Clinical Research Directory

This intervention has been assigned to 'Group A.'. The Neurotrac Simplex device has been developed to enhance the understanding of muscle activity and to improve muscle conditioning. It stands upright on a flat surface, enabling the user to carry out specific exercises and at the same time view the biofeedback by way of bright LED lights on the front of the unit; the LCD screen will automatically display the average muscle readings for the session. Then using training programs in the NeuroTrac software for facilitation of the desired muscle. This software will be used in training the program for group A.

This intervention has been assigned to 'Group B.'A mirror (20 cm × 70 cm) on a movable stand will be used to provide a mirror therapy training program for group B. It stands on mobile wheels surrounded by a frame made of wood, with the main reflective surface likely being a standard glass mirror. The affected limb will be situated in a safe and preferably comfortable position behind the mirror. The non-affected limb will be positioned in a similar position as the affected limb, which would result in facilitating the intensity of the mirror illusion. The therapist will repeatedly remind the child to focus on the movement of the unaffected limb in front of the mirror, which helped to increase the mirror illusion. Under the supervision of the physiotherapist, children observed the reflection of their unaffected limb while performing the following movement: flexion of the shoulder, elbow extension, and wrist extension.

This intervention has been assigned to both groups. A designed physical therapy program for 30 minutes three times per week for three successive months 1. Active resisted exercises: A. Shoulder flexion and abduction. B. Elbow extension. C. Wrist extension. 2. Hand weight-bearing exercises: A. Quadriped position B. Side-sitting position C. Hand support standing 3. Reaching exercise with shoulder flexion, elbow and wrist extended. 4. Throwing the ball overhead by the affected hand and by both hands. 5. Protective extensor thrust from sitting on the roll and from the standing position. 6. Wheelbarrow walking (walking on hands).