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IRCT20241016063385N1 IRCT 2024-10-22 Shahid Beheshti University of Medical Sciences Effects of Action Observation on upper extremity function Effects of Action Observation on upper extremity function of hemiplegic children from 3 to 5 years old 2024-11-05 anticipated 40 Complete https://irct.ir/trial/79610 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Considering that in this study the samples are entered gradually, each of the samples is assigned a number from one to the last, and to remove the bias of the researcher, it was initially decided that the samples with odd numbers entered the intervention group and Samples with even numbers enter the control group. N/A Cerebral palsy, hemiplegia. Intervention 1: Intervention group: In this study, the intervention group will undergo movement observation therapy in five sessions of 30 minutes per week for 4 weeks. Before starting, the parents of the intervention group will spend a training session in groups of three to four people to learn how to implement the treatment in the home environment, then they will enter a virtual group that will explain the framework of the activities and how to implement each one in this group. Activities (stacking colored cubes and building a tower, removing the stamp and pressing it on the paper in the horizontal and vertical plane to print the shape, turning over the colored cards and matching with the card of the same color, removing the magnet and putting it on the fridge, pouring water inside glass and drinking water, taking the pencil and drawing on the paper, pressing the water spray on the flowers, Folding a shirt, taking a coin and putting it in a wallet, opening a container and taking a chocolate out of it, putting cards in a clothespin, opening toothpaste and pouring it on a toothbrush) are divided into 4 sets of three according to the level of each child and her cooperation. The intervention program takes place in the home environment. The therapist defines the framework for each activity and the equipment needed for the parent. At the appropriate time, the parent should perform the activities that include targeted daily one-handed or two-handed activities from simple to complex within the said framework for 3 minutes for the child. Then, for 3 minutes, the child practices the activity with the help and guidance of the caregiver, and then we give the child 3 minutes to imitate the activity. The execution method for the other two activities is the same. Intervention 2: Control group: The control group does not receive any other intervention apart from the usual occupational therapy interventions (including botox injection along with upper limb training, forced therapeutic restriction, intensive bimanual training and neurodevelopmental therapy). No - There is not a plan to make this available Justification or reason for not sharing IPD is To comply with the trust
public Sara Rahmanian
Imam Hossein Square, in front of Bu Ali Hospital, Faculty of Rehabilitation of Shahid Beheshti University of Medical Sciences
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7756 1721 sararahmanian@sbmu.ac.ir Shahid Beheshti University of Medical Sciences scientific Sara Rahmanian
Imam Hossein Square, in front of Bu Ali Hospital, Faculty of Rehabilitation of Shahid Beheshti University of Medical Sciences
Tehran Iran (Islamic Republic of) 1616913111 +98 21 7756 1721 sararahmanian@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Children diagnosed with hemiplegic cerebral palsy by a pediatric neurologist Age range from 3 to 5 years Mother being a housewife Absence of vision and hearing problems IQ above 70 based on Sparkle questionnaire Modified Ashworth score less than 3 in passive upper limb movements mini-MACS score maximum 3 for children 3-4 years old and MACS score maximum 3 for children 4-5 years old Ability to follow instructions Lack of uncontrolled seizures Children should not receive any intervention other than routine treatments during the 4 weeks of AO intervention. 3 years 5 years Both Botox injection during intervention Seizures while studying Non-cooperation of parents or child Cerebral p G80 Rehabilitation Rehabilitation Intervention group: In this study, the intervention group will undergo movement observation therapy in five sessions of 30 minutes per week for 4 weeks. Before starting, the parents of the intervention group will spend a training session in groups of three to four people to learn how to implement the treatment in the home environment, then they will enter a virtual group that will explain the framework of the activities and how to implement each one in this group. Activities (stacking colored cubes and building a tower, removing the stamp and pressing it on the paper in the horizontal and vertical plane to print the shape, turning over the colored cards and matching with the card of the same color, removing the magnet and putting it on the fridge, pouring water inside glass and drinking water, taking the pencil and drawing on the paper, pressing the water spray on the flowers, Folding a shirt, taking a coin and putting it in a wallet, opening a container and taking a chocolate out of it, putting cards in a clothespin, opening toothpaste and pouring it on a toothbrush) are divided into 4 sets of three according to the level of each child and her cooperation. The intervention program takes place in the home environment. The therapist defines the framework for each activity and the equipment needed for the parent. At the appropriate time, the parent should perform the activities that include targeted daily one-handed or two-handed activities from simple to complex within the said framework for 3 minutes for the child. Then, for 3 minutes, the child practices the activity with the help and guidance of the caregiver, and then we give the child 3 minutes to imitate the activity. The execution method for the other two activities is the same. Control group: The control group does not receive any other intervention apart from the usual occupational therapy interventions (including botox injection along with upper limb training, forced therapeutic restriction, intensive bimanual training and neurodevelopmental therapy). Quality of upper extremity. Timepoint: At the beginning of the study and 4 weeks after the start of the intervention and 2 weeks after the end of the intervention. Method of measurement: Quest. Bimanual function. Timepoint: At the beginning of the study and 4 weeks after the start of the intervention and 2 weeks after the end of the intervention. Method of measurement: ABILHAND-Kids. Dextrity. Timepoint: At the beginning of the study and 4 weeks after the start of the intervention and 2 weeks after the end of the intervention. Method of measurement: Nine hole peg test. Shahid Beheshti University of Medical Sciences Approved 2023-07-31 Ethics Committee of Shahid Beheshti University of Medical Sciences Shahid Beheshti University Faculty of Rehabilitation Sciences, Imam Hossein Square, Damavand St., in front of Bo Ali Hospital, Tehran Tehran Tehran Iran (Islamic Republic of)