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Combined Constraint Therapy + Bimanual Therapy for Hemiplegia

N/A

Waitlist Available

Research Sponsored by Blythedale Children's Hospital

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be younger than 18 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up day 1 of intervention and day 180 of intervention

Awards & highlights

No Placebo-Only Group

Summary

This trial is testing whether it is more effective to train one hand at a time or both hands together when rehabilitating children who have suffered a brain injury on one side.

Eligible Conditions

Hemiplegic Shoulder Subluxation
Cerebral Palsy
Hemiplegia

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ day 1 of intervention and day 180 of intervention

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~day 1 of intervention and day 180 of intervention

This trial's timeline: 3 weeks for screening, Varies for treatment, and day 1 of intervention and day 180 of intervention for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change in Assisting Hand Assessment after therapy

Secondary study objectives

Change in Assisting Hand Assessment after each three-week block of therapy

Change in Assisting Hand Assessment after therapy follow-up

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Experimental Treatment

Group I: Constraint Therapy and Bimanual TherapyExperimental Treatment2 Interventions

Children in this arm will receive 90 hours (6 hrs/day, 5 days/week, 3 weeks) of Intensive Hand Therapy (constraint therapy), followed by 90 hours (6 hrs/day, 5 days/week, 3 weeks) of Intensive Bimanual Hand Therapy (bimanual therapy). During constraint therapy, children will wear a mitt over their less-impaired hand and actively use their more-impaired hand in therapy. Therapy will involve playing games, practicing activities of daily living, doing arts and crafts, and practicing repetitive hand movements. During bimanual therapy, children will actively use both hand in therapy. Therapy will involve playing games, practicing activities of daily living, doing arts and crafts, and practicing repetitive hand movements.

Group II: Bimanual Therapy and Constraint TherapyExperimental Treatment2 Interventions

Children in this arm will receive 90 hours (6 hrs/day, 5 days/week, 3 weeks) of Intensive Bimanual Hand Therapy (bimanual therapy), followed by 90 hours (6 hrs/day, 5 days/week, 3 weeks) of Intensive Hand Therapy (constraint therapy). During bimanual therapy, children will actively use both hand in therapy. Therapy will involve playing games, practicing activities of daily living, doing arts and crafts, and practicing repetitive hand movements. During constraint therapy, children will wear a mitt over their less-impaired hand and actively use their more-impaired hand in therapy. Therapy will involve playing games, practicing activities of daily living, doing arts and crafts, and practicing repetitive hand movements.

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