Kanitkar Anuprita, Szturm Tony, Parmar Sanjay, Gandhi Dorcas Bc, Rempel Gina Ruth, Restall Gayle, Sharma Monika, Narayan Amitesh, Pandian Jeyaraj, Naik Nilashri, Savadatti Ravi R, Kamate Mahesh Appasaheb
Applied Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
College of Rehabilitation Sciences, University of Manitoba, Winnipeg, MB, Canada.
JMIR Res Protoc. 2017 May 18;6(5):e93. doi: 10.2196/resprot.6846.
It is difficult to engage young children with cerebral palsy (CP) in repetitive, tedious therapy. As such, there is a need for innovative approaches and tools to motivate these children. We developed the low-cost, computer game-based rehabilitation platform CGR that combines fine manipulation and gross movement exercises with attention and planning game activities appropriate for young children with CP.
The objective of this study is to provide evidence of the therapeutic value of CGR to improve upper extremity (UE) motor function for children with CP.
This randomized controlled, single-blind, clinical trial with an active control arm will be conducted at 4 sites. Children diagnosed with CP between the ages of 4 and 10 years old with moderate UE impairments and fine motor control abnormalities will be recruited.
We will test the difference between experimental and control groups using the Quality of Upper Extremity Skills Test (QUEST) and Peabody Developmental Motor Scales, Second Edition (PDMS-2) outcome measures. The parents of the children and the therapist experiences with the interventions and tools will be explored using semi-structured interviews using the qualitative description approach.
This research protocol, if effective, will provide evidence for the therapeutic value and feasibility of CGR in the pediatric rehabilitation of UE function.
Clinicaltrials.gov NCT02728375; http:https://clinicaltrials.gov/ct2/show/NCT02728375 (Archived by WebCite at http://www.webcitation.org/6qDjvszvh).
让患有脑瘫（CP）的幼儿参与重复性、枯燥的治疗很困难。因此，需要创新的方法和工具来激励这些孩子。我们开发了低成本、基于电脑游戏的康复平台CGR，该平台将精细操作和大运动练习与适合患有CP的幼儿的注意力和规划游戏活动相结合。
本研究的目的是提供证据，证明CGR对改善CP患儿上肢（UE）运动功能具有治疗价值。
这项具有活性对照组的随机对照单盲临床试验将在4个地点进行。将招募4至10岁、被诊断患有CP且存在中度UE损伤和精细运动控制异常的儿童。
我们将使用上肢技能测试质量（QUEST）和《皮博迪发展运动量表》第二版（PDMS - 2）结果指标来测试实验组和对照组之间的差异。将采用定性描述方法，通过半结构化访谈来探究儿童家长以及治疗师对干预措施和工具的体验。
本研究方案若有效，将为CGR在UE功能小儿康复中的治疗价值和可行性提供证据。
Clinicaltrials.gov NCT02728375；http:https://clinicaltrials.gov/ct2/show/NCT02728375（由WebCite存档于http://www.webcitation.org/6qDjvszvh）。
