Effect of Using Adaptive Seating Equipment on Hand Function (hemiparesis)

Cairo University (CU)

Status

Completed

Conditions

Cerebral Palsy

Treatments

Other: Traditional seat group

Other: Adaptive seating equipment group

Study type

Interventional

Funder types

Other

Identifiers

NCT04651283

P.T.REC\012\001765

Details and patient eligibility

About

Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into control and study groups of equal numbers each consisted of fifteen children (n=15). Methods: Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment (3 sessions per week), to assess 2 subtests (the grasping skills and visual motor integration skills) for all children of both groups. Control group who received a specially selected physical therapy program for hand function on a standard chair seating. Study group who received the same selected program for hand function on adaptive swiss ball seating.

Full description

The aim of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis.

In this study, a total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls) aged 3-6 years, they were selected from general hospitals and private centers in kafr El-Sheikh government, randomly assigned to either the control group (n=15), who received a specially selected physical therapy program for hand function on standard chair seating, or the study group (n=15), who received the same selected program for hand function but on adaptive Swiss ball seating. Both groups received 3 sessions per week for 3 successive months. Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment, to assess 2 subtests (grasping skills and visual motor integration skills).

Enrollment

30 patients

Sex

All

Ages

3 to 6 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Children with hemiparetic cerebral palsy.
The age of the selected children ranged from 3 to 6 years old.
Degree of spasticity ranged from 1 to 1+, according to Modified Ashworth' Scale (Bohannon and Smith, 1987)
They were able to follow instructions and understand commands included in both assessment and training procedures.
They were able to sit independent with trunk control.

Exclusion criteria

Children exposed to orthopedic surgeries or potolinium toxins injection in the last 6 mounth before intervention.
Children with fixed upper limb deformities
Children with hearing or visual impairments.