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Telerehabilitation-Based Action Observation Treatment in Children with Hemiparetic Cerebral Palsy

M

Marmara University

Status

Completed

Conditions

Hemiparetic Cerebral Palsy

Treatments

Other: Synchronous telerehabilitation group
Other: Asynchronous telerehabilitation group

Study type

Interventional

Funder types

Other

Identifiers

NCT05349136
09.2020.1353

Details and patient eligibility

About

The aim of this study is to evaluate the effectiveness of action observation therapy applied using two different telerehabilitation techniques (synchronous and asynchronous) to children with hemiparetic cerebral palsy.

Full description

Action observation treatment (AOT) is a new rehabilitation technique. AOT involves the observation of purposeful actions, presented through a video-clip or performed by an operator, in order to imitate and then perform them. In this study, AOT will be applied by observing actions to be presented via video-clips. 36 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 three groups. The groups are: a) the synchronous telerehabilitation group, where AOT will be applied under the supervision of a physiotherapist via videoconferencing; b) the asynchronous telerehabilitation group, where AOT will be applied under parental supervision; and c) control group. Both the synchronous telerehabilitation group and the asynchronous telerehabilitation group will receive AOT 5 days a week for 3 weeks, for a total of 15 sessions, in addition to conventional physiotherapy. The control group will only receive conventional physiotherapy. A total of three evaluations will be made at baseline (T0), at the end of treatment (T1), and at two months of follow-up (T2).

Enrollment

36 patients

Sex

All

Ages

6 to 12 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Presence of confirmed hemiparetic cerebral palsy
  • Manual Ability Classification System ≤ 3
  • Age between 6 and 12
  • Absence of major visual and/or auditory deficits
  • Sufficient cooperation to comprehend and complete the test procedure and participate in treatment
  • House Functional Classification Score ≥4
  • Grade ≤2 on the Modified Ashworth Scale

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

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

36 participants in 3 patient groups

Synchronous telerehabilitation group
Experimental group
Description:
Synchronous telerehabilitation based-Action Observation Treatment and conventional physiotherapy
Treatment:
Other: Synchronous telerehabilitation group
Asynchronous telerehabilitation group
Experimental group
Description:
Asynchronous telerehabilitation based-Action Observation Treatment and conventional physiotherapy
Treatment:
Other: Asynchronous telerehabilitation group
Control group
No Intervention group
Description:
Conventional physiotherapy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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