Magic Camp for Children With Hemiplegic Cerebral Palsy

Magic Camp for Children With Hemiplegic Cerebral Palsy

Sponsors

Lead sponsor: University of Alabama at Birmingham

Source University of Alabama at Birmingham
Brief Summary

The proposed study will test the feasibility and effectiveness of a "Magic Camp" in children with spastic hemiplegic cerebral palsy (CP). A single group pretest-posttest design (n=10) will be used to investigate the immediate (2 weeks) and longer-term effect (3 months) of a "Magic Camp" on improving upper limb motor function and health-related quality of life (HRQoL) in children with hemiplegic CP.

Detailed Description

This project will employ a single group pretest-posttest design to investigate the impact of a "Magic Camp" on the improvement in upper limb motor function, health-related quality of life, and emotional stress among children with spastic hemiplegic CP. After the baseline evaluation, eligible participants will complete one-on-one "magic trick" training 3-hours per day for 2 consecutive weeks. The primary outcome measures will be unimanual function as measured by the Jebsen Taylor Test of Hand Function, bimanual coordination as measured by kinematic parameters using motion analysis, and spontaneous use of the more affected limb in real-life activities that demand the use of both hands as measured by the Children's Hand Experience Questionnaire. Secondary outcome measures will include HRQoL as measured by the Cerebral Palsy Quality of Life Questionnaire, in-depth dyad qualitative interviews of the caregivers and children, and emotional stress as measured by the fingernail cortisol levels.

Overall Status Completed
Start Date June 4, 2018
Completion Date December 31, 2018
Primary Completion Date October 1, 2018
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Unimanual skill as measured by the Jebsen Taylor Test of Hand Function baseline
Bimanual coordination as measured by 3-D kinematic motion analysis baseline
Extent of the more affected hand use in daily bimanual activities as measured by the Children's Hand Experience Questionnaire (CHEQ) Baseline
Health-related quality of life as measured by the Cerebral Palsy Quality of Life (CPQOL) Questionnaire Baseline
Emotional stress as measured by the amount of cortisol in participants' and their caregivers' fingernails. Baseline
Secondary Outcome
Measure Time Frame
Unimanual skill as measured by the Jebsen Taylor Test of Hand Function from baseline to two weeks
Bimanual coordination as measured by 3-D kinematic motion analysis from baseline to two weeks
Extent of the more affected hand use in daily bimanual activities as measured by the Children's Hand Experience Questionnaire (CHEQ) from baseline to two weeks
Health-related quality of life as measured by the Cerebral Palsy Quality of Life (CPQOL) Questionnaire from baseline to two weeks
Unimanual skill as measured by the Jebsen Taylor Test of Hand Function from two weeks to three months
Bimanual coordination as measured by 3-D kinematic motion analysis from two weeks to three months
Extent of the more affected hand use in daily bimanual activities as measured by the Children's Hand Experience Questionnaire (CHEQ) from two weeks to three months
Health-related quality of life as measured by the Cerebral Palsy Quality of Life (CPQOL) Questionnaire from two weeks to three months
Emotional stress as measured by the amount of cortisol in participants' and their caregivers' fingernails. from baseline to three months
Enrollment 7
Condition
Intervention

Intervention type: Behavioral

Intervention name: Magic camp intervention

Description: Hand-arm bimanual motor skills training

Arm group label: Magic camp intervention

Eligibility

Criteria:

Inclusion Criteria:

- spasticity with Modified Ashworth Scale grades between 1 and 3;

- ability to lift the more affected arm 15 cm above a table surface;

- impairment of hand function at levels I to III of the Manual Activity Classification System

- ability to grasp and release light objects with the more affected hand

- largely nonuse of the more affected hand in daily activities as determined by the Pediatric Motor Activity Log

- are interested in learning magic tricks

- have the cognitive and social ability to participate in a camp setting;

- ability to follow directions in English; and

- ability to remember simple sequences of actions to perform magic tricks.

Exclusion Criteria:

- severe muscle spasticity or fixed contracture in the more affected limb that limits functional arm and hand use

- dystonia

- severe visual or auditory disorders that prevent learning and carrying out the magic tricks

- serious or recurring medical complications

- participation in intensive upper limb intervention and/or musculoskeletal and tone management treatments, dorsal rhizotomy, or surgery on the upper limb in the previous 6 months or anticipated within subsequent 6 months

- start muscle relaxant within the last 3 months; or

- plan to move to another state within the next 6 months.

Gender: All

Minimum age: 9 Years

Maximum age: 18 Years

Healthy volunteers: No

Overall Official
Last Name Role Affiliation
Hon K Yuen, PhD Principal Investigator University of Alabama at Birmingham
Location
facility
University of Alabama at Birmingham
Location Countries

United States

Verification Date

February 2020

Responsible Party

Responsible party type: Principal Investigator

Investigator affiliation: University of Alabama at Birmingham

Investigator full name: Hon K. Yuen, PhD

Investigator title: principal investigator

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 1
Arm Group

Arm group label: Magic camp intervention

Arm group type: Experimental

Description: These children are diagnosed with cerebral palsy and we will provide motor control training.

Patient Data No
Study Design Info

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Source: ClinicalTrials.gov