Statement of the problem:
Does robotic assisted therapy have an effect on hand functions, grip strength and proprioception in children with hemiplegic cerebral palsy?
Significance of the study:
New technologies allow and promote active involvement, leading directly to functional changes that are far beyond those obtained with conventional therapy. Many features of robotic therapy may contribute to enhanced recovery of upper limb motor function. These include task-specific practice, intensity of repetition, robotic assistance, enhanced sensory feedback, continual motivation (because every trial yields a degree of success, even if robot assistance is required).
The implementation of robotics with hemiplegic cerebral palsy focuses on functional motor performance by providing intensive repetitive training, sensorimotor integration and cognitive engagement through goal-directed tasks to address the underlying symptoms. Robotic technologies offer numerous potential advantages over conventional therapies, chief among these being the ability to provide high-intensity repetitive training. Robotic treatment is a novel approach that has demonstrated promise in enhancing motor function, enhancing the quality of life, and lessening the burden on caregivers.
Their ages range from 6-9 years
They have mild to moderate spasticity (grade 1- 2) according to Modified Ashworth Scale
Their motor function will be at level I and II according to Gross Motor Function Classification System GMFCS
Their manual abilities will be at level II and Level III according to Manual Ability classification system
Fixed deformity in any joints of the upper limb.
Previous history of surgical intervention in the upper limb.
Auditory, visual and cognitive problems.
Botulinum Toxin injection in last 6 months.
Parallel
Hand rehabilitation robotic gloves
Devicerobotic gloves assist in hand functions
occupational therapy
Other interventiondesigned traditional occupational therapy program
hand grip strength by hand held dynamometer
the hand grip strength will be measured by hand held dynamometer
hand functions ( fine motor precision and integration measured by Bruininks-Oseretsky Test of Motor Proficiency
hand functions will be measured by Bruininks-Oseretsky Test of Motor Proficiency
wrist joint proprioception by digital goniometer
wrist joint position sense will be measured by digital goniometer
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