Spastic Hemiparetic Cerebral Palsy (SHCP) uses to limit the manual function. Using anodic transcranial direct current stimulation, it is possible to activate certain cerebral areas depending on where the electrodes are. This study will use this kind of stimulation on the contralateral primary motor cortex of the affected upper limb and analyze the effects.
Children between 14-18 years old.
Children with spastic hemiparetic cerebral palsy diagnosis.
Children with a cognitive level high enough to understand and to do the activities to value them.
Children hemodynamically stable.
Children with defibrillator.
Children with pacemaker.
Children with cerebral stimulator.
Children with intracranial metallic implants.
Single group
Anodic Transcranial Direct Current Stimulation
DeviceThis study will apply the anodic transcranial direct current stimulation over 20 children between 14-18 years old. The protocol that it will follow is the next one: 3 days to value the outcome measures, 4 days (1 sessions per day of 17 minutes and 30 seconds) to apply the protocol of anodic transcranial direct current stimulation (0,6 mA of intensity). It will use the EPTE V07 Bipolar System by IONCLINICS ®; 3 days to value the outcome measures studying the effects produced at the affected upper limb. Another evaluation will be realized 3 weeks after the last sessions of anodic transcranial direct current stimulation to know if the effects obtained last at medium-long term.
Changes in the timing that children use to complete the 29 items of the Children's Hand-Use Experience Questionnaire (CHEQ).
CHEQ is a questionnaire analyze the time it takes the children (between 6-18 years old) to do 29 functional activities; it also values the subjective experience of the children doing theses activities. It has a punctuation that goes from 1 to 4 (the maximum score is 348). If the score is higher, it means that the children's status is better.
Changes at the spasticity
Ashworth modified scale is a scale that values the spasticity. It has a punctuation that goes from 0 to 4. If the score is higher, it means that the spasticity is worse.
Changes at the active movement
Fugl-Meyer scale for upper limb Is a scale that values the active movement, the sensibility, joints pain and passive movement of the upper limb. It has a punctuation that goes from 0 to 2 (the maximun score is 126). If the score is higher, it means that all it values are fine.
Changes at the manual strength
Dynamometry is a test that values the hand strength.
Changes at the recruitment of the motor units.
Surface electromyography is a test that values the improvement in the recruitment of the motor units.
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University of Malaga
Lead sponsor
Jorge Manuel Góngora Rodríguez
Collaborator
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