VR Versus Task-Oriented Circuit Training on UL Sensorimotor in Children With Immature Brain Injury
September 14, 2026 updated by: Lama Saad El-Din Mahmoud, October 6 University
Effect of Virtual Reality Versus Task-Oriented Circuit Training on Upper Limb Sensorimotor Function in Children With Immature Brain Injury :Randomized Controlled Trial
To investigate and compare the effect of virtual reality and task-oriented circuit training on pinch grip and quality of life in children with with immature brain injury.
BACKGROUND: Children with immature brain injury may have limited use of their hands for functional activities and for fine motor skills.
The primary function of the hand is hand grip, which has a great Influence on activities and tasks of daily life
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
To investigate and compare the effect of virtual reality and task-oriented circuit training on pinch grip and quality of life in children with with immature brain injury. BACKGROUND: Children with immature brain injury may have limited use of their hands for functional activities and for fine motor skills. The primary function of the hand is hand grip, which has a great Influence on activities and tasks of daily life
Hypothesis
This study hypothesized that:
there is no difference between the effect of virtual reality and task-oriented circuit training on pinch grip and quality of life in children with spastic cerebral palsy.
RESEARCH QUESTION:
Is there difference between the effect of virtual reality and task-oriented circuit training on pinch grip and quality of life in children with immature brain injury?
Study Type
Interventional
Enrollment (Estimated)
44
Phase
- Not Applicable
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
- Name: Lama Saad El-Din SED Mahmoud
- Phone Number: 01157592636
- Email: lamaelsedawyy@hotmail.com
Study Contact Backup
- Name: Lama Saad El-Din SED Mahmoud
- Phone Number: 00201157592636
- Email: lamaelsedawyy@hotmail.com
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
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Forty four children with cerebral palsy,
- Age will range as (12:18) years old
- spastic cerebral palsy
- Gross motor function classification system: level I&II
- level I-III on the Manual Ability Classification System (MACS)
Exclusion Criteria:
- difficulty to communicate or to understand program instructions
- surgery/Botox injection during the last 6 months in the upper extremity
- uncontrolled severe seizures
- fixed deformities in the affected side;
- Attention deficit/hyperactivity disorders.
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
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Virtual reality (VR)
Virtual reality (VR) will be applied as an interactive, task-oriented rehabilitation intervention targeting upper-extremity function.
Participants will perform virtual tasks involving purposeful reaching, grasping, object manipulation, and directional movements of the affected upper limb.
The difficulty and range of the tasks will be progressively adjusted according to each participant's functional ability to encourage active movement, repetitive practice, and motor learning.
|
Virtual reality (VR) will be applied as an interactive, task-oriented rehabilitation intervention targeting upper-extremity function.
Participants will perform virtual tasks involving purposeful reaching, grasping, object manipulation, and directional movements of the affected upper limb.
The difficulty and range of the tasks will be progressively adjusted according to each participant's functional ability to encourage active movement, repetitive practice, and motor learning.
Other Names:
|
|
Experimental: Task-oriented circuit training
Task-oriented circuit training will be provided to improve upper-extremity functional performance through repetitive, goal-directed activities.
Participants will perform a series of functional tasks involving reaching, grasping, lifting, transferring, and manipulating objects.
The training will be organized as a circuit of exercise stations, with each station targeting a specific upper-extremity functional skill.
Tasks will be progressively modified by increasing the movement complexity, speed, repetitions, or task demands according to the participant's functional ability.
Participants will receive verbal instructions and feedback from the physiotherapist to facilitate accurate task performance and encourage active participation.
|
Task-oriented circuit training will be provided to improve upper-extremity functional performance through repetitive, goal-directed activities.
Participants will perform a series of functional tasks involving reaching, grasping, lifting, transferring, and manipulating objects.
The training will be organized as a circuit of exercise stations, with each station targeting a specific upper-extremity functional skill.
Tasks will be progressively modified by increasing the movement complexity, speed, repetitions, or task demands according to the participant's functional ability.
Participants will receive verbal instructions and feedback from the physiotherapist to facilitate accurate task performance and encourage active participation.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pinch dynamometer
Time Frame: three months
|
Pinch strength will be assessed using a pinch dynamometer to quantify the maximal voluntary pinch force of the affected hand.
The dynamometer will be positioned between the thumb and the specified finger(s), and participants will be instructed to apply maximal pinch force for approximately 3-5 seconds.
Three trials will be performed with adequate rest between trials, and the highest recorded value or mean of the three trials will be used for analysis.
|
three months
|
|
fugl myer assessment for sensorimotor function of upper limb
Time Frame: three months
|
The Fugl-Meyer Assessment (FMA) will be used to evaluate sensorimotor function of the upper extremity.
The upper-extremity section of the FMA will assess motor function, reflex activity, coordination, and speed of movement.
The assessment will include movements of the shoulder, elbow, forearm, wrist, and hand, with each item scored according to the standardized FMA scoring system.
Higher scores will indicate better sensorimotor performance of the affected upper extremity
|
three months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pediatric Quality of Life Inventory CP Module
Time Frame: three months
|
The Pediatric Quality of Life Inventory Cerebral Palsy Module (PedsQL CP Module) will be used to assess health-related quality of life in children with cerebral palsy.
The questionnaire will evaluate the child's perceived difficulties and limitations across cerebral palsy-specific domains, including daily activities, movement and balance, pain and hurt, fatigue, eating activities, and communication, as applicable to the child's age and functional level.
Items will be scored according to the standardized PedsQL CP Module scoring system, with higher scores indicating better health-related quality of life.
|
three months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Estimated)
September 20, 2026
Primary Completion (Estimated)
January 15, 2027
Study Completion (Estimated)
January 15, 2027
Study Registration Dates
First Submitted
September 14, 2026
First Submitted That Met QC Criteria
September 14, 2026
First Posted (Actual)
September 18, 2026
Study Record Updates
Last Update Posted (Actual)
September 18, 2026
Last Update Submitted That Met QC Criteria
September 14, 2026
Last Verified
September 1, 2026
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- P.T.REC/012/006486
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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