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PURPOSE: This study evaluated the effectiveness of a Sensory-Enhanced Home-based Intensive Program (SE-HIP), delivered via asynchronous video guidance, compared to a Standard Home Program (SHP) on improving upper limb function in children with cerebral palsy (CP).
BACKGROUND: Children with cerebral palsy (CP) often have upper limb (UL) impairments that limit daily life and participation. Intensive, repetitive therapy is crucial, but traditional delivery has limitations. Home-based programs supported by tele-rehabilitation offer increased dosage and accessibility. Asynchronous models delivered via video guidance are flexible but are less studied for intensive upper limb therapy. Sensory processing deficits are common in cerebral palsy; integrating sensory enhancement may augment motor learning. Evidence combining sensory-enhanced intensive upper limb programs delivered asynchronously is lacking.
HYPOTHESES: The investigators hypothesized that children receiving the Sensory-Enhanced Home-based Intensive Program (SE-HIP) would demonstrate significantly greater improvements in primary upper limb functional outcomes, measured by the Box and Block Test (BBT) and the Nine-Hole Peg Test (NHPT), compared to those receiving the Standard Home Program (SHP).
RESEARCH QUESTION: Does a sensory-enhanced, asynchronous video-guided home program lead to significantly greater improvements in upper limb function (manual dexterity measured by the Box and Block Test (BBT) and the Nine-Hole Peg Test (NHPT)) compared to a standard video-guided home program in children with cerebral palsy (CP)?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sensory-Enhanced Home-based Intensive Program (SE-HIP) | Experimental | Children receive videos that include sensory preparation and intensive motor practice as part of the Sensory-Enhanced Home-based Intensive Program (SE-HIP). |
|
| Standard Home Program (SHP) | Active Comparator | Children receive videos that cover standard activities as part of the Standard Home Program (SHP). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sensory-Enhanced Home-based Intensive Program (SE-HIP) | Other | Videos include sensory preparation and intensive motor practice delivered asynchronously at home. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Nine-Hole Peg Test | Assesses fine manual dexterity (finger dexterity). The patient places and removes nine pegs into a board as quickly as possible. | Baseline and after 6 weeks of training |
| Box and Block Test | Assesses gross manual dexterity. The patient moves small wooden blocks across a partition in 60 seconds | Baseline and after 6 weeks of training |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy, Cairo University | Giza | Cairo Governorate | 12613 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38428904 | Background | Kashif M, Albalwi A, Mehdi Kazmi SA, Alharbi AA, Bashir K, Aqeel Aslam M, Ghaffar T. Role of telerehabilitation in the rehabilitation of children with cerebral palsy during COVID-19: A review. Medicine (Baltimore). 2024 Mar 1;103(9):e37214. doi: 10.1097/MD.0000000000037214. | |
| 32805150 | Background | Molinaro A, Micheletti S, Pagani F, Garofalo G, Galli J, Rossi A, Fazzi E, Buccino G. Action Observation Treatment in a tele-rehabilitation setting: a pilot study in children with cerebral palsy. Disabil Rehabil. 2022 Apr;44(7):1107-1112. doi: 10.1080/09638288.2020.1793009. Epub 2020 Aug 17. |
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There is currently no plan to share de-identified individual participant data (IPD) from this trial outside the primary research group.
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| Standard Home Program (SHP) | Other | Videos cover standard home exercise activities delivered asynchronously at home. |
|
| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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