Effect of Using Adaptive Seating Equipment on Hand Function (hemiparesis)

Effect of Using Adaptive Seating Equipment on Grasping and Visual Motor Integration in Children With Hemiparetic Cerebral Palsy

Objective: The purpose of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis. Subjects: A total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls), aged 3-6 years participated in this study. They were randomly assigned into control and study groups of equal numbers each consisted of fifteen children (n=15). Methods: Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment (3 sessions per week), to assess 2 subtests (the grasping skills and visual motor integration skills) for all children of both groups. Control group who received a specially selected physical therapy program for hand function on a standard chair seating. Study group who received the same selected program for hand function on adaptive swiss ball seating.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy
• Intervention / Treatment: Other: Adaptive seating equipment group; Other: Traditional seat group

Detailed Description

The aim of this study was to evaluate the effect of adaptive swiss ball seating as an alternative for standard chair seating on hand function in children with hemiparesis.

In this study, a total of 30 spastic hemiparetic cerebral palsied children (19 boys and 11 girls) aged 3-6 years, they were selected from general hospitals and private centers in kafr El-Sheikh government, randomly assigned to either the control group (n=15), who received a specially selected physical therapy program for hand function on standard chair seating, or the study group (n=15), who received the same selected program for hand function but on adaptive Swiss ball seating. Both groups received 3 sessions per week for 3 successive months. Peabody Developmental Motor Scales 2 (PDMS-2) was used to evaluate each child individually before and after three successive months of treatment, to assess 2 subtests (grasping skills and visual motor integration skills).

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt
    • 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

Description

Inclusion Criteria:

• Children with hemiparetic cerebral palsy.
• The age of the selected children ranged from 3 to 6 years old.
• Degree of spasticity ranged from 1 to 1+, according to Modified Ashworth' Scale (Bohannon and Smith, 1987)
• They were able to follow instructions and understand commands included in both assessment and training procedures.
• They were able to sit independent with trunk control.

Exclusion Criteria:

• Children exposed to orthopedic surgeries or potolinium toxins injection in the last 6 mounth before intervention.
• Children with fixed upper limb deformities
• Children with hearing or visual impairments.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Adaptive seating equipment group; Study group who received the same selected program for hand function on adaptive swiss ball seating	Other: Adaptive seating equipment group; Each child in the study group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day): Building towers and shapes with different textures weights and bright colors.; Inserting different shapes in the correct hole.; Dropping pellets.; Stringing beads.; Copying square and triangle.; Opening the bottle and close it.; Folding and Crumpling paper.; Cutting paper by scissors.; Tracing line and connecting dots.; Reaching above the level of shoulder.; Reaching across the midline.; Squeezing water out of a sponge.; Buttoning and unbuttoning button.; Playing clapping games.; Turning pages in a book.; Lacing string.; Picking up a small piece of food and bringing it into the palm.; Moving a penny from the palm to the fingers.; Removing socks.; Brush the teeth.; Other Names: Occupational therapy program for upper limb while the child sitting on adaptive seating equipment ( swiss ball)
Active Comparator: Traditional seat group; Control group who received a specially selected physical therapy program for hand function on a standard chair seating.	Other: Traditional seat group; Each child in the control group was asked to conduct or follow instructions given for him or her to conduct the following hand function tasks for three successive months of treatment, three times per week (every other day): Building towers and shapes with different textures weights and bright colors.; Inserting different shapes in the correct hole.; Dropping pellets.; Stringing beads.; Copying square and triangle.; Opening the bottle and close it.; Folding and Crumpling paper.; Cutting paper by scissors.; Tracing line and connecting dots.; Reaching above the level of shoulder.; Reaching across the midline.; Squeezing water out of a sponge.; Buttoning and unbuttoning button.; Playing clapping games.; Turning pages in a book.; Lacing string.; Picking up a small piece of food and bringing it into the palm.; Moving a penny from the palm to the fingers.; Removing socks.; Brush the teeth.; Other Names: Occupational therapy program for upper limb while the child sitting on chair

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
change is being assessed in grasping score	Assessment of grasping using Peabody Developmental Motor Scale 2 the higher score means a better outcome	Change from Baseline grasping score assessed at 3 months
change is being assessed in visual motor integration score	Assessment of visual motor integration using Peabody Developmental Motor Scale 2 the higher score means a better outcome	Change from Baseline visual motor integration score assessed at 3 months

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Mai Abbass, Ph.D., Cairo University; Principal Investigator: Ahmed Mahrous, Msc, Cairo University; Study Chair: Elham Salem, Ph.D., Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2018
• Primary Completion (Actual): August 15, 2018
• Study Completion (Actual): August 30, 2018

Study Registration Dates

• First Submitted: November 16, 2020
• First Submitted That Met QC Criteria: November 26, 2020
• First Posted (Actual): December 3, 2020

Study Record Updates

• Last Update Posted (Actual): December 3, 2020
• Last Update Submitted That Met QC Criteria: November 26, 2020
• Last Verified: November 1, 2020

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: P.T.REC\012\001765

Drug and device information, study documents

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