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Randomized control trial to evaluate uni-manual and bimanual upper limb function as well as compare outcomes of varied cast wear in children with hemiplegic cerebral palsy (CP) following a hybrid camp model of modified constraint induced movement therapy (mCIMT) and hand-arm bimanual intensive training (HABIT).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Continued Casting | Active Comparator | Participants with 24 hour cast wear (continued casting) for the entire duration of the constraint portion of camp (2 initial weeks). |
|
| Intermittent Casting | Active Comparator | Participants who wear a univalve cast for 3 hours of constraint camp with home exercise program of 2 hours cast wear on the weekends (intermittent casting). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Constraint induced movement therapy (CIMT) | Behavioral | Involves forcing use of ones affected upper extremity (UE) by physically restraining the less affected upper extremity |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pediatric Motor Activity Log | parent questionnaire to determine how well and how often the family perceives the child Spontaneously uses their affected Upper Extremity throughout the day at home. This assessment is scored by adding up the parental score and getting an average score. | 6 Months |
| Assisting Hand Assessment | Test of hand function in children with difficulties using one of their hands. The AHA measures how effectively the affected hand and arm is used in bimanual performance. | 6 Months |
| Melbourne-2 | Test of unilateral upper limb function is a validated and reliable tool for evaluating quality of upper limb movement in children with neurological conditions aged 2.5 to 15 years. | 6 Months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Renat Sukhov, MD | New York University Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New York University School of Medicine | New York | New York | 10016 | United States |
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| ID | Term |
|---|---|
| D020196 | Trauma, Nervous System |
| D006429 | Hemiplegia |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
| D014947 | Wounds and Injuries |
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D000098483 | Constraint Induced Movement Therapy |
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Hand-arm bimanual intensive training (HABIT) | Behavioral | Facilitates the translation of gains to improve goal-directed bimanual performance. |
|
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |