Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

Omnya Samy Abdallah Ghoneim

Status: Completed

Conditions: Spastic; Hemiplegia

Treatments: Other: motor learning and occupational therapy; Other: Motor Learning Approaches From Working on a Vertical Surface

Study type: Interventional

Funder types: Other

Identifiers

NCT05596513

P.T.REC/012/003981

Details and patient eligibility

About

Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.

Full description

Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion.

A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint.

Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles.

Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.

Enrollment: 40 patients

Sex: All

Ages: 5 to 9 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Children diagnosed with spastic hemiplegic cerebral palsy
2. Age 5 to 9 years
3. Manual Ability Classification System (MACS)19 scores I, II.
4. Children who can understand and cooperate with researcher's instructions
5. Children with no visual or hearing impairment

Exclusion criteria

1. Children with any surgical interference in the upper limb.
2. Intellectual disability such that simple tasks could not be understood or executed.
3. Inability to combine the study protocol with the regular school program

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

control group

Active Comparator group

Description:

received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).

Treatment:

Other: motor learning and occupational therapy

study group

Experimental group

Description:

received the intensive motor-learning approaches of the control group but from a vertical surface

Treatment:

Other: Motor Learning Approaches From Working on a Vertical Surface