Investigating the Effectiveness of Graded Motor Imagery Training in Children With Obstetric Brachial Plexus Injury

Izmir Bakircay University

Status: Enrolling

Conditions: Obstetric Brachial Plexus Injury

Treatments: Other: Graded Motor Imagery; Other: Conventional Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06966544

BakircayU-FTR-HM-01

Details and patient eligibility

About

The aim of this study is to investigate the effect of graded motor imagery training on upper extremity motor function, proprioception, functional mobility, balance and quality of life in patients with obstetric brachial plexus injury in addition to conventional treatment. In this context, our aim is to identify new and potential physiotherapeutic approaches to address deficits in motor planning that have been shown to occur at the level of the central nervous system.

Full description

This study was planned as a randomized, controlled, single-blind study. The aim of this study was to investigate the effects of graded motor imagery (GMI) training, performed in addition to conventional treatment of patients with obstetric brachial plexus injury, on upper extremity motor function, proprioception, functional mobility and quality of life. In parallel to the initial assessment, a conventional physiotherapy program was created that is individualized according to the functional status and severity of the effects in the children. In the GMI program, in addition to this program, the components of GMI training are applied to sequentially activate the cortical motor networks and develop cortical organization. All assessments of the participants before and at the end of the treatment are carried out by a blind physiotherapist.

Enrollment: 40 estimated patients

Sex: All

Ages: 7 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Obtaining family consent and the child's willingness
• Being between the ages of 7-18
• Being diagnosed with obstetric brachial plexus injury
• Not having received physical therapy in the last 6 months

Exclusion criteria

• Having a traumatic (postnatal) brachial plexus injury
• Having undergone surgery for complications related to brachial plexus injury within the last six months (release, tendon transfer, osteotomy, etc.)
• Having another neurological, neuromuscular, musculoskeletal or cardiopulmonary system disease in addition to OBPI

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Conventional Physiotherapy Group

Active Comparator group

Description:

Participants were randomly divided into two arms. Participants in the activate comparator group will be administered traditional physiotherapy approaches applied after obstetric brachial plexus injury by the researcher physiotherapist.

Treatment:

Other: Conventional Physiotherapy

Graded Motor Imagery Group

Experimental group

Description:

Participants included in the motor imagery group through randomization will receive a progressive motor imagery approach in addition to the conventional physiotherapy treatment received by the first group. All applications are performed by the same physiotherapist.

Treatment:

Other: Graded Motor Imagery