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Upper Extremity Sensation and Function in Children With Cerebral Palsy

A

Abant Izzet Baysal University

Status

Enrolling

Conditions

Upper Extremity Dysfunction
Cerebral Palsy
Sensation Disorders

Treatments

Diagnostic Test: Vibration Sense Assessment
Diagnostic Test: Joint position sense
Other: ABILHAND-Kids survey
Diagnostic Test: Stereognosis
Diagnostic Test: Tactile Sense
Diagnostic Test: Two Point Discrimination
Diagnostic Test: Jebsen-Taylor EHand Function Test

Study type

Observational

Funder types

Other

Identifiers

NCT07352735
AIBU-FTR-ST-08

Details and patient eligibility

About

This cross-sectional study was designed to evaluate upper extremity sensation in children with spastic cerebral palsy and to investigate its effect on upper extremity use in activities of daily living. Children aged 6-15 years with cerebral palsy (n=12) and typically developing peers (n=12) who volunteer to participate in the study will be included. Participants' sociodemographic data will be recorded, and upper extremity vibration sense, stereognosis, tactile sense, two-point discrimination, and joint position sense will be assessed. In the final stage, the Jebsen Taylor Hand Function Test will be administered, and parents will be asked to complete the Abilhand Kids Hand-Related Ability Scale.

Full description

Recent studies have shown that sensory impairments directly affect upper extremity use. Furthermore, it has been noted that sensory functions such as stereognosis and two-point discrimination are closely related to motor skills and affect hand use in activities of daily living, that impairments in proprioceptive feedback reduce upper extremity coordination and functional task performance, and that sensory impairments limit the use of the available hand in bimanual tasks. These studies emphasize that sensory inputs form the basis for motor outputs in daily living activities and that sensory training should be prioritized in rehabilitation processes. Although the presence of sensory impairments in children with CP has been reported in the literature, the relationship between these sensory impairments and upper extremity use in activities of daily living has been addressed in a limited number of studies. In particular, the effect of senses such as vibration and stereognosis on functional outputs has not yet been sufficiently researched. This study aims to systematically examine the effect of sensory impairments on functional hand use for the first time using multidimensional sensory assessment methods. In this respect, the study will provide important and original contributions to the literature.

Enrollment

24 estimated patients

Sex

All

Ages

6 to 15 years old

Volunteers

Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for Cerebral Palsy participants:

  • Having a diagnosis of Cerebral Palsy
  • Being between the ages of 6 and 15
  • Volunteering to participate in the study

Exclusion Criteria for Cerebral Palsy participants:

  • Presence of spasticity that limits active wrist movements
  • Having undergone botulinum toxin or surgical procedures involving the upper extremities within the last 6 months Refusing to participate in the study

Inclusion Criteria for Typical Developing participants:

  • Being between the ages of 6 and 15
  • Volunteering to participate in the study

Exclusion criteria for Typical Developing participants:

  • Refusing to participate in the study
  • Having a history of upper extremity injury or dysfunction or mental disability

Trial design

24 participants in 2 patient groups

Spastic Cerebral Palsy
Description:
Individuals between the ages of 6-15 years with a diagnosis of spastic cerebral palsy
Treatment:
Diagnostic Test: Jebsen-Taylor EHand Function Test
Diagnostic Test: Two Point Discrimination
Diagnostic Test: Tactile Sense
Other: ABILHAND-Kids survey
Diagnostic Test: Stereognosis
Diagnostic Test: Joint position sense
Diagnostic Test: Vibration Sense Assessment
Typical Developing
Description:
Typically developing individuals between the ages of 6-15
Treatment:
Diagnostic Test: Jebsen-Taylor EHand Function Test
Diagnostic Test: Two Point Discrimination
Diagnostic Test: Tactile Sense
Other: ABILHAND-Kids survey
Diagnostic Test: Stereognosis
Diagnostic Test: Joint position sense
Diagnostic Test: Vibration Sense Assessment

Trial contacts and locations

1

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Central trial contact

Sezen Tezcan

Data sourced from clinicaltrials.gov

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