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The goal of this research is to provide limb training in children with hemiplegia using a bimanual-to-unimanual training approach. Twenty pediatric patients aged 5-17 years with acquired brain injury will receive training on the bimanual-to-unimanual device for a period of 9 weeks. During the training, children use both arms to operate robotic arms to play a video game. We will assess changes in hand impairment after the training.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bimanual Arm Training | Experimental | Children in the study will all receive the same treatment, which includes 9 weeks of training on the bimanual arm trainer robotic device. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bimanual Arm Training | Device | Device-based bimanual-to-unimanual training will be provided with the Bimanual Arm Trainer (BAT, Mirrored Motion Works, NC). The device provides bimanual-to-unimanual training of simultaneous shoulder external rotation and elbow extension, and independent training of pronation-supination and grasp and release of each hand. Range of motion and speed are recorded during training and feedback and motivation are provided through age-appropriate gaming modules. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Assisting Hand Assessment | The Assisting Hand Assessment evaluated how effectively children use their hands to complete bimanual tasks. | Before intervention compared to after intervention |
| Change in Box and Box Test | The Box and Blocks test measures how many blocks a child can move with one hand from one box to another in one minute with the impaired hand. | Before intervention compared to after intervention |
| Change in range of motion | The robotic device measures range of motion of the shoulder. | Before intervention compared to after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kathleen M Friel | Hartsdale | New York | 10530 | United States |
We plan to share results with our collaborator Dr. Preeti Raghaven, at New York University. Dr. Raghavan created the robot we are using, has IRB approval to use the robot, and is a consultant on this study. Personal health information will not be shared.
during the study
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D006429 | Hemiplegia |
| D010291 | Paresis |
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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|
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |