About this trial
The purpose of the study is to investigate the effect of task-oriented robotic glove training on hand function in children with unilateral spastic cerebral palsy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children ages will be ranged from 5 to 12 years.
Children with mild to moderate spasticity of the wrist flexor muscles, graded 1,+1 and 2 according to the Modified Ashworth Scale.
Ability to grasp and release objects with affected hand (Level I or II or III in accordance with the Manual Ability Classification System (MACS)).
Sufficient cognition to follow simple verbal instructions.
Disqualifiers
Fractures, fixed deformities, or severe contractures in the upper limb.
Visual or auditory defects.
Previous surgical intervention or Botulinum toxin injection in the last 6 months.
Trial design
Parallel
Treatments tested in this trial
Conventional Physical Therapy Program
Other interventionThe conventional physical therapy program include neurodevelopmental facilitation technique, proprioceptive training, facilitation of righting, equilibirum and protective reaction, passive stretching for tight muscles, active-assisted and active-free exercises for weak muscles, and hand skills training.
Robotic Glove Training
Other interventionThe conventional physical therapy program include neurodevelopmental facilitation technique, proprioceptive training, facilitation of righting, equilibirum and protective reaction, passive stretching for tight muscles, active-assisted and active-free exercises for weak muscles, and hand skills training. Also, task-oriented training in the form of grasping and releasing balls into a barrel, placing and removing pegs, and passing rings along rode with soft robotic glove.
Treatment groups
Trial outcomes
Primary outcomes
Grip Strength
Hand-held dynamometer will be used to measure hand grip strength. It is a valid and reliable device used to measure isometric grip strength.
Pinch Strength
Pinch gage will be used to measure lateral pinch, 2-point pinch, and 3-point pinch strength. It is a valid and reliable device used to measure pinch strength.
Finger Range of Motion
Hand-held steel finger goniometer will be used for measuring total active ROM of an individual digit (MP, PIP, DIP). It is a valid and reliable device used to measure finger ROM.
Secondary outcomes
Fine and Gross Motor Hand Function
Jebsen-Taylor Hand Function Test (JTHFT) will be used for measuring fine and gross motor hand function. It has seven subsets which are writing, simulated page-turning, lifting small objects, simulated feeding, stacking, and lifting large, lightweight, and heavy objects. The subtests are scored by recording the number of seconds required to complete each test.
Locations
Sponsors and contacts
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