Effect of Exergame Program Structured Via Analytic Hierarchy Process on Trunk Control and Upper Extremity Functionality

Ahmet Emir

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Activity Based Exercise Group (AG); Other: Video-game based exercise - Exergame

Study type: Interventional

Funder types: Other

Identifiers

NCT04802655

E-10840098-772.02-65173

Details and patient eligibility

About

The aim of the study is to investigate effects of structured exergame program on upper extremity functions and trunk control in children with Cerebral Palsy (SP). A 3 phase randomized controlled trial has planned to conduct. In the first phase, baseline assessments will be completed for all participants who are eligible to participate. After the baseline assessments, randomisation will be completed for Exergame and Activity Based Exercise groups. During this phase suitable video games for exergame program will be selected. Analytical Hierarchy Process (AHP) will be used to collect expert opinion for most effective video games for upper extremity functionality, postural control, GMFCS I-II-III levels. Second phase of the study will be started afterwards. Upon completing second assessments, interventions for both groups will be conducted. Third assessments will be completed after interventions and outcomes will be analyzed for primary results. The third phase of the study planned as follow-up period. All participant will continue their routine NDT trainings and follow-up assessments will be completed after 3 moths of the second assessments. Final results will be analysed for all participants.

Enrollment: 25 patients

Sex: All

Ages: 6 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with spastic cerebral palsy
• Gross Motor Level should be in between I-III according to Gross Motor Function Classification System (GMFCS)
• Manual ability levels should be in between I-IV according to Manual Abilities Classification System (MACS)
• No Botulinum toxin injections 6 months prior to study

Exclusion criteria

• Surgery history related to the musculoskeletal system (upper and lower extremities)
• Having communication problems
• Having secondary cognitive-behavioral problems addition to cerebral palsy (intellectual disability)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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25 participants in 2 patient groups

Exergame Group (EG)

Experimental group

Description:

In addition to routine NDT training, Structured Exergame Program for upper extremity and trunk control will be applied in this group. Xbox one - Kinect supported video games will be selected for video-game based exergame program. The Video games to be included in the Exergame program will be selected by Analytical Hierarchy Process. Program will consist 40 minutes of exergame sessions and 15 sessions total. Sessions will be applied 2 times a week, and It is planned to complete in 8 weeks.

Treatment:

Other: Video-game based exercise - Exergame

Activity Based Exercise Group (AG)

Active Comparator group

Description:

In addition to routine NDT training, Goal Directed Activity Based Exercises for upper extremity and trunk will be applied to this group. Program will consist 40 minutes of exergame sessions and 15 sessions total. Sessions will be applied 2 times a week, and It is planned to complete in 8 weeks.

Treatment:

Other: Activity Based Exercise Group (AG)