Cognitive Sensory Motor Training Therapy for Children With Cerebral Palsy

Riphah International University

Status: Enrolling

Conditions: Cerebral Palsy

Treatments: Other: Cognitive Sensory Motor Training Therapy; Other: conventional occupational therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07248566

REC/RCR&AHS/SADIAJAVED

Details and patient eligibility

About

The current study will be randomized controlled trial, data will be collected from Central Park Teaching Hospital. The study will include 32 participants equally divided into two groups and randomly allocated. Inclusion criteria for this study will be consist of diagnosis with cerebral palsy, age 6-12, ability to participate in cognitive sensory motor training therapy, stable medical condition, and informed consent from parents/guardians. Participants with severe cognitive impairments, unstable medical condition, history of spinal cord injury or deformity, diagnosis with other neurological conditions, and visual or hearing impairments will be excluded from the study.. The Experimental group will receive Cognitive Sensory Motor Training Therapy and Routine Physical Therapy, while the Control group will receive Routine Physical Therapy.Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Data collection will be done before and after the interventions.Outcome measures will include the dexterity, and upper limb function.Tools used for data collection will be Action Research Arm Test and Box and Block Test. Data analysis will utilize SPSS version 25.00.

Full description

Cerebral palsy defined as a neuro-impairment with motor disability caused by a non- progressive defect or lesion of the immature brain. Cerebral palsy (CP) impact approximately

1 in 500 children worldwide, affecting motor function, muscle tone, and coordination.

Children with CP will experience limitations in daily activities, social participation, and quality of life due to impaired upper limb function. To address this, rehabilitation strategies will focus on enhancing dexterity, and upper limb function. The aims of the study is to examine the effects of cognitive sensory motor training therapy on dexterity and upper limb function in children with CP. The current study will be randomized controlled trial, data will be collected from Central Park Teaching Hospital. The study will include 32 participants equally divided into two groups and randomly allocated. Inclusion criteria for this study will be consist of diagnosis with cerebral palsy, age 6-12, ability to participate in cognitive sensory motor training therapy, stable medical condition, and informed consent from parents/guardians. Participants with severe cognitive impairments, unstable medical condition, history of spinal cord injury or deformity, diagnosis with other neurological conditions, and visual or hearing impairments will be excluded from the study.. The Experimental group will receive Cognitive Sensory Motor Training Therapy and Routine Physical Therapy, while the Control group will receive Routine Physical Therapy.Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Data collection will be done before and after the interventions.Outcome measures will include the dexterity, and upper limb function.Tools used for data collection will be Action Research Arm Test and Box and Block Test. Data analysis will utilize SPSS version 25.00.

Enrollment: 32 estimated patients

Sex: Female

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 6-12 years with cerebral palsy
• Diagnosis confirmed by pediatric neurologist or rehabilitation specialist
• Ability to follow simple instructions and participate in therapy sessions.
• Participants had to be able to focus attention on demonstrate level II and III on the Gross
• Motor Function Classification Scale (GMFCS)
• Level II or III on the Manual Ability Classification System (MACS)

Exclusion criteria

• Visual impairment or hearing defect
• Severe cognitive decline and aphasia
• Contractures that could limit the patient from maintaining the extended arm in a comfortable position,

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Group A

Active Comparator group

Description:

participated in Cognitive Sensory Motor Training Therapy (CSMT) for 35 minutes, five times a week, over 12 weeks. Cognitive exercise therapy combines spatial and tactile tasks to improve cognitive function, focusing on perception and sensory awareness. Participants completed 5 tasks, customized to their recovery progress

Treatment:

Other: Cognitive Sensory Motor Training Therapy

Group B

Active Comparator group

Description:

participants received conventional occupational therapy, consisting of many purposeful kinetic activities such as skateboard-supported arm-sliding exercises on a tabletop, picking up a ball and putting it into a basket, bi-manual placing cone, shoulder curved arch, double curved arch, arm bicycling, donut on base, putty kneading, block stacking, peg board exercise, graded pinch exercise and plastic cone stacking. Therapists could offer passive, active-assistive or active training, as deemed appropriate to the patient's ability

Treatment:

Other: conventional occupational therapy