Modified Constraint Induced Movement Therapy Versus Virtual Reality Training in Children With Cerebral Palsy

Last updated: February 24, 2025
Sponsor: Riphah International University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Cerebral Palsy

Cataplexy

Cerebral Palsy (Pediatric)

Treatment

VR

mCIMT

Clinical Study ID

NCT06846190
REC/RCR/AHS/22/maria amjad
  • Ages 6-12
  • All Genders

Study Summary

Children with hemiplegic cerebral palsy (CP) are characterized by motor impairments mainly lateralized to one side of the body, with greater upper limb than lower limb involvement; these impairments may further limit the daily activities and school participation of children with hemiplegic CP. For the improvement of activity limitations in hemipelagic cerebral palsy children will take 20 hemiplegic cerebral palsy children with the age of 5-16 year all participants will be randomly assign and use modified Constraint induced movement therapy and virtual reality techniques.

mCIMT and Hot pack will be given to group I and unaffected hand will immobilized by a volar resting splint extending from finger tips to the proximal forearm. Use splint every day for at least 5 waking hours individualized, 18-hour program of mCIMT every other day, 3 times per week during a 4-week period. Each modified CIMT session continued for 1.5 hours will give to group I on the other hand VR and Hot pack will give to group II and 18-hour VR program, every other day, 3 times per week for 4 weeks will give Each VR session continued for 1.5 hours. Then evaluate both groups on follow up.

All the data will be collected from Rising Sun Institute by using ABILHAND-KIDS questionnaire and Children's hand-use experience questionnaire. The reliability and validity of tools and mentioned.

The duration of study will be 6-months. Data will be analyzed with the help of SPSS 27

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age range between 5 to 16 years of age.

  • Medical diagnosis of spastic hemiparetic CP.

  • At least 20◦wrist and 10◦ active finger extension from full flexion.

  • More movement deficits in 1 upper extremity (less than 2.5 on the Amount of Usescale (AOU) on the Pediatric Motor Activity Log (PMAL)).

  • Muscle tone less than 3 on the Modified Ashworth Scale.

  • Normal or corrected-to-normal vision and hearing.

  • Classified level I, II, or III of the Manual Ability Classification System ( MACS)for Children with CP

Exclusion

Exclusion Criteria:

  • Health problems not associated with CP.

  • Seizure hemispatial neglect.

  • Orthopaedic surgery on the involved upper extremity.

  • Botulinum toxin therapy for the affected upper extremity within the past 6 months orwithin the study period.

  • Balance problems

Study Design

Total Participants: 20
Treatment Group(s): 2
Primary Treatment: VR
Phase:
Study Start date:
February 15, 2025
Estimated Completion Date:
July 31, 2025

Connect with a study center

  • Rising Sun Institute

    Lahore, Punjab 54900
    Pakistan

    Active - Recruiting

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