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The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age
. The main question of the study is Are there any significant differences between the effects of virtual reality , mirror therapy and the combined effect of both techniques and on upper limb function in hemiplegic CP children?
Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program
The goal of this clinical trial is to address the effect of (Virtual Reality) and (Mirror Therapy) together on upper limb function in hemiplegic Cerebral Palsy children , male or female ranged between 3 to 10 years of age
. The main question of the study is Are there any significant differences between the effects of virtual reality (VR), mirror therapy (MR) and the combined effect of both techniques (VR) and (MR) on upper limb function in hemiplegic CP children?
Participants will be subdevided into three groups A , B ,C Group (A): will receive VR in addition to designed physical therapy program Group (B): will receive MT in addition to designed physical therapy program Group (C): will receive the compound effect of both techniques in addition to designed physical therapy program
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group (A) virtual reality group | Active Comparator | this group will receive virtual reality intervention plus designed physical therapy program |
|
| Group (B) mirror therapy group | Active Comparator | this group will receive mirror therapy intervention plus designed physical therapy program |
|
| Group (C) the compound effect of virtual reality and mirror therapy group | Active Comparator | this group will receive virtual reality intervention , mirror therapy intervention plus designed physical threrapy program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| virtual reality | Device | In Xbox, we will choose suitable games that aim to improve upper limb function like boxing, Darts, tennis, goalkeeping, basketball, disc throwing, balling, and volleyball. The Kinect sensor has the advantage of auto adjustment of its camera according to the child's position and height that's to say the child can perform the game in sitting or standing according to their abilities. They will receive 30 minutes of VR intervention in addition to the time required for the designed physical therapy program. |
| Measure | Description | Time Frame |
|---|---|---|
| changes in upper limb functions | using quality of upper extremity skills test (Quest) | after 12 weeks of intervention |
| changes in power grip strength | using sphygmomanometer | after 12 weeks of intervention |
| changes in range of motion (ROM) | using kinovea software | after 12 weeks of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| changes in activity of daily living (ADL) | using functional independence measure for children (WeeFIM): | after 12 weeks of intervention |
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Inclusion Criteria:
Children will be included in the study if they fulfil the following criteria:
Exclusion Criteria:
Children will be excluded from the study if:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Khalid E Mohamed, Demonstrator | Contact | +201120190879 | khalid.esmail@acu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Mohamed B Ibrahim, Ass.Prof. | head of pediatric department in faculty of physical therapy Kafrelshiekh university | Study Chair |
| Osama A El-Agamy, Professor | Professor and head of department of pediatric department Faculty of medicine Kafrelshiekh university |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of physical therapy Kafrelshiekh university | Kafr ash Shaykh | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27705006 | Background | Atasavun Uysal S, Baltaci G. Effects of Nintendo Wii Training on Occupational Performance, Balance, and Daily Living Activities in Children with Spastic Hemiplegic Cerebral Palsy: A Single-Blind and Randomized Trial. Games Health J. 2016 Oct;5(5):311-317. doi: 10.1089/g4h.2015.0102. Epub 2016 Oct 5. |
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| ID | Term |
|---|---|
| D000088762 | Mirror Movement Therapy |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D013812 | Therapeutics |
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|
| mirror therapy | Other | Mirror Therapy A mirror of 30 × 20 inches was used for the MT, which was large enough to cover the entire affected limb while still allowing the reflection of the non-affected limb to be seen. The child was seated in a chair with the forearms resting on the table. In the mid-sagittal plane, the mirror box was positioned at an angle of 70° to 80° to the trunk. The affected limb was placed behind the mirror. The child was asked to perform the exercises bilaterally and symmetrically as much as possible. Even if the affected side did not move easily or fully, the child was advised to synchronize the motions with both hands and arms. The researcher constantly reminded the child to concentrate on the movement of the non-affected limb in front of the mirror, which helped to increase the mirror illusion |
|
| virtual reality with mirror therapy | Other | group C will receive combined effect of both techniques (virtual reality and mirror therapy) |
|
| Sara Y Abdel Elglil, Lecturer | Lecturer in pediatric department in faculty of physical therapy Kafrelshiekh University | Study Director |