HemiplegiaDTNCT07705867
Effect of Dual Task Virtual Reality Training on Hand Function , Attention and Activity of Daily Life in Children With Hemiplegia
A study testing Dual Task Virtual Reality Training and traditional physical therapy in people with Hemiplegia, run by Cairo University.
Trial summary
this study will be conducted to evaluate the effect of dual task virtual reality training on hand function (bilateral hand use and upper limb coordination), attention (divided and sustained) and activity of daily life in children with hemiplegic cerebral palsy. Read more about this study
- Who is it for?
- Ages 7 to 12 years
- Conditions the study is for
- Hemiplegia
- What is being tested?
- Dual Task Virtual Reality Training and traditional physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- No sites listed yet
- Study dates
- 25 Jul 2026to 20 Mar 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 7 to 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Their age will be ranged from 7-12 years.
- Their degree of spasticity will be ranged from 1 to 1according to the Modified Ashworth Scale
- They will be on level 1 or II on Gross Motor Function Classification System (GMFCS)
- Their manual ability to handle objects in daily activities will be at level II according to Manual Ability Classification System (MACS)
- Children can understand and follow instructions.
Who cannot join
- The participants will be excluded if they have one of the following criteria:
- Severe sensory ,visual, auditory and cognitive impairments.
- Structural or fixed soft tissue deformities of the upper extremities.
- Botulinum toxin injections within the last six months.
- Unstable seizures.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Effect of Dual-task Virtual Reality Training on Hand Function, Attention and Activity of Daily Life in Children With Hemiplegia
this study will be conducted to evaluate the effect of dual task virtual reality training on hand function (bilateral hand use and upper limb coordination), attention (divided and sustained) and activity of daily life in children with hemiplegic cerebral palsy.
Read the detailed description
Children with hemiplegia represent about 25% of all CP children. One of the most debilitating symptoms of hemiplegia, which may occur in more than 80 of children suffering from CP, is dysfunction of the upper limbs, especially the arms and hands.
Hand function is significantly compromised in children with hemiplegic CP. As a result, children with hemiplegic CP typically find it difficult to use the affected upper extremity.These children learn how to do tasks using their non-involved upper extremity (developmental disuse).Hemiplegic children have difficulty in using both hands together.This deficit limits their participation and require assistance in activities of daily living such as dressing, eating, and playing.The ability of hemiplegic children to reach, hold, and manipulate objects with their hands is one of their biggest challenges.Children with hemiplegia often show slower reaction times, reduced concentration, and difficulty maintaining focus during motor tasks. These attentional challenges limit the ability to coordinate movements, particularly during bimanual or dual-task activities.
Virtual Reality (VR) is an effective and engaging tool in the rehabilitation of children with CP. It offers interactive, multisensory environments that enhance motor learning and neuroplasticity through repetitive, task-specific practice. VR improves upper limb function, coordination, attention, and motivation while promoting bimanual training and daily functional skills more effectively than traditional therapy.Although VR based training has gained increasing interest in recent years, little studies have been conducted to evaluate it's dual task application .So the purpose of the current study is to evaluate the effect of dual task VR training on hand function , attention and activity of daily life in children with hemiplegic CP.
- Conditions
- Hemiplegia
- Being tested
- Dual Task Virtual Reality Training, traditional physical therapy
- Keywords
- Dual Task Virtual Reality Training, Hand Function, Attention and Activity of Daily Life, Hemiplegia
- Medical subject headings
- Hemiplegia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dual Task Virtual Reality TrainingOther
Children in this group will receive 45_60 minutes of dual task VR training. each session will consist of:
Games will be in the form of a series of kinect adventure game,big league game, forza horizon, sports island freedom and Kinect sports game designed for Xbox 360 Kinect console which targeting bilateral hand use and attention.
The games will be projected onto a 24-Inch screen monitor. Each session consisted of playing 1-2 trials in a row of each of 5 game.Time of each game will be 5-10 minutes. plus tradional therapy
traditional physical therapyOther
Children in this group will receive designed occupational therapy training for 45-60 minutes. each session will consist of:Ball activities: catching and throwing ball (large balls for 2 hand use) while following rules as pick only red balls,Transfer cubes from one hand to the other hand and counting out load while transferring, Clapping with both hands while increaseing speed, Opening and closing a jar while focusing on steps,Towering cubes while focusing to put large then small cubes, Turning cards and react only when target card appears,Transfer cubes from one colored container to another,Pick objects from a toy bag and to range them according to their colors, shapes (triangles, rectangle, circular), and size (small, medium, big) and naming each object with their color and shape.
| Study group | Role | What they receive |
|---|---|---|
| Dual Task Virtual Reality Training | Experimental | twenty hemiplegic child will receive Dual Task Virtual Reality Training plus traditional physical therapy three time per week for 3 months Receives: Other: Dual Task Virtual Reality Training; Other: traditional physical therapy |
| traditional physical therapy | Active comparator | twenty hemiplegic child will receive traditional physical therapy three time per week for 3 months Receives: Other: traditional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
bilateral hand use
The Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) will be used to assess bilateral hand use. It is a standardized norm-referenced measure for evaluating fine and gross motor skills in children and adolescents aged 4 to 21. It includes 8 subtests with 4 motor areas: fine manual control, manual coordination, body coordination, and strength and agility. The child's performance will be recorded and scored on each item, then later, each item will be converted from raw score to point score and from point score to scale score and at the end, from scale score to standard score
Measured: up to three months
Secondary outcomes (2)
attention
RehaCom will be used to assess attention in this study.The testing procedures will be conducted in quiet environment free from any distraction which can affect children' performance.The child will seat comfortably on a chair with back support and feet flat on the floor, facing the computer screen at eye level. The test will be explained in simple, child-friendly language, ensuring the child understands that they should focus and respond as accurately and quickly as possible.In the current study, attention and concentration module will be selected in the RehaCom software. The test will begin at Level 1 and automatically will progress to higher levels of difficulty depending on the child's performance.The child will identify or react to target stimulus.Grey performance bar will appear on the left side of the screen to show how well the participant will perform in real-time
Measured: up to three months
life disability
Functional independence measure for children (WeeFIM) consists of 3 domains with a total of 18 measurement items. The subsets are categorized as self-care domain which includes 8 items (eating, grooming, bathing, lower and upper body dressing, toileting, as well as bowel and bladder control). The mobility domain includes 5 items (chair, toilet, and tub transfers, walking or wheelchair management, and stairs). The cognitive domain includes 5 items (language comprehension and expression, social interaction, problem solving, and memory).The minimum total score is 18 (total dependence in all skills) and the maximum required score is 126 (complete independence in all skills)
Measured: up to three months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jul 2026
- Study start25 Jul 2026 (estimated)
- Primary completion20 Mar 2027 (estimated)
- Study completion20 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HemiplegiaStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Dual Task Virtual Reality Training and tradional therapy
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Yosra Magdy Mohamed Soliman, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07705867
- Sponsor's protocol ID
- P.T.REC/012/006211
- Acronym
- DT
- Status last verified
- Jul 2026
- First submitted
- 10 Jul 2026
- Last updated
- 15 Jul 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Dual-task Virtual Reality Training on Hand Function, Attention and Activity of Daily Life in Children With Hemiplegia
- ClinicalTrials.gov ID
- NCT07705867
- Acronym / sponsor ID
- DT / P.T.REC/012/006211
- Conditions
- Hemiplegia
- Keywords
- Dual Task Virtual Reality Training, Hand Function, Attention and Activity of Daily Life, Hemiplegia
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 25 Jul 2026 (estimated)
- Primary completion
- 20 Mar 2027 (estimated)
- Study completion
- 20 Mar 2027 (estimated)
- First posted
- 15 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
this study will be conducted to evaluate the effect of dual task virtual reality training on hand function (bilateral hand use and upper limb coordination), attention (divided and sustained) and activity of daily life in children with hemiplegic cerebral palsy.
Detailed description
Children with hemiplegia represent about 25% of all CP children. One of the most debilitating symptoms of hemiplegia, which may occur in more than 80 of children suffering from CP, is dysfunction of the upper limbs, especially the arms and hands.
Hand function is significantly compromised in children with hemiplegic CP. As a result, children with hemiplegic CP typically find it difficult to use the affected upper extremity.These children learn how to do tasks using their non-involved upper extremity (developmental disuse).Hemiplegic children have difficulty in using both hands together.This deficit limits their participation and require assistance in activities of daily living such as dressing, eating, and playing.The ability of hemiplegic children to reach, hold, and manipulate objects with their hands is one of their biggest challenges.Children with hemiplegia often show slower reaction times, reduced concentration, and difficulty maintaining focus during motor tasks. These attentional challenges limit the ability to coordinate movements, particularly during bimanual or dual-task activities.
Virtual Reality (VR) is an effective and engaging tool in the rehabilitation of children with CP. It offers interactive, multisensory environments that enhance motor learning and neuroplasticity through repetitive, task-specific practice. VR improves upper limb function, coordination, attention, and motivation while promoting bimanual training and daily functional skills more effectively than traditional therapy.Although VR based training has gained increasing interest in recent years, little studies have been conducted to evaluate it's dual task application .So the purpose of the current study is to evaluate the effect of dual task VR training on hand function , attention and activity of daily life in children with hemiplegic CP.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Dual Task Virtual Reality Training and tradional therapy
| Arm | Type | Receives |
|---|---|---|
| Dual Task Virtual Reality Training | Experimental | Other: Dual Task Virtual Reality Training, Other: traditional physical therapytwenty hemiplegic child will receive Dual Task Virtual Reality Training plus traditional physical therapy three time per week for 3 months |
| traditional physical therapy | Active comparator | Other: traditional physical therapytwenty hemiplegic child will receive traditional physical therapy three time per week for 3 months |
Who may qualify
- Ages
- 7 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- Their age will be ranged from 7-12 years.
- Their degree of spasticity will be ranged from 1 to 1according to the Modified Ashworth Scale
- They will be on level 1 or II on Gross Motor Function Classification System (GMFCS)
- Their manual ability to handle objects in daily activities will be at level II according to Manual Ability Classification System (MACS)
- Children can understand and follow instructions.
Key exclusion criteria (5 listed)
- The participants will be excluded if they have one of the following criteria:
- Severe sensory ,visual, auditory and cognitive impairments.
- Structural or fixed soft tissue deformities of the upper extremities.
- Botulinum toxin injections within the last six months.
- Unstable seizures.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dual Task Virtual Reality TrainingChildren in this group will receive 45_60 minutes of dual task VR training. each session will consist of: Games will be in the form of a series of kinect adventure game,big league game, forza horizon, sports island freedom and Kinect sports game designed for Xbox 360 Kinect console which targeting bilateral hand use and attention. The games will be projected onto a 24-Inch screen monitor. Each session consisted of playing 1-2 trials in a row of each of 5 game.Time of each game will be 5-10 minutes. plus tradional therapy | Other | Dual Task Virtual Reality Training |
| traditional physical therapyChildren in this group will receive designed occupational therapy training for 45-60 minutes. each session will consist of:Ball activities: catching and throwing ball (large balls for 2 hand use) while following rules as pick only red balls,Transfer cubes from one hand to the other hand and counting out load while transferring, Clapping with both hands while increaseing speed, Opening and closing a jar while focusing on steps,Towering cubes while focusing to put large then small cubes, Turning cards and react only when target card appears,Transfer cubes from one colored container to another,Pick objects from a toy bag and to range them according to their colors, shapes (triangles, rectangle, circular), and size (small, medium, big) and naming each object with their color and shape. | Other | Dual Task Virtual Reality Training, traditional physical therapy |
Primary outcome
bilateral hand use
Time frame: up to three months
The Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) will be used to assess bilateral hand use. It is a standardized norm-referenced measure for evaluating fine and gross motor skills in children and adolescents aged 4 to 21. It includes 8 subtests with 4 motor areas: fine manual control, manual coordination, body coordination, and strength and agility. The child's performance will be recorded and scored on each item, then later, each item will be converted from raw score to point score and from point score to scale score and at the end, from scale score to standard score
2 secondary outcomes
attention
Time frame: up to three months
life disability
Time frame: up to three months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing Dual Task Virtual Reality Training and traditional physical therapy in people with Hemiplegia, run by Cairo University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 15 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact yosra soliman, master (01116085030, yosramagdy868@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
bilateral hand use (time frame: up to three months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2026.