Does Interactive Hand Rehabilitation Experiences an Improvement of Upper Limb Function in Hemiplegic Children? A Double Blind Randomized Controlled Trial

2016-04-06T17-08-11Z
Source: International Journal of Therapies and Rehabilitation Research
Ragab Kamal Elnaggar.
ABSTRACT Background: Several clinical studies evoked the interest of interactive robotic assisted exercise for rehabilitation of upper limbs in cerebral palsied children. This study aimed to evaluate the effectiveness of an interactive hand rehabilitation program using an end effector robotic system in treatment of hemiplegic children. Methods: In a double blind randomized controlled trial, 38 hemiplegic children were randomized to either traditional therapy group (TT group, n=24) who received a traditional rehabilitation program or interactive therapy group (IT group, n=24) who received an interactive robotic assisted exercise program. Intervention was conducted for one hour/session, three sessions/week for four consecutive months. Maximum hand grip strength, fine motor skill, and bimanual hand function were measured prior to and after the intervention using a hand held dynamometer, Peabody Developmental Motor Scale (PDMS), and Assisting Hand Assessment (AHA) respectively. Results: No difference between groups at the baseline (p˃0.05). Significant differences of all outcome measure were recorded within both groups (p˂0.05), and significant differences between both groups favoring the IT group were reported post intervention (p˂0.05). Conclusion: A four months of supervised interactive hand rehabilitation program using an end effector, anatomical limitation free robotic system possibly used to improve hand function in hemiplegic cerebral palsied children.


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