CCRB Logo

Trial Detail

CUHK_CCRB00643

2018-12-11

Prospective

IRB no: 2018.470

No

No

No

Not Applicable

Ka Ling Chan

Rm2204, Ying Yat House, Yat Tung Estate, Tung Chung, Hong Kong

67341077

chankaling22042003@yahoo.com.hk

The Chinese University of Hong Kong

Hong Kong

Chan Ka Ling

Rm2204, Ying Yat House, Yat Tung Estate, Tung Chung, Hong Kong

67341077

1155105028@link.cuhk.edu.hk

Master of Science in Musculoskeletal Medicine, Rehabilitation and Geriatric Orthopaedics, The Chinese University of Hong Kong

Hong Kong

Which is essential in “Remind to move” treatment in children with hemiplegic cerebral palsy: Awareness or a combination with intensive customized exercise?

Which is essential in “Remind to move” treatment in children with hemiplegic cerebral palsy: Awareness or a combination with intensive customized exercise?

提醒治療法在半身痙攣學童的患側手部功能研究: 感知提示增強患側注意力或是配合密集運動, 哪樣較重要?

Hong Kong

Yes

2018-11-30

Joint CUHK-NTEC Clinical Research Ethics Committee

2018.470

Hemiplegic Cerebral Palsy

Device

Remind to move treatment was recently developed for children with hemiplegic cerebral palsy in Hong Kong to improve their hand functions and increase spontaneous hand use in the affected side. It is a user-friendly treatment which is easy and convenient to carry out without restraint of less affected hand as compared to CIMT. RTM involves two treatment elements: 1. sensory cueing on the affected arm 2.repetitive bimanual or unimanual upper limb exercise. A light weight sensory cueing wrist watch device was worn on the more affected arm in the children. It vibrated at fixed interval to increase the child’s attention on the hemiplegic arm, followed by repetitive upper limb exercise to increase use of it.

vibration and exercise

The wristwatch will vibrate every 15 minutes during intervention period. The subjects will receive vibration and need to do individualized exercise afterwards.

3 weeks

around 6 hours/day, 5 days per week, in total 3 weeks

Interval vibration emitted by the sensory cueing wristwatch device on the affected hand of subjects

Vibration

The wristwatch will vibrate every 15 minutes during intervention period

3 weeks

around 6 hours/day, 5 days per week, in total 3 weeks

Being diagnosed with hemiplegic cerebral palsy

Being 6 to 18 years of age

Having the ability to follow instruction

Having the ability to grasp and release light objects

Having impairment of hand function at levels I to III of the Manual Activity Classification System

Ability to extend the wrist at least 20° and the fingers at least 10° from full flexion at metacarpal joints

severe cognitive impairment

Severe visual impairment

having predominant spasticity more than Grade 3 of the Modified Ashworth Scalein wrist and finger flexors, forearm pronators, and/or thumb adductors

Severe sensory impairment that cannot sense the vibration emitted by the wristwatch device

having received Botulinum neurotoxin injections and/or surgical interventions in the 6-month period before the study

6

18

Both Male and Female

Interventional

Randomized

Stratified randomization

Active

Open label

Parallel

0

to investigate: 1. whether continuously increasing awareness on the more affected arm by cueing it in the form of vibration at a fixed interval can improve hand functions and increase spontaneous hand use in hemiplegic arm; and 2. whether providing sensory cueing to hemiplegic arm only can achieve c

2018-12-17

12

Recruiting

hand functions

Bruininks Osteretsky Test of Motor Proficiency (2nd edition), Jebsen-Taylor Hand Function Test

Pre-test, immediate post-test, post-test after 3 weeks of intervention

The upper limb impairment measures

include power grip and active range of motion on the affected upper limb

Pre-test, immediate post-test, post-test after 3 weeks of intervention

Spontaneous use of affected hand in daily life

the ratio of duration of movement of the affected hand to the duration of movement of the unaffected hand which is being measured by the built-in accelerator in the wristwatch device, Carergiver Functional Use Survey

Pre-test, immediate post-test, post-test after 3 weeks of intervention

Individual goal achievement

Goal Attainment Scaling

Pre-test, immediate post-test, post-test after 3 weeks of intervention

No

2019-01-29

ChiCTR1900021034

2018-12-12

Type Document Published On  
No documents yet.
  • Page 1 of 1.