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IRCT20211024052860N1 IRCT 2022-04-14 University of social welfare and rehabilitation sciences The effect of virtual reality camera-based mirror therapy on upper extremity motor function in patients with hemiplegic cerebral palsy The effect of virtual reality camera-based mirror therapy on upper extremity motor function in patients with hemiplegic cerebral palsy 8 to 12 years: a pilot study 2022-01-21 anticipated 20 Complete https://irct.ir/trial/59732 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Before starting the study, a list of letters A and B is generated using the randomization site, which indicates the assignment of individuals to study groups, and individuals are placed in groups according to the order of entering the research, Blinding description: The evaluator is unaware of the assignment of individuals to the groups and the participants are divided into two groups of control and intervention by randomized program. N/A hemiplegic cerebral palsy. Intervention 1: Intervention group: Mirror Therapy group will receive a virtual reality-based camera-based mirror therapy program in addition to conventional treatments three sessions per week for 8 weeks. The duration of each session will be 45 minutes, of which 20 minutes belong to the camera-based mirror therapy program based on virtual reality. Intervention 2: Control group: Common rehabilitation treatment group - Patients in this group will receive occupational therapy sessions three times a week for 8 weeks and the duration of each session will be 45 minutes. Patients in the standard rehabilitation group will perform standard therapy, routine rehabilitation therapy based on neuromuscular facilitation techniques (diagonal patterns), and Bobet neurodevelopmental technique with emphasis on practicing functional tasks as much as possible and fine motor activities. Weightlifting, reflex inhibition patterns, torso rotation, and scapula protrusion will also be used to reduce spasticity, if necessary, during exercise. Nearly 25 percent of the usual rehabilitation treatment time will be spent on compensatory techniques using a healthy limb to perform functional tasks and help the affected limb with a healthy hand during homework. Yes - There is a plan to make this available What will be shared: The dissertation is kept in the occupational therapy department of the University of Rehabilitation Sciences and Social Health and the relevant articles are published in the relevant journals. When: Access period starts 6 months after the publication of the article To whom: All experts who work in this field Conditions: For clinical studies and in treatment Where to obtain: Refer to the Department of Occupational Therapy at the University of Rehabilitation Sciences and Social Health How to obtain: Obtaining permission from the Department of Occupational Therapy of the University of Rehabilitation Sciences and Social Health is required Comments:
public Amir Hossein Nasiri Naeini
No. 22, First Floor, Shahid Navarani Blvd., Intersection of DaryaBlvd., Farahzadi Blvd., Sanat Sq., Gharb Town, Tehran,
Tehran Iran (Islamic Republic of) 1468973841 +98 21 8808 8666 ah.nasiri@uswr.ac.ir University of social welfare and rehabilitation sciences scientific Amir Hossein Nasiri Naeini
No. 22, First Floor, Shahid Navarani Blvd., Intersection of DaryaBlvd., Farahzadi Blvd., Sanat Sq., Gharb Town, Tehran.
Tehran Iran (Islamic Republic of) 1468973841 +98 21 8808 8666 ah.nasiri@uswr.ac.ir University of social welfare and rehabilitation sciences Iran (Islamic Republic of) Age range 8 to 12 years Hemiplegic cerebral palsy, diagnosed by a neurologist Being at levels I, II and III of the MACS (manual ability classification system) Ability to study at school Mild spasticity involved in wrist flexor (modified Ashworth scale less than 2) 8 years 12 years Both Unwillingness to participate in the study (not completing the consent form) Use mirror therapy approaches before the intervention Injection of Botox or surgery on the upper limb for up to 1 year before the intervention G80.2 Spastic hemiplegic cerebral palsy Rehabilitation Rehabilitation Intervention group: Mirror Therapy group will receive a virtual reality-based camera-based mirror therapy program in addition to conventional treatments three sessions per week for 8 weeks. The duration of each session will be 45 minutes, of which 20 minutes belong to the camera-based mirror therapy program based on virtual reality. Control group: Common rehabilitation treatment group - Patients in this group will receive occupational therapy sessions three times a week for 8 weeks and the duration of each session will be 45 minutes. Patients in the standard rehabilitation group will perform standard therapy, routine rehabilitation therapy based on neuromuscular facilitation techniques (diagonal patterns), and Bobet neurodevelopmental technique with emphasis on practicing functional tasks as much as possible and fine motor activities. Weightlifting, reflex inhibition patterns, torso rotation, and scapula protrusion will also be used to reduce spasticity, if necessary, during exercise. Nearly 25 percent of the usual rehabilitation treatment time will be spent on compensatory techniques using a healthy limb to perform functional tasks and help the affected limb with a healthy hand during homework. Selective Control of the Upper Extremity Scale. Timepoint: The beginning of the intervention, after 8 weeks, the follow-up period after 4 weeks. Method of measurement: Selective Control of the Upper Extremity Scale Test. Gross manual dexterity. Timepoint: The beginning of the intervention, after 8 weeks, the follow-up period after 4 weeks. Method of measurement: Box and block test. Range of motion. Timepoint: The beginning of the intervention, after 8 weeks, the follow-up period after 4 weeks. Method of measurement: Goniometer. Large hand muscles strength. Timepoint: The beginning of the intervention, after 8 weeks, the follow-up period after 4 weeks. Method of measurement: Dynamometer. The strength of the delicate muscles of the hand. Timepoint: The beginning of the intervention, after 8 weeks, the follow-up period after 4 weeks. Method of measurement: Pinched gauge. Quality of Upper Extremity Skills. Timepoint: The beginning of the intervention, after 8 weeks, the follow-up period after 4 weeks. Method of measurement: Quality of Upper Extremity Skills Test. University of social welfare and rehabilitation sciences Approved 2021-10-20 Research Ethics Committees of University of Social Welfare and Rehabilitation Sciences Kodakyar Ave., Daneshjo Blvd.,Evin, Tehran Tehran Tehran Iran (Islamic Republic of)