Effect of Mechanical Vestibular Stimulation On Hand Function In Hemiparetic Children

Ahmed Mohamed Abd El Haleem Ghoniem

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: The design exercise program; Other: mechanical vestibular stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05782413

EG, KFS lab 2 Research

Details and patient eligibility

About

The current study will be directed to determine the effect of mechanical vestibular stimulation on fine motor skills and pinch strength in children with hemiparesis. Hemiplegic cerebral palsy causes problems with contraction, sensation, and muscular strength in the upper limbs, and its effective use of muscles for reaching, grasping, releasing, and manipulating objects is often compromised

Enrollment: 60 patients

Sex: All

Ages: 4 to 6 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children will be included in the study if they fulfil the following criteria:

  1. Diagnosed with hemiparetic cerebral palsy.
  2. Age ranged from 4 to 6 years.
  3. Children with spasticity grades ranged from 1 to 1+ according to Modified Ashworth Scale
  4. Both genders will be included.
  5. The child will be able to follow verbal commands and instructions.

Exclusion criteria

• Children will be excluded from the study if:

  1. Any congenital or developmental disorders in addition to hemiplegia cerebral palsy.
  2. Current hospitalization for urgent medical reasons.
  3. Severe mental retardation.
  4. Children having visual or auditory defects.
  5. Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to the wrist and hand.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups

Group A

Experimental group

Description:

The child will receive a design exercise program. The therapy was based on the principles of NDTBobath neurodevelopmental therapy.

Treatment:

Other: The design exercise program

Group B

Experimental group

Description:

The child will receive a design exercise program for 45 min then mechanical vestibular exercise for 15 mins.

Treatment:

Other: The design exercise program

Other: mechanical vestibular stimulation