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Virtual Reality With Mirror Therapy on Upper Limb Function

ConditionHemiplegic Cerebral Palsy
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-10
SponsorKafrelsheikh University

About this trial

The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age

. The main question of the study is Are there any significant differences between the effects of virtual reality , mirror therapy and the combined effect of both techniques and on upper limb function in hemiplegic CP children?

Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A medical diagnosis of spastic hemiplegic CP made by pediatric neurologists.

Children with spasticity grades ranged from 1 to 1+ according to MAS.

Their age range from 4 to 10 years.

Children level 1 and level 2 in gross motor functional classification (GMFC 1&2)

Disqualifiers

They had a permanent deformity (bony or soft tissue contractures).

Children having visual or auditory defects.

Children who can not understand verbal commands

Children who had Botox application to the upper extremity in the past 6 months or had undergone a previous surgical intervention to wrist and hand.

Trial design

Design model

Parallel

Treatments tested in this trial

  • virtual reality

    Device

    In Xbox, we will choose suitable games that aim to improve upper limb function like boxing, Darts, tennis, goalkeeping, basketball, disc throwing, balling, and volleyball. The Kinect sensor has the advantage of auto adjustment of its camera according to the child's position and height that's to say the child can perform the game in sitting or standing according to their abilities. They will receive 30 minutes of VR intervention in addition to the time required for the designed physical therapy program.

  • mirror therapy

    Other intervention

    Mirror Therapy A mirror of 30 × 20 inches was used for the MT, which was large enough to cover the entire affected limb while still allowing the reflection of the non-affected limb to be seen. The child was seated in a chair with the forearms resting on the table. In the mid-sagittal plane, the mirror box was positioned at an angle of 70° to 80° to the trunk. The affected limb was placed behind the mirror. The child was asked to perform the exercises bilaterally and symmetrically as much as possible. Even if the affected side did not move easily or fully, the child was advised to synchronize the motions with both hands and arms. The researcher constantly reminded the child to concentrate on the movement of the non-affected limb in front of the mirror, which helped to increase the mirror illusion

  • virtual reality with mirror therapy

    Other intervention

    group C will receive combined effect of both techniques (virtual reality and mirror therapy)

Treatment groups

60 Participants
are divided into 3 treatment groups
Group A: Group (A) virtual reality groupActive comparator 1 intervention
Group B: Group (B) mirror therapy groupActive comparator 1 intervention
Group C: Group (C) the compound effect of virtual reality and mirror therapy groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

changes in upper limb functions

using quality of upper extremity skills test (Quest)

Time frame
after 12 weeks of intervention
2

changes in power grip strength

using sphygmomanometer

Time frame
after 12 weeks of intervention
3

changes in range of motion (ROM)

using kinovea software

Time frame
after 12 weeks of intervention

Secondary outcomes

1

changes in activity of daily living (ADL)

using functional independence measure for children (WeeFIM):

Time frame
after 12 weeks of intervention

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Kafrelsheikh University

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: