 6 years and older will attend an -Diagnosis: hemiplegia resulting from a neurological Injury
• Manual Ability Classification System or Mini Manual Ability Classification System classification I-III

Exclusion criteria

• Botox injection within past 6 months or planned for within 6 months post camp
• Inability to follow commands
• Family unable to commit to daily sessions for 4 weeks
• Unable to tolerate assigned casting protocol (3-24 hours) daily for 4 weeks

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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10 participants in 2 patient groups

Continued Casting

Active Comparator group

Description:

Participants with 24 hour cast wear (continued casting) for the entire duration of the constraint portion of camp (2 initial weeks).

Treatment:

Behavioral: Hand-arm bimanual intensive training (HABIT)

Behavioral: Constraint induced movement therapy (CIMT)

Intermittent Casting

Active Comparator group

Description:

Participants who wear a univalve cast for 3 hours of constraint camp with home exercise program of 2 hours cast wear on the weekends (intermittent casting).

Treatment:

Behavioral: Hand-arm bimanual intensive training (HABIT)

Behavioral: Constraint induced movement therapy (CIMT)