Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study is to investigate the effect of whole body vibration in children with hemiparetic cerebral palsy on range of motion of shoulder, elbow and wrist and muscle strength of shoulder abductors and flexors, elbow flexors and extensors, wrist extensors and flexors.
Studies show efficacy of whole body vibration in reducing spasticity, improving strength, balance, ankle dorsiflexion angle and gait parameters in post stroke and spinal cord injury patients improving posture and balance in patients with Parkinson's disease and multiple sclerosis. Although research suggests a positive influence of vibration on motor performance in individuals with neurological disorders, there are very limited numbers of studies in children with cerebral palsy.
Few Studies Have Shown improvement in children with cerebral palsy: spasticity decrease as measured by isokinetic dynamometer. Strength of muscles increase as measured by hand held dynamometer. Motor function increase as measured by Gross Motor Function Measure and Gross Motor Function Classification Scale. Increase of the activation and the co- activation of biceps and triceps. Vibrations increase bone mass and muscle strength in upper limbs.
Vibration therapy decreases spasticity and improve motor performance in children with cerebral palsy. Reduce flexors spasticity and improve functions in the rehabilitation of upper limb spasticity. Focal muscle vibration on triceps brachii muscle can reduce the spasticity for both elbow and wrist joint muscles.
So in this study, the investigators are trying to implement an additional rehabilitation method for upper limbs in hemiparetic children to improve their upper limb range of motion and strength which will reflect an improvement in their upper limb functions and activities of daily living.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| designed physiotherapy program | Experimental | These exercises included: Passive stretching exercises for elbow and wrist flexors. Weight-bearing exercises for the upper limbs. Stimulation of the protective reactions of the upper limbs in all directions. Strengthening exercises for antagonists of the spastic muscles, including elbow and wrist extensors, using different toys and motivation to encourage the children to perform the desired exercises (El-shamy, 2018). The treatment session for 1hour 5 days / week for 4 weeks. |
|
| Whole body vibration. | Experimental | Each child will be seated on an armless chair in front of the platform and instructed to flex both shoulders at 90°, slightly bend both elbows, and then bend the trunk forward to allow both hands to be placed on the platform. Each subject will be allowed to hold the palms slightly off the platform to minimize discomfort and prevent strong stimulation of the organs, eyes, and head. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical therapy exercises. | Procedure | Exercises to treat hemiparetic cerebral palsy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in shoulder joint abduction range of motion. | Measurement of range of motion of shoulder joint abduction using the digital Goniometer. | Change from Baseline shoulder joint abduction range of motion at one month. |
| Change in shoulder joint flexion range of motion. | Measurement of range of motion of shoulder joint flexion using the digital Goniometer. | Change from Baseline shoulder joint flexion range of motion at one month. |
| Change in elbow joint flexion range of motion. | Measurement of range of motion of elbow joint flexion using the digital Goniometer. | Change from Baseline elbow joint flexion range of motion at one month. |
| Change in elbow joint extension range of motion. | Measurement of range of motion of elbow joint extension using the digital Goniometer. | Change from Baseline elbow joint extension range of motion at one month. |
| Change in wrist joint extension range of motion. | Measurement of range of motion of wrist joint extension using the digital Goniometer. | Change from Baseline wrist joint extension range of motion at one month. |
| Change in wrist joint flexion range of motion. | Measurement of range of motion of wrist joint flexion using the digital Goniometer. | Change from Baseline wrist joint flexion range of motion at one month. |
| Change in strength of shoulder abductors muscles. |
Not provided
Not provided
Inclusion criteria:
Children will be included if they have the following:
Exclusion criteria:
Children will be excluded if they have any of the following:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mahmoud Adel, B.Sc. | Contact | 01554552868 | 10722020440502@pg.cu.edu.eg | |
| Haytham Ibrahim, M.Sc. | Contact | 01013657738 | 10722019485962@pg.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Haytham Morsi, M.Sc. | Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ministry of Health | Recruiting | Giza | Egypt |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D005081 | Exercise Therapy |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
Not provided
Not provided
pilot testing to get sample.
Not provided
Not provided
Not provided
Not provided
Measurement of strength of shoulder abductors muscles using the Lafayette handheld dynamometer |
| Change from Baseline strength of shoulder abductors muscles at one month. |
| Change in strength of shoulder flexors muscles. | Measurement of strength of shoulder flexors muscles using the Lafayette handheld dynamometer | Change from Baseline strength of shoulder flexors muscles at one month. |
| Change in strength of elbow flexors muscles. | Measurement of strength of elbow flexors muscles using the Lafayette handheld dynamometer | Change from Baseline strength of elbow flexors muscles at one month. |
| Change in strength of elbow extensors muscles. | Measurement of strength of elbow extensors muscles using the Lafayette handheld dynamometer | Change from Baseline strength of elbow extensors muscles at one month. |
| Change in strength of wrist extensors muscles. | Measurement of strength of wrist extensors muscles using the Lafayette handheld dynamometer | Change from Baseline strength of wrist extensors muscles at one month. |
| Change in strength of wrist flexors muscles. | Measurement of strength of wrist flexors muscles using the Lafayette handheld dynamometer | Change from Baseline strength of wrist flexors muscles at one month. |
| D013812 |
| Therapeutics |
| D026741 | Physical Therapy Modalities |