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The aim of the study is to determine the role of designed program in the universal exercise unit on upper limb function and strength in children with spastic hemiplegia. forty children with spastic hemiplegia cerebral palsy from both sexes had been selected from the Outpatient Clinic of the Faculty of Physical Therapy, Cairo University . Children were divided into two groups of equal numbers; 20 patients in each group. Group A: Children in this group received a selected physical therapy program. Group B: Children in this group received a designed physical therapy program in UEU in addition to the selected physical therapy program. A-Materials for evaluation 1- For the Quality Of Upper Extremity Skill Test (QUEST),2- Biodex Isokinetic systems.Evaluation was carried out for each child individually before and after 3 months of treatment
This study is designed to answer the following question:
Is there an effect of designed program in universal exercise unit on upper limb function and strength in children with spastic hemiplegia? Purpose of The Study The purpose of the study is to determine the role of designed program in the universal exercise unit on upper limb function and strength in children with spastic hemiplegia.
Null Hypothesis Is there is no role of designed program in the universal exercise unit on the upper limb in children with spastic hemiplegia.
The study was concluded forty children with spastic hemiplegic cerebral palsy from both sexes had been selected from according to the following criteria:
children ages were ranged from 5-9 years old.
The children had spasticity grades 1, 1+ degree according to Modified Ashworth scale
The children were selected to be in level I and II GMFCs
The children were selected to be in level II MACs participants had been excluded if they had the following:
Group (A): Children in this group received a selected physical therapy program. Group (B): Children in this group received the selected physical therapy program in addition to a designed physical therapy program in UEU.
Evaluation was carried out for each child individually before and after 3 months of treatment.
A-For Assessment
The Quality of Upper Extremity Skill Test (Quest) The QUEST test included 34 items in four domains of (dissociated movement, grasp, weight bearing and protective extension).
Each child was instructed to hold the position for at least two seconds. The total testing timing including the administration and scoring was approximately 45 minutes.
The scoring was performed and recorded in scoring box. Even if the item was not tested (I.e: yes, no, not tested)
The Biodex Isokinetic system The testing session had been started with a warm up procedure, consisting of shoulder movements in all directions, push up-exercises against the wall and stretching. For the testing procedure, the closed chain attachment was fixed to the isokinetic dynamometer in a horizontal position. Essentially, this device converts rotational motion at the dynamometer into linear motion, allowing closed kinematic chain or linear movements The evaluation was carried out for each child individually before and after three month of treatment.
Tested muscles were elbow flexors, elbow extensor, shoulder flexors, shoulder extensors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control (standard treatment) | Active Comparator | children in control group received standard physiotherapy |
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| experimental | Experimental | a designed physical therapy program in Universal exercise that began with testing one repetition maximum (1-RM). One repetition maximum (1-RM) was determined through the chest press. children had been targeted upper limb strengthening program |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental | Procedure | designed physical therapy program in Universal exercise unit for strengthening upper limb. fundamental beginning position for every exercise. Total session time in the UEU was approximately 30 minutes. The resisted exercise targeted shoulder flexor and extensor muscles, shoulder abductor and adductor muscles and for elbow extensor muscles |
| Measure | Description | Time Frame |
|---|---|---|
| The Quality of Upper Extremity Skill Test | The Quality of Upper Extremity Skill est test included 34 items in four domains of dissociated movement, grasp, weight bearing and protective extension. All children in this study were assessed in the four domains. The total number of 'yes' and 'no' responses provide the raw score for each domain. This is then weighted and transformed into a final score range of zero to 100. | The total testing timing including the administration and scoring was approximately 45 minutes. The scoring was performed and recorded in scoring box. Even if the item was not tested (I.e: yes, no, not tested) |
| Measure | Description | Time Frame |
|---|---|---|
| The Biodex Isokinetic system | The testing session had been started with a warm up procedure, consisting of shoulder movements in all directions, push up-exercises against the wall and stretching Tested muscles were elbow flexors, elbow extensor, shoulder abductors, shoulder adductors | The evaluation was carried out for each child individually before and after three month of treatment. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Naglaa A Zaky, professor | Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient Clinic of the Faculty of Physical Therapy, Cairo University's | Cairo | 11432 | Egypt |
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for group A: The session time ranged between 50-60 minutes according to child cooperation and numbers of repetitions the child could do for group B: Each child performed 1 or 2 sets of 8-15 repetitions with a light to moderate load (about 60% 1- RM)
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| Control (Standard treatment) | Other | traditional physio therapy program. |
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