Objective: Development of an instrument to objectively assess arm-hand skilled performance in daily life in typically developing children, children with CP and adults who suffered a stroke.
ID
Source
Brief title
Condition
- Central nervous system vascular disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Main study parameters/endpoints: The 3 study parameters addressed in this study
are: 1) the reproducibility of activities of daily living measured with *9-DOF
sensors*; 2) the possibilities of identification of activities of daily
living, based on pattern recognition techniques using the recorded signals; 3)
quantification of quality of movement during the execution of activities of
daily living.
Secondary outcome
not applicable
Background summary
Rationale: An accurate measurement of skilled arm-hand function in a home
situation is important for both the patient and the rehabilitation team, since
functioning in daily life is the ultimate rehabilitation goal. Currently no
instrument exists to measure the quality of arm-hand use of the patient in the
home situation.
Study objective
Objective: Development of an instrument to objectively assess arm-hand skilled
performance in daily life in typically developing children, children with CP
and adults who suffered a stroke.
Study design
Study design: non-randomised cross-sectional study.
Study burden and risks
Nature and extent of the burden and risks associated with participation,
benefit and group relatedness: The risks of participating in this study can be
considered as negligible. The activities which the children have to perform
are all activities of daily living which pose no harm or risk to the
participant. These activities are also performed by the participant during
his/her daily life. The sensors which are used in this study (i.e. the SHIMMER
sensors) are operated by a small, low-charge battery and pose no harm to the
subject. The burden for participating in this study is minimal. The typically
developing children and stroke patients participating in this study have to
come to the rehabilitation centre once (with his/her parent) for 1 hour. The
children with CP can undergo the measurement at the same place where they go to
school and receive their regular therapy, so there is no need for travelling.
During the measurement the burden is also minimal since the children only have
to perform activities which they perform every day.
Zandbergsweg 111
Hoensbroek 6432 CC
NL
Zandbergsweg 111
Hoensbroek 6432 CC
NL
Listed location countries
Age
Inclusion criteria
Part 1: typically developing healthy children
- Typically developing healthy child who is not suffering from any illness or disease that may
affect arm-hand function.
- Age between 6 and 18 years
- No severe impaired communication as to comprehension
- Children and the parents/caregivers should comprehend and speak Dutch;Part 2: children with CP
- Child diagnosed with CP
- Age between 6 and 18 years
- Hagberg diagnosis: spastic hemiparesis or extreme asymmetric diplegia
- Hand function impairment Zancolli grade I with evident problems in thumb extension and
supination, Zancolli grade IIA and IIB 15.
- No severe impaired communication as to comprehension
- Children and the parents/caregivers should comprehend and speak Dutch
Part 3: adults who suffered a stroke
- Adults diagnosed with supratentorial stroke
- Age * 50 years old
- Clinically diagnosed with a central paresis of the arm-hand
- Post-stroke time * 2 years
- No severe impaired communication as to comprehension
- Able to comprehend and speak Dutch
Exclusion criteria
Part 1: typically developing healthy children
- Presence of disease or illness affecting arm-hand function ;Part 2: children with CP
- Severe structural contractures of the muscles at the upper extremity (elbow extension deficit 20
degrees, supination deficit 45 degrees, deficit wrist dorsal flexion 30 degrees or more)
- Severe impairment of hand function (Zancolli III)
- Children who are hyper sensible and cannot bare touching the affected arm and hand;Part 3: adults who suffered a stroke
- A-functional arm-hand (Utrechtse Arm/Hand Test 21, score = 0)
- Severe neglect (Bell Test, Letter Cancellation Test: minimum omission score of 15% 16-18)
- Hemianopsia
- Severe spasticity (Modified Ashworth Scale total arm > 4)
- Severe additional neurological, orthopaedic or rheumatoid impairments which could interfere
with task performance
- Broca aphasia, Wernicke aphasia, global aphasia (determined by the Akense Afasie Test 19,
- Apraxia (Apraxiatest of van Heugten 20)
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL42965.068.12 |