Efficacy of New Protocols in the Treatment of Upper Limb Dysfunctions in Patients With Cerebral Palsy

Immediate and Maintaining Efficacy of New Protocols in the Treatment of Upper Limb Dysfunctions in Patients With Cerebral Palsy

Immediate and maintaining Efficacy of new protocols in the treatment of upper limb dysfunctions in patients with cerebral palsy.

Cerebral palsy (CP) is the most common childhood motor disability. Spasticity and loss of dexterity are the major problems for motor disability of upper extremity (UE) in patients with CP. This study propose two novel treatment protocols: sensory electrical stimulation (SES) and virtual reality constraint-induced therapy (VRCIT) to improve function of UE in patients with CP. Investigators hypothesize that combined SES and VRCIT treatment have better effect than single therapy (SES or VRCIT).

• Inclusion Criteria:

  • Diagnosis with spastic CP with Gross Motor Function Classification System(GMFCS) levels I-IV
  • Aged 2-24 years
  • Ability to undergo clinical assessment
  • Ability to comprehend commands and cooperate during an examination

• Exclusion Criteria:

  • Chromosomal abnormalities
  • Progressive neurological disorder or severe concurrent illness or disease not typically associated with CP
  • Active medical conditions such as pneumonia or poor physical conditions that would interfere with participation
  • Any major surgery or nerve block in the preceding 3 months
  • Metabolic or hormonal disturbance
  • Cardiovascular disorder
  • Poor tolerance or a poor cooperation during assessment