Effectiveness of Visual and Auditory Feedback on Eye-hand Coordination in Children With Hemiplegic Cerebral Palsy

Effectiveness of Visual and Auditory Feedback on Eye-hand Coordination in Children With Hemiplegic Cerebral Palsy

Sponsors

Lead sponsor: Princess Nourah Bint Abdulrahman University

Source Princess Nourah Bint Abdulrahman University
Brief Summary

The aim of this study was to investigate potential benefits of adding augmented biofeedback training to standard therapy in improving eye-hand coordination in children with hemiplegic cerebral palsy .Participants were divided randomly into three equal groups. Group (A) received specially designed program of physical therapy intervention strategies to facilitate visual motor integration and visual perception over a period of three months. Group (B) received augmented biofeedback training only, and group (C) received augmented biofeedback training and same physical therapy program as group (A).

Detailed Description

Children were assigned randomly into three groups of equal number (A, B and C). Children were selected randomly by collecting all names of children that matched the inclusion criteria of the study then upload the names and gender using an electronic program (SPSS) which divided the sample into three equal groups (A), (B) & (C). Group A: this group included fifteen children with spastic hemiplegic CP. Children of this group received specially designed program of physical therapy exercises to facilitate eye-hand coordination to improve visual-motor coordination and grasping skills, which included: unbutton buttons, and button in all again; put the pellets in the bottle as fast as he/she can; place the shapes on its form board; build steps, wall, pyramid and a tower from cubes; cut out a line, square, triangle, and rectangular shapes on a paper by scissor; string squared cubes and lace the holes of strip. The tools used in training program were: button strip, lacing strip and its lace, mottle with screw- on cap, markers with different colors, beads and its lacing, square cubes, pellets, papers, blunt scissors, colored cubes, different types of form board and its shapes. Adjusted chair and table were used to accommodate differences in children's body built. Children were trained for 60 minutes per session, three times a week for three consecutive months.

Group B: this group included fifteen children with spastic hemiplegic CP. Children of this group received training using the E-Link Upper Limb Exerciser for 60 minutes per session, three times a week for three consecutive months. Group C: this group included fifteen children with spastic hemiplegic CP. Children of this group received the same physical therapy program as conducted for group A, and training with E-Link Upper Limb Exerciser as conducted for group B. The training was for 60 minutes per session, three times a week for three consecutive months.

The participated children were assessed by the Peabody Developmental Motor Scale (2nd edition) (PDMS-2) Test before and after the three months of the treatment program. The average time required for evaluating each child was 40 min. The assessment and training methods were applied according to the instructions provided in the test and equipment manuals, no modifications were necessary.

Overall Status Recruiting
Start Date July 1, 2018
Completion Date January 1, 2019
Primary Completion Date December 20, 2018
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Change from Baseline Peabody Developmental Motor Scale at 3 months (2nd edition) (PDMS-2) 10-15 minutes total, it is taken at base line and after 3 months of treatment
Enrollment 45
Condition
Intervention

Intervention type: Procedure

Intervention name: physical therapy program

Description: this group received specially designed physical therapy program to facilitate eye-hand coordination and fine motor to improve VMI, VP and MC, which included: unbutton buttons, and button in all again; put the pellets in the bottle as fast as he/she can; place the shapes on its form board; build steps, wall, pyramid and a tower from cubes; cut out a line, square, triangle, and rectangular shapes on a paper by scissor; string squared cubes and lace the holes of strip. Children were trained for 60 minutes per session, three times a week for three consecutive months.

Arm group label: group A

Intervention type: Device

Intervention name: E-Link Upper Limb Exerciser

Description: The exercises in the E-Link Upper Limb Exerciser System are in the form of simple and exciting games such as soccer, hitting walls, space shooting, driving, arnd throwing balls into a bucket.Children were trained for 60 minutes per session, three times a week for three consecutive months

Arm group label: group B

Intervention type: Combination Product

Intervention name: physical therapy program and ELink Upper Limb Exerciser

Description: physical therapy program and E-Link Upper Limb Exerciser. Children were trained for 60 minutes per session, three times a week for three months

Arm group label: group C

Eligibility

Criteria:

Inclusion Criteria:

- Grade of spasticity between 1 to 1+ according to Modified ashworth Scale,

- The ability to handle objects independently was between level (I) and (II)

- According to Manual Ability Classification System (MACS)

- No history of epilepsy

- No botulinum toxin A treatment for the upper extremities in the previous 6 months

- Able to understand and follow verbal commands and instructions

Exclusion Criteria:

- Presence of visual or auditory impairments

- Significant tightness or fixed deformities in the upper limbs

- Severe spasticity

- Autism

- Severe cognitive impairment

Gender: All

Minimum age: 5 Years

Maximum age: 8 Years

Healthy volunteers: No

Overall Official
Last Name Role Affiliation
Reem M Alwhaibi, PhD Principal Investigator Princess Nourah Bint Abdulrahman University
Overall Contact

Last name: Reem M Alwhaibi, PhD

Phone: +966599112273

Phone ext: +966599112273

Email: [email protected]

Location
facility status contact contact_backup Disabled Children's Association Reem M Alwhaibi +966599112273 +966599112273 [email protected]
Location Countries

Saudi Arabia

Verification Date

November 2018

Responsible Party

Responsible party type: Principal Investigator

Investigator affiliation: Princess Nourah Bint Abdulrahman University

Investigator full name: Reem M Alwhaibi

Investigator title: associate professor

Keywords
Has Expanded Access No
Condition Browse
Number Of Arms 3
Arm Group

Arm group label: group A

Arm group type: Active Comparator

Description: Group (A) physical therapy program for 60 minutes per session, three times a week for three consecutive months

Arm group label: group B

Arm group type: Active Comparator

Description: Group (B) E-Link Upper Limb Exerciser (augmented biofeedback training)for 60 minutes per session, three times a week for three consecutive months

Arm group label: group C

Arm group type: Experimental

Description: group (C) physical therapy program and E-Link Upper Limb Exerciser

Patient Data Yes
Study Design Info

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Outcomes Assessor)

Source: ClinicalTrials.gov