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Upper Limbs Assessment in Children With Cerebral Palsy

This study has been completed.
Information provided by (Responsible Party):
Marie Carmen Valenza, Universidad de Granada Identifier:
First received: November 13, 2013
Last updated: November 1, 2016
Last verified: November 2016
Cerebral palsy is the leading cause of physical disability among children. Manual dexterity and upper limbs functionality is limited between these children. The purpose of this study is to stablish a specific profile of school children with cerebral palsy based on the upper limbs assessment.

Condition Intervention
Cerebral Palsy
Other: Assessment

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Manual Dexterity and Upper Limbs Functionality Assessment in School Children With Cerebral Palsy

Resource links provided by NLM:

Further study details as provided by Universidad de Granada:

Primary Outcome Measures:
  • Pediatric Evaluation of Disability Inventory (PEDI) [ Time Frame: baseline ]
    This inventory assess the key functional capabilities and performance in children between six months to seven years old. Three subscales are observed: self-care, mobility and social function. It helps you to identify areas of new functional intervention. Also, it is used to identify functional deficits.

  • Upper limbs functionality [ Time Frame: baseline ]
    The functionality is measured using the Abilhand-kids questionnaire. This questionnaire was designed to cover the widest range of children's manual activities including both unimanual and bimanual activities. For each question, the children and their parents were asked to provide their perceived difficulty to perform the activity on a three-level scale: impossible (0), difficult (1), or easy (2).

Secondary Outcome Measures:
  • Manual dexterity [ Time Frame: baseline ]
    Manual dexterity is measured using the 9-hole peg test. This is a brief, standardized, quantitative test of upper extremity function. Both the dominant and non-dominant hands are tested twice. The patient is seated at a table with a small container holding nine pegs. The patient picks up the nine pegs one at a time as quickly as possible, puts them in the nine holes, and, once they are in the holes, removes them again as quickly as possible one at a time, replacing them into the shallow container. The time is recorded.

  • Executive function [ Time Frame: baseline ]
    The executive function is measured using the Porteus Maze Test. It consists of a series of mazes graded in difficulty and standardized for application to children from three years old.

  • Handwriting assessment [ Time Frame: baseline ]
    The handwriting ability is measured with the Handwriting without tears method. It is used to assess memory, letter size,space and movement control.

  • Range of motion [ Time Frame: baseline ]
    The range of motion in upper limbs is measured with a standard goniometer at different levels: elbow, wrist and fingers.

  • Upper limbs strength [ Time Frame: baseline ]
    The strength is evaluated using a digital dynamometer. The strength is measured in Newtons.

Enrollment: 31
Study Start Date: November 2013
Study Completion Date: October 2016
Primary Completion Date: September 2016 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Children with cerebral palsy
Children diagnosed with cerebral palsy are included in this group. An assessment and an intervention will be carried out.
Other: Assessment
The children with cerebral palsy were assessed. Different measures evaluating the upper limbs functionality are used.
Other Names:
  • Evaluation
  • Description

Detailed Description:
While the rates of perinatal and infant mortality have declined toward the end of the last century,the rate of cerebral palsy has remained at 2 to 2.5 per 1,000 live births. A high percentage of children with cerebral palsy have difficulty keeping up with the handwriting demands at school. The neurological impairments in children with cerebral palsy frequently limit the functionality of these children taken in to account the upper limbs variables. It should be interesting to describe a clinical profile based on this assessment.

Ages Eligible for Study:   6 Years to 10 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
School children with cerebral palsy.

Inclusion Criteria:

  • Cerebral palsy diagnosis.
  • Aged between 6 and 10 years old.
  • Children attending a school.

Exclusion Criteria:

  • Severe cognitive impairment.
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Please refer to this study by its identifier: NCT01988844

Department of Physical Therapy
Granada, Spain, 18071
Sponsors and Collaborators
Universidad de Granada
Principal Investigator: Marie Carmen Valenza, PhD Universidad de Granada
  More Information

Responsible Party: Marie Carmen Valenza, assistant professor, Universidad de Granada Identifier: NCT01988844     History of Changes
Other Study ID Numbers: DF0042UG
Study First Received: November 13, 2013
Last Updated: November 1, 2016
Individual Participant Data  
Plan to Share IPD: Undecided

Keywords provided by Universidad de Granada:
Cerebral palsy

Additional relevant MeSH terms:
Cerebral Palsy
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Brain Damage, Chronic
Brain Diseases
Central Nervous System Diseases processed this record on April 25, 2017