Scapular Alignment and Upper Limb Function in Children With Cerebral Palsy (Hemiparesis)

Correlation Between Scapular Alignment and Upper Limb Function in Children With Hemiparetic Cerebral Palsy

Purpose: To determine the effect of scapular alignment on upper limb function in hemiparetic children and to find relation between scapular alignment of the affected, less affected limb and the upper limb function in children with spastic hemiparesis Subjects: Forty children with spastic hemiparetic cerebral palsy, from both genders, were included in this study. They were selected from Outpatient Clinic of Faculty of Physical Therapy, Cairo University. The age of the selected children was ranging from 3 to 6 years old. Degree of spasticity is ranging from 1 to 1+ according to modified Ashworth scale.

Methods: Forty children with spastic hemiparetic cerebral palsy were assessed for scapular alignment using Postural zone software and for upper limb function using pediatric arm function test.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy
• Intervention / Treatment: Diagnostic test: Children with hemiparetic cerebral palsy being assessed for scapular alignment and upper limb function.

Detailed Description

Subjects:

Forty children with spastic hemiplegic CP, from both genders, were included in this study. They were selected from Outpatient Clinic of Faculty of Physical Therapy, Cairo University.

Inclusion criteria:

Children were enrolled in this study according to the following criteria:

1. The age of the selected children was ranging from 3 to 6 years old .
2. Both genders were included.
3. They were able to follow instructions and understand commands.
4. Degree of spasticity is ranging from 1 to 1+ according to modified Ashworth scale.
5. Postural zone software was assess scapular alignment and pediatric arm function test was assess upper arm function .

Exclusion criteria:

The child was excluded from the study if he / she has one or more of the following:

1. Upper limb surgery in the last 12 months.
2. Children which had contracture, fracture, and fixed deformities in the upper limb.
3. Children with muscleoskletal abnormalities as fixed back deformities.

Methods:

Forty children with spastic hemiparetic cerebral palsy were assessed for scapular alignment using Postural zone software and for upper limb function using pediatric arm function test.

• Study Type: Observational
• Enrollment (Actual): 40

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt, 11432
    • Faculty of physical therapy, Cairo University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 3 years to 6 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Forty children with spastic hemiplegic CP, from both genders, were included in this study. They were selected from Outpatient Clinic of Faculty of Physical Therapy, Cairo University.

The age of the selected children was ranging from 3 to 6 years old. They were able to follow instructions and understand commands.Degree of spasticity is ranging from 1 to 1+ according to modified Ashworth scale.

Description

Inclusion Criteria:

1. The age of the selected children was ranging from 3 to 6 years old .
2. Both genders were included.
3. They were able to follow instructions and understand commands.
4. Degree of spasticity is ranging from 1 to 1+ according to modified Ashworth scale.

Exclusion Criteria:

1. Upper limb surgery in the last 12 months.
2. Children which had contracture, fracture, and fixed deformities in the upper limb.
3. Children with muscleoskletal abnormalities as fixed back deformities.

Study Plan

How is the study designed?

Design Details

• Observational Models: Case-Only
• Time Perspectives: Cross-Sectional

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Children being assessed for scapular alignment and upper limb function.; Children with hemiparetic cerebral palsy being assessed for scapular alignment and hand function using postural zone software to assess scapular alignment and pediatric arm function test toassess upper limb function .	Diagnostic test: Children with hemiparetic cerebral palsy being assessed for scapular alignment and upper limb function.; Children with hemiparetic cerebral palsy being assessed for scapular alignment and upper limb function.; Other Names: Children being assessed for scapular alignment and upper limb function.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of Children being assessed for scapular alignment.	Children being assessed for scapular alignment using postural zone software.	baseline ( enrolment)
Number of Children being assessed for upper limb function.	Children being assessed for upper limb function using pediatric arm function test.	baseline ( enrolment)

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Mai Abbass, Ph.D., Cairo university

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2020
• Primary Completion (Actual): November 6, 2020
• Study Completion (Actual): January 30, 2021

Study Registration Dates

• First Submitted: November 20, 2020
• First Submitted That Met QC Criteria: November 24, 2020
• First Posted (Actual): November 25, 2020

Study Record Updates

• Last Update Posted (Actual): February 26, 2021
• Last Update Submitted That Met QC Criteria: February 25, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Brain Damage, Chronic; Cerebral Palsy
• Other Study ID Numbers: REC\012\002554

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