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Effects of Play Based Neural Mobilisation Activities on Hand Grip Strength and Dexterity in Cerebral Palsy Children 34 Randomized

Recruiting
Clinical Trial NCT07428928 is an interventional study for Cerebral Palsy that is recruiting. It started on 29 October 2025 with plans to enroll 34 participants. Led by Riphah International University, it is expected to complete by 20 February 2026. The latest data from ClinicalTrials.gov was last updated on 24 February 2026.
Brief Summary
The study design will be a Randomized control trial. The data will be collected from Acme Medical complex and Rehab cure clinic. The study will be completed in 10 months after the approval of synopsis. The sampling technique will be non-probability convenient sampling. Sample size is 16 calculated by epitool. Group A will receive Routine Physical therapy with play based neural mobilization activity method and Group B...Show More
Detailed Description
Examining the UL's hand grip strength is arguably the best method to determine its overall consistency. Everybody's everyday life depends on their upper limbs. For people to function at their best, a number of sensorimotor factors are required, including hand grip strength. Dexterity is a manual skill that requires quick synchronization of voluntary gross and fine movements. It is built on a number of abilities that ...Show More
Official Title

Effects of Play Based Neural Mobilisation Activities on Hand Grip Strength and Dexterity in Cerebral Palsy Children

Conditions
Cerebral Palsy
Publications
Scientific articles and research papers published about this clinical trial:
Other Study IDs
  • REC/RCR&AHS/UZMAIRSHAD
NCT ID Number
Start Date (Actual)
2025-10-29
Last Update Posted
2026-02-24
Completion Date (Estimated)
2026-02-20
Enrollment (Estimated)
34
Study Type
Interventional
PHASE
N/A
Status
Recruiting
Keywords
Cerebral palsy, Diplegic, Exercise, Hand strength, Spastic
Primary Purpose
Other
Design Allocation
Randomized
Interventional Model
Parallel
Masking
Single
Arms / Interventions
Participant Group/ArmIntervention/Treatment
Active ComparatorGroup A: intervention group (routine physical therapy +play based neural mobilisation)
movements that are advantageous for neural mobility will be used to incorporate neural mobilization. Total 20 sessions will be performed (40 min, 3 days a week)
neural mobilization which include ulnar, median and radial nerves mobilisation by a play activity called "Simon says" in addition to the routine physical therapy treatment.
treatment include muscle stretching, strengthening, gait training, Range of motion exercises for both upper and lower limbs. Group A will perform neural mobilization which include ulnar, median and radial nerves mobilisation by a play activity called "Simon says" in addition to the routine physical therapy treatment. Total 20 sessions will be performed (40 min, 3 days a week)
Active ComparatorGroup B:control Group( routine physical Therapy)
exercises will be stretching exercises, strengthening exercises, gait training, range of motion exercises of upper and lower limbs. Total 20 sessions will be performed (40 min, 3 days a week).
Regular physical therapy
Regular physical therapy was administered to the control group along with baseline care. These workouts included upper and lower limb range of motion activities, gait training, strengthening exercises, and stretching exercises.
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
Hand Dynamometer for hand grip strength
Handgrip dynamometers are employed for a wide range of purposes. Assessing general strength is the most widely used method for comparing muscular function across groups, evaluating the course of wasting disorders such as sarcopenia, and even identifying prospective deficits. In order to quantify the strength of various muscles that are directly linked to a pathological condition, such as rotator cuff strength, handgrip dynamometers are also utilized as functional evaluation instruments. Handgrip dynamometers are mostly used for evaluation in the rehabilitation process, such as monitoring general rehabilitation progress or assessing the impact of a particular rehabilitation regimen aimed at a grip strength issue, such as shoulder impingement syndrome. Strong handgrips are essential for independent and fulfilling daily functioning
baseline, 16th weeks
Pegboard test for Dexterity
The functional dexterity test (FDT), a timed pegboard test that involves manipulating each peg, is appropriate for young children due to its ease of use and speed. The 16-hole wooden pegboard used for the FDT is set up in four rows of four, with each peg hole that is 2.5 cm in diameter, 3 cm deep, and 2 cm away from the neighboring peg holes. Every patient will be requested to take a seat in a chair facing the FDT pegboard on a table. The patients will be instructed to practice by flipping every peg on the board once. After the test will be completed, the examiner will note how long it take to complete the test
baseline, 16th week
Participation Assistant
Eligibility Criteria

Eligible Ages
Child
Minimum Age
6 Years
Eligible Sexes
All
  • Inclusion Criteria:

    • Diplegic cerebral palsy patients
    • Both Girls and boys included
    • Age limit 6-12 years
    • CP child with Gross Motor Function Classification System (GMFCS) level III and IV(20)
    • CP child at MACS level II and III

  • • Patients with history of injury in 1 year.

    • Patients who cannot obey commands
    • CP children with associated scoliosis
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Study Central Contact
Contact: IMRAN AMJAD, PhD, 9233224390125, [email protected]
Contact: Muhammad Asif javed, MS-PT, 923224209422, [email protected]
1 Study Locations in 1 Countries

Punjab Province

Acme Medical center, Liaqat medical center, Lahore, Punjab Province, 54000, Pakistan
IMRAN AMJAD, PhD, Contact, 9233224390125, [email protected]
Muhammad Asif Javed, MS-PT, Contact, 923224209422, [email protected]
Recruiting