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40 children with hemiplegia cerebral palsy from both sex will be recruited from outpatient clinic of abo resh hospital ,their age ranged from 5-10 years
40 children with hemiplegia cerebral palsy from both sex will be recruited ,their age ranged from 5-10 years, treatment includes functional electrical nerve stimulation and biofeedback to assess their combined effect on upper limb function
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Placebo Comparator | Physical therapy program The exercise session for one hour for each child , conducted 3times/ week for 3 successive months.
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| Group B | Experimental | The exercise session for one hour for each child same as group A, conducted 3times/ week for 3 successive months plus the combined biofeedback therapy and FES at anti spastic muscles (shoulders flexors, elbow and wrist extensors |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| biofeedback | Device | biofeedback therapy and FES at anti spastic muscles(shoulders flexors, elbow and wrist extensors) while doing specific exercises (including basic reaching, grasping, carrying, release |
| Measure | Description | Time Frame |
|---|---|---|
| hand function in children with CP | hand function in children with CP will be assessed by The Quality of Upper Extremity Skills Test | pre intervention and re assessed after 3 months of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Range of motion | Range of motion will be assessed using Electronic goniometer | pre intervention and re assessed after 3 months of treatment |
| muscle grip strength | muscle grip strength will be assessed using Hand held dynamometer |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alaa T Ramadan, M.SC | Contact | 01019320008 | dr.alaataha@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Khaled A Mamdouh, PHD | professor of physical therapy | Study Director |
| Eman I Alhadedy, PHD | Professor of physical therapy | Study Director |
| Amira I Fathi |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Recruiting | Giza | 12613 | Egypt |
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| ID | Term |
|---|---|
| D006429 | Hemiplegia |
| ID | Term |
|---|---|
| D010243 | Paralysis |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D001676 | Biofeedback, Psychology |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D001521 | Behavior Therapy |
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| Physical therapy program | Procedure | Flexibility exercises for shorted muscles and spastic muscles, Strengthening training focusing on the trunk lower limb and upper limb muscles for weak muscles, Postural control exercise in different positions and different surfaces, General endurance training, Exercises to facilitate hand function, Exercises included, grasping a cube, transferring cube, removing and placing pegs, releasing cube and placing cubes. Strengthening exercises of the intrinsic muscles of the hand |
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| pre intervention and re assessed after 3 months of treatment |
| Lecturer of physical therapy |
| Study Director |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D011613 |
| Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D030141 | Feedback, Psychological |