Effects of Theraplay on Hand in Cerebral Palsy

Riphah International University

Status: Completed

Conditions: Hemiplegic Cerebral Palsy

Treatments: Other: conventional physical therapy; Other: theraplay program

Study type: Interventional

Funder types: Other

Identifiers

NCT06502639

REC/RCR&AHS/23/0777

Details and patient eligibility

About

Among the neurological conditions known as cerebral palsy are those that impact muscle tone, mobility, and cooperation. Cerebral palsy that affects only one side of the body is known as hemiplegic cerebral palsy. Damage to one side of the brain causes this disorder, which usually manifests as before, in the middle of, or soon after birth. The ability to use one's hands with coordination and expertise to accomplish tasks that call for control and accuracy is known as hand dexterity. For those who have cerebral palsy, hand dexterity can be a major issue. Developing hand dexterity is crucial as it might augment an individual's capacity to execute routine tasks and attain greater autonomy.Convenient sampling will be used to carry out a randomized control study.

Twenty two subjects will be divided into two groups at random. The experimental group will receive Theraplay therapy, which is a program that includes various play-based activities like playing with wooden puzzles, clay and blocks, making wraps, bubble tennis, and special handshakes, claps, and high fives, in addition to designed conventional therapy. The control group will receive designed conventional physical therapy exercises for the affected hand, such as hand weight-bearing exercises, stretching and strengthening exercises, and exercises using sponge balls.

The course of treatment will run for eight weeks. As outcome measures, the GMFCS and MACS scales, the box and block test, finger tapping, and the nine-hole peg test will be employed.

Data will be analyzed on SPSS version 25; the normality of the data will be checked and tests will be applied according to the normality of the data either it will be a parametric test or non parametric based on the normality.

Full description

Group A: The control group will receive a designed conventional physical therapy program for the affected hand like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises.

Group B: The experimental group will receive Theraplay therapy or a program and different play-based activities like playing with wooden puzzles and playing with clay and blocks, special handshake claps high fives, making wraps, and bubble tennis in addition to designed conventional therapy.

Enrollment: 22 patients

Sex: Female

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ages of both boys and girls range from 6 to 12 years
• Based on the Modified Ashworth Scale, the degree of spasticity is between 1 and 1+.
• Capable of grasping, releasing, and reaching with the afflicted hand
• Capable of comprehending and adhering to instructions

Exclusion criteria

• Children with mixed C.P., ataxic, athetoid, and mental retardation
• Visual and auditory issues
• Upper limb congenital malformations, Convulsions
• Youngsters who have recently sustained upper extremity trauma

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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22 participants in 2 patient groups

conventional therapy

Active Comparator group

Description:

The control group will receive a designed conventional physical therapy program for the affected hand like stretching and strengthening exercises, sponge ball exercises to the hand, and hand weight bearing exercises.

Treatment:

Other: conventional physical therapy

conventional therapy along with theraplay program

Experimental group

Description:

The experimental group will receive Theraplay therapy or a program and different play-based activities like playing with wooden puzzles and playing with clay and blocks, special handshake claps high fives, making wraps, and bubble tennis in addition to designed conventional therapy.

Treatment:

Other: theraplay program