Upper Extremity Selective Voluntary Motor Control in Children With Unilateral Cerebral Palsy

Upper Extremity Selective Voluntary Motor Control in Children With Unilateral Cerebral Palsy and Its Association With Upper Extremity Function

The aim of the study was to determine upper extremity selective motor control (SMC) in Children with Unilateral Cerebral Palsy (CP). It was also aimed to determine the relationship between upper extremity SMC and upper extremity functions in unilateral CP.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy

Detailed Description

Twenty-four unilateral CP participated in the study between the ages of 6 and 18 years. Children's manual skills classified with MACS. To assess the quality of the upper extremity, the Quality of Upper Extremity Skill Test (QUEST) which assessed four areas including dissociated movement, grasp, weight bearing and protective extension, was used. Upper extremity functions were assessed using the Jebsen Taylor Hand Function Test (JTT). The Selective Control of Upper Extremity Scale (SCUES) was used to evaluate the selective movements of the upper extremity. The SCUES evaluates the movement of the trunk during the upper limb movements and mirror movements via video recording.

• Study Type: Observational
• Enrollment (Actual): 24

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey, 06560
    • Gazı University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years to 18 years (ADULT, CHILD)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Children with unilateral cerebral palsy.

Description

Inclusion Criteria:

• diagnosis of unilateral spastic CP,
• age between 5 and 18 years,
• ability to follow simple instructions.

Exclusion Criteria:

• significant ataxia or dystonia
• orthopedic intervention or botulinum toxin injection to the upper extremities in the last 6 months
• orthopedic problems or medical conditions that prevented children from participating in the assessment

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Selective Control of the Upper Extremity Scale (SCUES)	The SCUES evaluate for movement at each joint level: the presence of mirror movements, movement of additional joints the target or index joint, presence of trunk movement, dynamic motion less than passive ROM. Upper extremity joint levels and motions examined include the shoulder (abduction/adduction), elbow (flexion/extension), forearm (supination/pronation), wrist (flexion/extension), and fingers/thumb (grasp/release). A video camera is placed in front of a participant sitting on a table. The examiner demonstrate the desired motion to the participant, then passively moves the participant's joint in the desired planes. The participant is then asked to perform the same motion. This activity is graded by the examiner from the videotape. Evaluation lasts less than 15 minutes. Motion at each of the five joint levels is graded on a four-point scale: no SMC, moderately diminished SMC, mildly diminished SMC, and normal SMC	10 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Jebsen Taylor Hand Function Test (JTT)	It is a standard test used to evaluate the general hand function of the person. Seven subsets of the test simulate hand function, which includes writing, simulated page turning, stacking checkers, simulated feeding and picking up small common objects, large light objects, large heavy objects	10 minutes
Quality of Upper Extremity Skill Test (QUEST)	The QUEST evaluates the quality of the upper extremity to four areas; Dissociated Movement, Grasp, Weight Bearing and Protective Extension. A score of "yes" or "no" is given according to the completion of each movement or task. The four field scores are summed to achieve the total score. During evaluation, the child is not allowed to use any device in the upper extremity	20 minutes

Collaborators and Investigators

• Sponsor: Gazi University
• Investigators: Study Chair: Bulent Elbasan, Gazi University

Study record dates

Study Major Dates

• Study Start (ACTUAL): April 25, 2017
• Primary Completion (ACTUAL): January 25, 2018
• Study Completion (ACTUAL): March 25, 2018

Study Registration Dates

• First Submitted: April 10, 2018
• First Submitted That Met QC Criteria: April 19, 2018
• First Posted (ACTUAL): April 20, 2018

Study Record Updates

• Last Update Posted (ACTUAL): April 20, 2018
• Last Update Submitted That Met QC Criteria: April 19, 2018
• Last Verified: April 1, 2018

More Information

Terms related to this study

• Keywords: cerebral palsy; upper extremity; selective motor control
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Cerebral Palsy; Paralysis
• Other Study ID Numbers: 77082166-302.08.01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No