Relationship Between Upper Limb Function and Participation in Hemiplegic cp

March 31, 2026 updated by: Mourine Mounir Amir, Cairo University

Relationship Between Quality of Upper Limb Function and Participation Activities of Children With Hemiplegic Cerebral Palsy

The study will be conducted to

  • Assess quality of upper limb function in children with hemiplegic CP.
  • Assess participation activities of children with hemiplegic CP.
  • Assess the relationship between quality of upper limb function and participation activities of children with hemiplegic CP.

Study Overview

Status

Recruiting

Conditions

Detailed Description

Children with HCP are faced with a variety of motor and sensory impairments that have an impact on their arm and hand functioning. Upper limb activity limitations reflect the difficulties experienced during reaching, grasping, manipulating and releasing objects with the hemiplegic arm and hand.

As a result, those children may choose to use their "less-affected" hand instead of the affected hand due to difficulties in using it . Although they can complete certain bimanual tasks primarily using one hand through compensatory strategies, the time required to accomplish these tasks is typically longer than their peers.

An important outcome of rehabilitation services is to optimize children's participation in different life situations such as home, school and in the community .Participation in family and recreational activities provides avenues for children to play, learn skills, make friends and develop self-confidence and belonging. Understanding the link between manual ability and participation is essential in pediatric rehabilitation for children with HCP. Adequate assessment of upper limb function in those children is crucial not only to outline treatment, but also to measure the efficacy of their participation in life areas activities and to allow follow-up over time.

This study highlights how limitations in upper limb manual ability can restrict participation in life areas activities of those children, so it can guide goal-setting in both occupational therapy and physical therapy, emphasizing activities that promote both hand function and participation in life areas activities. Simultaneously this study supports the movement of the growing trend in family-centered and participation-focused therapy.

Study Type

Observational

Enrollment (Estimated)

72

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Egypt
      • Cairo, Egypt
        • Recruiting
        • Outpatient clinic of faculty of physical therapy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Children with HCP will be selected from the Outpatient Clinic of Faculty of Physical Therapy, Cairo University

Description

Inclusion Criteria:

  • Children diagnosed with hemiplegic cerebral palsy.
  • Both genders will be included.
  • Children's age will be ranging from 5 to 8 years.
  • The degree of spasticity in affected upper limb ranges from grade 1, 1+ and 2 according to Modified Ashworth Scale.
  • Children are able to understand and respond to simple instructions.
  • Children in inclusion education system.
  • Parents are of nearly the same socioeconomic level and must have at least an average level of education.

Exclusion Criteria:

  • Children will be excluded in the presence of the following:

    • Severe visual, auditory or perceptual impairment that interfere with the evaluation program.
    • Botulinum toxin injection in upper limb or recent orthopedic surgery within last 6 months (Alkan and Bingol,2021).
    • Fixed deformities in the affected upper limb. Significant mental or psychological problems that interfere with understanding instructions.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Quality of upper limb function will be evaluated using the Quality of Upper Extremity Skills Test (QUEST).
Time Frame: 4 months
Quality of Upper Extremity Skills test is the used scale. Higher scores indicate better quality of upper extremity movement. A domain score close to 100% reflects near-normal quality of movement. Lower scores indicate reduced control, compensatory movements, or inability to complete tasks.
4 months
Child and Adolescent Scale of Participation will be used to assess child participation.
Time Frame: 4 months
The overall percentage score indicates how much the child is participating in expected ways for their age compared to their peers. A score of 100% means that the child is fully participating in the expected manner.
4 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Cairo University

Investigators

  • Principal Investigator: Hoda AbdelAzim El talawy, professor, Hoda_eltalawy@hotmail.com
  • Principal Investigator: Amira Fathy Ibrahim, lecturer, Amirafathy573@gmail.com

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2026

Primary Completion (Estimated)

May 1, 2026

Study Completion (Estimated)

May 1, 2026

Study Registration Dates

First Submitted

March 23, 2026

First Submitted That Met QC Criteria

March 23, 2026

First Posted (Actual)

March 27, 2026

Study Record Updates

Last Update Posted (Actual)

April 6, 2026

Last Update Submitted That Met QC Criteria

March 31, 2026

Last Verified

December 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • P.T.REC/012/006277

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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