Synchronous Telerehabilitation vs Face to Face Method for Upper Extremity Functions in Children With Hemiparetic CP

Istanbul University - Cerrahpasa (IUC)

Status: Completed

Conditions: Cerebral Palsy

Treatments: Other: Telerehabilitation; Other: Face to face rehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT05522452

PhD thesis

Details and patient eligibility

About

The aim of this study is to investigate the effectiveness of synchronous telerehabilitation on improving upper extremity function in children with hemiparetic cerebral palsy.

Full description

46 children with hemiparetic cerebral palsy who meet the inclusion criteria and agree to participate in the study will be included. The participants will be randomly divided into two groups. The groups are: a) the synchronous telerehabilitation group; b) face to face rehabilitation group. Both groups will receive physiotherapy 2 days a week (1 session of 45 minutes) for 12 weels, for a total of 24 sessions. Evaluations will be made at baseline and the end of the treatment.

Enrollment: 42 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Presence of confirmed hemiparetic cerebral palsy
• Manual Ability Classification System ≤ 3
• Age between 6 and 18
• Absence of major visual and/or auditory deficits
• Sufficient cooperation to comprehend and complete the test procedure and participate in treatment
• Family members being active mobile phone or computer and internet users

Exclusion criteria

• Seizures uncontrolled by therapy
• Surgery and/or botulinum toxin-A injections in the upper limb within 6 months prior to the baseline assessment
• Having a disabling behavioral disorder to treatment
• Family's discontinuation of treatment

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Telerehabilitation group

Experimental group

Description:

The telerehabilitation group will participate in the treatment in their homes. While the participants are performing the activities in their own homes, applications will be made via webcam-based software (Zoom) and synchronous access via video and audio from the physiotherapist's computer screen. The activities determined by the physiotherapist will be directed to the family, and the activities will be adapted and implemented according to the child's needs and functional level. Physiotherapy program will include the following applications: * Tone regulation * Active stretching and strengthening exercises * Gross and fine motor activities to improve bilateral hand use * Daily living activities to improve upper extremity functional skills such as dressing, eating, and buttoning. * Arts and crafts activities

Treatment:

Other: Telerehabilitation

Face to face group

Active Comparator group

Description:

The face-to-face group will be treated in the clinic. To this group; The activities determined by the physiotherapist will be applied face to face. Physiotherapy program will include the following applications: * Tone regulation * Active stretching and strengthening exercises * Gross and fine motor activities to improve bilateral hand use * Daily living activities to improve upper extremity functional skills such as dressing, eating, and buttoning. * Arts and crafts activities

Treatment:

Other: Face to face rehabilitation