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Upper Extremity Selective Voluntary Motor Control in Children With Unilateral Cerebral Palsy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03504787
Recruitment Status : Completed
First Posted : April 20, 2018
Last Update Posted : April 20, 2018
Information provided by (Responsible Party):
Ayse Simsek, Gazi University

Brief Summary:
The aim of the study was to determine upper extremity selective motor control (SMC) in Children with Unilateral Cerebral Palsy (CP). It was also aimed to determine the relationship between upper extremity SMC and upper extremity functions in unilateral CP.

Condition or disease
Cerebral Palsy

Detailed Description:
Twenty-four unilateral CP participated in the study between the ages of 6 and 18 years. Children's manual skills classified with MACS. To assess the quality of the upper extremity, the Quality of Upper Extremity Skill Test (QUEST) which assessed four areas including dissociated movement, grasp, weight bearing and protective extension, was used. Upper extremity functions were assessed using the Jebsen Taylor Hand Function Test (JTT). The Selective Control of Upper Extremity Scale (SCUES) was used to evaluate the selective movements of the upper extremity. The SCUES evaluates the movement of the trunk during the upper limb movements and mirror movements via video recording.

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Study Type : Observational
Actual Enrollment : 24 participants
Observational Model: Other
Time Perspective: Cross-Sectional
Official Title: Upper Extremity Selective Voluntary Motor Control in Children With Unilateral Cerebral Palsy and Its Association With Upper Extremity Function
Actual Study Start Date : April 25, 2017
Actual Primary Completion Date : January 25, 2018
Actual Study Completion Date : March 25, 2018

Resource links provided by the National Library of Medicine

Primary Outcome Measures :
  1. Selective Control of the Upper Extremity Scale (SCUES) [ Time Frame: 10 minutes ]
    The SCUES evaluate for movement at each joint level: the presence of mirror movements, movement of additional joints the target or index joint, presence of trunk movement, dynamic motion less than passive ROM. Upper extremity joint levels and motions examined include the shoulder (abduction/adduction), elbow (flexion/extension), forearm (supination/pronation), wrist (flexion/extension), and fingers/thumb (grasp/release). A video camera is placed in front of a participant sitting on a table. The examiner demonstrate the desired motion to the participant, then passively moves the participant's joint in the desired planes. The participant is then asked to perform the same motion. This activity is graded by the examiner from the videotape. Evaluation lasts less than 15 minutes. Motion at each of the five joint levels is graded on a four-point scale: no SMC, moderately diminished SMC, mildly diminished SMC, and normal SMC

Secondary Outcome Measures :
  1. Jebsen Taylor Hand Function Test (JTT) [ Time Frame: 10 minutes ]
    It is a standard test used to evaluate the general hand function of the person. Seven subsets of the test simulate hand function, which includes writing, simulated page turning, stacking checkers, simulated feeding and picking up small common objects, large light objects, large heavy objects

  2. Quality of Upper Extremity Skill Test (QUEST) [ Time Frame: 20 minutes ]
    The QUEST evaluates the quality of the upper extremity to four areas; Dissociated Movement, Grasp, Weight Bearing and Protective Extension. A score of "yes" or "no" is given according to the completion of each movement or task. The four field scores are summed to achieve the total score. During evaluation, the child is not allowed to use any device in the upper extremity

Information from the National Library of Medicine

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Ages Eligible for Study:   6 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
Children with unilateral cerebral palsy.

Inclusion Criteria:

  • diagnosis of unilateral spastic CP,
  • age between 5 and 18 years,
  • ability to follow simple instructions.

Exclusion Criteria:

  • significant ataxia or dystonia
  • orthopedic intervention or botulinum toxin injection to the upper extremities in the last 6 months
  • orthopedic problems or medical conditions that prevented children from participating in the assessment

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03504787

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Gazı University
Ankara, Turkey, 06560
Sponsors and Collaborators
Gazi University
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Study Chair: Bulent Elbasan Gazi University

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Responsible Party: Ayse Simsek, Research assistant, Gazi University Identifier: NCT03504787    
Other Study ID Numbers: 77082166-302.08.01
First Posted: April 20, 2018    Key Record Dates
Last Update Posted: April 20, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Ayse Simsek, Gazi University:
cerebral palsy
upper extremity
selective motor control
Additional relevant MeSH terms:
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Cerebral Palsy
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms
Brain Damage, Chronic
Brain Diseases
Central Nervous System Diseases