---
title: "Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills"
nct_id: NCT05596513
overall_status: COMPLETED
phase: NA
sponsor: Omnya Samy Abdallah Ghoneim
study_type: INTERVENTIONAL
primary_condition: Hemiplegia
countries: Egypt
canonical_url: "https://parkinsonspathways.com/agent/trials/NCT05596513.md"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT05596513"
ct_last_update_post_date: 2023-04-11
last_seen_at: "2026-05-12T06:54:45.185Z"
source: ClinicalTrials.gov (mirrored, no enrichment)
---
# Motor Learning Approaches From Working on a Vertical Surface in Hemiplegic Children's Upper Limb Motor Skills

**Official Title:** Effectiveness of Intensive Motor Learning Approaches From Working on a Vertical Surface on Hemiplegic Children's Upper Limb Motor Skills

**NCT ID:** [NCT05596513](https://clinicaltrials.gov/study/NCT05596513)

## Key Facts

- **Status:** COMPLETED
- **Phase:** NA
- **Study Type:** INTERVENTIONAL
- **Target Enrollment:** 40
- **Lead Sponsor:** Omnya Samy Abdallah Ghoneim
- **Conditions:** Hemiplegia, Spastic
- **Start Date:** 2022-10-30
- **Completion Date:** 2023-02-28
- **CT.gov Last Update:** 2023-04-11

## Brief Summary

Working on a vertical surface is one of the best activities children can do to make themselves more successful in many areas as an infant which builds all those foundational skills required for the all-important task of handwriting.

## Detailed Description

Motor-learning approaches such as - constraint-induced movement therapy (CIMT) offer an array of sensorimotor experiences in a playful yet repetitive and intense fashion.

A stable shoulder girdle is the co-contraction of muscles around the scapula and shoulder joint.

Depending on the activity, vertical surfaces will have kids moving their arms frequently; reaching up, down, out and around. This supports extension of the arm and an opportunity to strengthen those muscles.

Vertical surfaces facilitate wrist extension. When the wrist is extended, the ring and pinky finger tend to naturally find their way into the palm creating a more optimal grasp pattern. A child is going to be able to execute more precise and legible work when using a functional tripod or quadrupod grasp.

## Eligibility

- **Minimum age:** 5 Years
- **Maximum age:** 9 Years
- **Sex:** ALL
- **Healthy Volunteers:** No

```
Inclusion Criteria:

1. Children diagnosed with spastic hemiplegic cerebral palsy
2. Age 5 to 9 years
3. Manual Ability Classification System (MACS)19 scores I, II.
4. Children who can understand and cooperate with researcher's instructions
5. Children with no visual or hearing impairment

Exclusion Criteria:

1. Children with any surgical interference in the upper limb.
2. Intellectual disability such that simple tasks could not be understood or executed.
3. Inability to combine the study protocol with the regular school program
```

## Arms

- **control group** (ACTIVE_COMPARATOR) — received intensive motor-learning approaches that focuses on training of the affected hand (motor-learning approaches such as - constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) provide an alternative).
- **study group** (EXPERIMENTAL) — received the intensive motor-learning approaches of the control group but from a vertical surface

## Interventions

- **motor learning and occupational therapy** (OTHER) — 1. Constraint-induced movement therapy (CIMT)
2. Hand-arm bimanual intensive training (HABIT)
- **Motor Learning Approaches From Working on a Vertical Surface** (OTHER) — 1. Ball on wall, kneel to stand
2. Kneel walk cross over
3. Vertical playground puzzles and games
4. Color on big boxes
5. Fridge magnets
6. Erasing a whiteboard or chalkboard
7. Tactile feedback from textured walls

## Primary Outcomes

- **QUEST** _(time frame: 3 month)_ — quality of upper extremity skills test (Only dissociated movement, grasp and weight bearing domains QUEST will be assessed).

## Locations (1)

- Badr University, Badr, Cairo Governorate, Egypt

## Recent Field Changes (last 30 days)

- `status.overallStatus` — added _(2026-05-12)_
- `status.primaryCompletionDate` — added _(2026-05-12)_
- `status.completionDate` — added _(2026-05-12)_
- `status.lastUpdatePostDate` — added _(2026-05-12)_
- `design.phases` — added _(2026-05-12)_
- `design.enrollmentCount` — added _(2026-05-12)_
- `eligibility.criteria` — added _(2026-05-12)_
- `eligibility.minAge` — added _(2026-05-12)_
- `eligibility.maxAge` — added _(2026-05-12)_
- `eligibility.sex` — added _(2026-05-12)_
- `outcomes.primary` — added _(2026-05-12)_
- `armsInterventions.arms` — added _(2026-05-12)_
- `armsInterventions.interventions` — added _(2026-05-12)_
- `sponsor.lead` — added _(2026-05-12)_
- `results.hasResults` — added _(2026-05-12)_
- `locations.badr university|badr|cairo governorate|egypt` — added _(2026-05-12)_

---

*Canonical: https://parkinsonspathways.com/agent/trials/NCT05596513.md*  
*Source data (authoritative): https://clinicaltrials.gov/study/NCT05596513*  
*This page is a raw mirror with no AI summary, no editorial enrichment, and no Parkinson's-specific filtering.*