Hand-Arm Bimanual Intensive Therapy in Virtual Reality Versus Standard Hand-Arm Bimanual Intensive Therapy (HABIT-VR)
Hemiplegic Cerebral Palsy
About this trial
This is an interventional treatment trial for Hemiplegic Cerebral Palsy focused on measuring Hand Arm Bimanual Intensive Therapy, Virtual Reality
Eligibility Criteria
Inclusion Criteria: Children diagnosed as HCP. Children with HCP having Manual Ability Classification System Score (MACS) between I-IV. Parents able to give consent for the assessment and willing to adhere to the assessment and HABIT protocol. Exclusion Criteria: Children with any other neurological conditions such as diplegic or tetraplegic cerebral palsy CP, birth injuries such as erbs palsy, brachial plexus lesion or peripheral nerve injuries, spina bifida at the upper thoracic level, leading to inability to move the upper extremity. Children with known visual impairments such as blindness. Children with any obvious musculoskeletal deformity, which will affect the ability to handle objects. Children with musculoskeletal problems such as torticollis, which will affect visual gaze and visual tracking of an object.
Sites / Locations
- University of Nebraska Medical Center, Munroe-Meyer InstituteRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Standard HABIT
HABIT-VR
Children will receive hand arm bimanual intensive therapy the way it is typically delivered. Children will receive 40 hrs of one-on-one bimanual therapy, delivered as play. Activities will be self-selected, but all options will require both hands to succeed.
Children will receive hand arm bimanual intensive therapy, however, it will be through the use of custom virtual reality games. Children will receive 40 hrs of one-on-one bimanual therapy, delivered through the virtual reality games. Activities will be self-selected, but all games have a task constraint, requiring both hands to succeed.