Upper Extremity Function In Childern With Erb's PalsyNCT06930040
Effect of Action Observation Therapy Versus Kinesio Taping on Upper Extremity Function In Children With Erb' Palsy
A study testing Action observation therapy protocol and Kenisiotaping in people with Upper Extremity Function In Childern With Erb's Palsy, run by Kafrelsheikh University at 1 site in Egypt.
Trial summary
The purpose of this study is to study the Effect of Action Observation Therapy versus Kinesiology Taping on upper extremity function In Erb\'s Palsy Children. Read more about this study
- Who is it for?
- Ages 5 to 7 years
- Conditions the study is for
- Upper Extremity Function In Childern With Erb's Palsy
- What is being tested?
- Action observation therapy protocol and Kenisiotaping
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 38 participants
- Where
- 1 siteEgypt
- Study dates
- 8 Apr 2025to 1 Jul 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 5 to 7 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Their ages will be ranged from Five Years to Seven years in both sexes.
- The infants with Erb's palsy (C5-C6).
- Muscle tone within normal and muscle power within functional range.
Who cannot join
- Any participant has one or more of the followings will be excluded:
- Children less than Five Years months or more than Seven years..
- Shoulder subluxation or dislocation.
- Children with congenital disease and serious medical disorder.
- Children undergoing surgical treatment.
- Complete sensory loss.
- Shoulder subluxation or dislocation.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Action Observation Therapy Versus Kinesio Taping on Upper Extremity Function In Children With Erb's Palsy
The purpose of this study is to study the Effect of Action Observation Therapy versus Kinesiology Taping on upper extremity function In Erb\'s Palsy Children.
Read the detailed description
Erb's palsy is a form of brachial plexus injury in which there is paralysis of the upper arm and shoulder girdle muscles due to an injury to the roots of 5th and 6th cervical roots or the upper part of the brachial plexus. It can also affect the feeling (sensation) in the arm.
Erb's palsy is otherwise known as Erb - Duchenne palsy. The incidence ranges globally from 0.2% to 0.4 %of live births. According to the World Health Organization, prevalence is generally 1-2% world- wide, with the higher numbers being in underdeveloped countries. Duchenne- Erb type constitutes a major form among brachial plexus palsied children as it accounts about 80-90% of all brachial plexus palsied cases as a result of unilateral upper trunk lesion. Erb's Palsy affects the nerves of the neck that control the motions of the arm. This condition turns muscles inward toward the body, disturbing mobility . It can occur during normal delivery if a baby's neck is stretched unnaturally as the head and shoulders pass through the birth canal. Early bodily trauma in the first few months of life may also lead to the palsy. Nearly all children recover completely, but occasionally there is some persistent nerve damage. It is important that some physiotherapy exercises are started early, which aim to prevent the arm becoming fixed in an abnormal position and improve the chances of a full recovery. The name of erb's palsy is derived from the doctor who first documented the condition. The word palsy refers to the weakness in the muscle- not paralysis. Erb's palsy symptoms have been improving or else it clears up on their own. While most of the cases are mild, each child will have various reactions to their nerve damage. Therefore, each child may require different kinds of intervention .
Erb's palsy is the affecting the muscles of the Early treatment may entail physical and occupational therapy, daily passive range of motion exercise, splinting to lessen the severity of biceps/triceps co-contraction. However, many times, deformations occur that require surgical intervention
The role of Physiotherapy in erb's palsy, prevent your baby's muscles from becoming short, prevent your baby's joints becoming stiff, give your baby the feeling of normal movement, so that when their recovery begins, they will not have forgotten how to use their arm (remember those kicks and punches in the womb), continue to stimulate the feeling in your baby's arm.
Kinesiology Tape A very useful physiotherapeutic modality nowadays, if applied properly is the kinesiology tape, which is valuable adjunct to therapeutic rehabilitations .Kinesio tape is thin and elastic tape that can be extended up to 120 -140% of its original Height, this elasticity result in less mechanism constraints. It allows a partial to full range of motion for the applied muscles and joints with different pulling forces to skin, it can be used both muscles relaxation and to facilitate muscle contraction depending on its application, it associated with improvement of the proprioception, strength, and range of motion of multiple joints.
The application of Kinesio tape depends on goals of treatment, include position of the affected area and amount of pre- stretch applied to the tape. Specific cut shapes of Kinesio tape are designed to allow for optimal responses. An -X‖ strip, -Y‖ strip and -I‖ strip all seek various results. Several studies reported the effectiveness of Kinesio tape which reducing spasticity of muscles, enhancing the dynamic activities, and also improving extremity functions and repositioning. This study was to assess the effect of Kinesio tape of improving functional activity for erb's palsy children.
Action observation Therapy When someone observes an action, the Superior Temporal Sulcus in the temporal lobe sends information to describe the visual input, the mirror neuron system encodes this information to interpret the motor input and sends it back to the Superior Temporal Sulcus, which matches the sensory input of the desired movement with the visual information of the observed action.
The patient is asked to observe a real-life or a videotaped physical performance of another subject during Action Observation Therapy, after which the patient is required to imitate these movements.
- Being tested
- Action observation therapy protocol, Kenisiotaping
- Keywords
- Action Observation Therapy, Kinesio Taping, upper extremity function, Erb's Palsy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Action observation therapy protocolOther
The examined group got 30 minutes of a standard, selected physical therapy program in addition to 30 minutes of AOT on the upper limb (total session time: 1 hour), 3 sessions per week for three consecutive months (total therapy time: 3 hours/week). Action observation was executed with therapist guidance and repeated practice (3 repetitions for each task). The child has been requested to perform the watched task with the same tool after observing a 3-minute video for each task on an adjustable monitor screen positioned one meter in front of him or her from forward, sideways, and backward directions. The therapist sat beside the child to provide verbal comments during the excursion and to guide the child's movement. The AOT for the examined group included six unimanual tasks and six bimanual tasks. The unimanual tasks included pressing a rubber stamp, stacking cups, drinking water from a cup, grabbing a pen, flipping cards, and putting things on a stick.
KenisiotapingOther
Shoulder taping will done using two Kinesiotex tapes(2.5 · 7 cm), in the form of I shape. The tapes follow the line of pull of the anterior and posterior deltoid muscle fibers applied in order to assist the deltoid muscle action .
The tape was applied with the child in a sitting position by assistance from his care giver, while the therapist supported the child's arm. The first tape was initiated from the upper border of the lateral 1/3 of the clavicle to the deltoid prominence on the middle of the lateral side of the body of the humerus moving backward and lateralward while the arm was externally rotated and horizontally abducted. The second tape was initiated from the lower lip of the posterior border of the spine of the scapula towards also the humeral deltoid prominence moving forward and lateralward while the arm was horizontally adducted and internally rotated as if reaching to the outside of the contralateral hip.
| Study group | Role | What they receive |
|---|---|---|
| Treatment protocol in Group A ,Action observation therapy | Active comparator | The examined group got 30 minutes of a standard, selected physical therapy program in addition to 30 minutes of AOT on the upper limb (total session time: 1 hour), 3 sessions per week for three consecutive months (total therapy time: 3 hours/week). Action observation was executed with therapist guidance and repeated practice (3 repetitions for each task). The child has been requested to perform the watched task with the same tool after observing a 3-minute video for each task on an adjustable monitor screen positioned one meter in front of him or her from forward, sideways, and backward directions. The therapist sat beside the child to provide verbal comments during the excursion and to guide the child's movement. The AOT for the examined group included six unimanual tasks and six bimanual tasks. Receives: Other: Action observation therapy protocol |
| Treatment protocol in Group B , Kenisiotaping | Active comparator | Shoulder taping will done using two Kinesiotex tapes(2.5 · 7 cm), in the form of I shape. The tapes follow the line of pull of the anterior and posterior deltoid muscle fibers applied in order to assist the deltoid muscle action .
The tape was applied with the child in a sitting position by assistance from his care giver, while the therapist supported the child's arm. The first tape was initiated from the upper border of the lateral 1/3 of the clavicle (origin of anterior fibers of the deltoid) to the deltoid prominence on the middle of the lateral side of the body of the humerus moving backward and lateralward while the arm was externally rotated and horizontally abducted. Receives: Other: Kenisiotaping |
What is being measured
The primary outcome is the main question the study is designed to answer.
Assessment of the grip strength
Assessment of the grip strength by using Hand and Held Dynamometer
Measured: After 12 week
Jebsen Hand Function Test
Measure hand function for activities of daily living. It has 7 items include: writing, turning over 3-by-5 inch cards, picking up small common objects, simulated feeding, stacking checkers, picking up large light objects and picking up large heavy object
Measured: After 12 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Apr 2025
- Study start8 Apr 2025
- Primary completion18 Apr 2025
- Study completion1 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Upper Extremity Function In Childern With Erb's PalsyStudies of the same condition, open and under way.
- More trials run by Kafrelsheikh 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
- The examined group got 30 minutes of a standard, selected physical therapy program in addition to 30 minutes of AOT on the upper limb (total session time: 1 hour), 3 sessions per week for three consecutive months (total therapy time: 3 hours/week). g the excAction observation was executed with therapist guidance and repeated practice (3 repetitions for each task). Kenisiotaping :Shoulder taping will done using two Kinesiotex tapes(2.5 · 7 cm), in the form of I shape. The tapes follow the line of pull of the anterior and posterior deltoid muscle fibers applied in order to assist the deltoid muscle action . The tape was applied with the child in a sitting position by assistance from his care giver, while the therapist supported the child's arm.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 38 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kafrelsheikh University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hassan mansour Abdelsalam Elhawary, Kafrelsheikh University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06930040
- Sponsor's protocol ID
- KFSIRB200-324
- Status last verified
- Aug 2025
- First submitted
- 8 Apr 2025
- Last updated
- 15 Aug 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 15 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Action Observation Therapy Versus Kinesio Taping on Upper Extremity Function In Children With Erb's Palsy
- ClinicalTrials.gov ID
- NCT06930040
- Acronym / sponsor ID
- KFSIRB200-324
- Keywords
- Action Observation Therapy, Kinesio Taping, upper extremity function, Erb's Palsy
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 38 participants (actual)
- Lead sponsor
- Kafrelsheikh UniversityUniversity, hospital or other
- Study start
- 8 Apr 2025 (actual)
- Primary completion
- 18 Apr 2025 (actual)
- Study completion
- 1 Jul 2025 (actual)
- First posted
- 16 Apr 2025 (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.
The purpose of this study is to study the Effect of Action Observation Therapy versus Kinesiology Taping on upper extremity function In Erb\'s Palsy Children.
Detailed description
Erb's palsy is a form of brachial plexus injury in which there is paralysis of the upper arm and shoulder girdle muscles due to an injury to the roots of 5th and 6th cervical roots or the upper part of the brachial plexus. It can also affect the feeling (sensation) in the arm.
Erb's palsy is otherwise known as Erb - Duchenne palsy. The incidence ranges globally from 0.2% to 0.4 %of live births. According to the World Health Organization, prevalence is generally 1-2% world- wide, with the higher numbers being in underdeveloped countries. Duchenne- Erb type constitutes a major form among brachial plexus palsied children as it accounts about 80-90% of all brachial plexus palsied cases as a result of unilateral upper trunk lesion. Erb's Palsy affects the nerves of the neck that control the motions of the arm. This condition turns muscles inward toward the body, disturbing mobility . It can occur during normal delivery if a baby's neck is stretched unnaturally as the head and shoulders pass through the birth canal. Early bodily trauma in the first few months of life may also lead to the palsy. Nearly all children recover completely, but occasionally there is some persistent nerve damage. It is important that some physiotherapy exercises are started early, which aim to prevent the arm becoming fixed in an abnormal position and improve the chances of a full recovery. The name of erb's palsy is derived from the doctor who first documented the condition. The word palsy refers to the weakness in the muscle- not paralysis. Erb's palsy symptoms have been improving or else it clears up on their own. While most of the cases are mild, each child will have various reactions to their nerve damage. Therefore, each child may require different kinds of intervention .
Erb's palsy is the affecting the muscles of the Early treatment may entail physical and occupational therapy, daily passive range of motion exercise, splinting to lessen the severity of biceps/triceps co-contraction. However, many times, deformations occur that require surgical intervention
The role of Physiotherapy in erb's palsy, prevent your baby's muscles from becoming short, prevent your baby's joints becoming stiff, give your baby the feeling of normal movement, so that when their recovery begins, they will not have forgotten how to use their arm (remember those kicks and punches in the womb), continue to stimulate the feeling in your baby's arm.
Kinesiology Tape A very useful physiotherapeutic modality nowadays, if applied properly is the kinesiology tape, which is valuable adjunct to therapeutic rehabilitations .Kinesio tape is thin and elastic tape that can be extended up to 120 -140% of its original Height, this elasticity result in less mechanism constraints. It allows a partial to full range of motion for the applied muscles and joints with different pulling forces to skin, it can be used both muscles relaxation and to facilitate muscle contraction depending on its application, it associated with improvement of the proprioception, strength, and range of motion of multiple joints.
The application of Kinesio tape depends on goals of treatment, include position of the affected area and amount of pre- stretch applied to the tape. Specific cut shapes of Kinesio tape are designed to allow for optimal responses. An -X‖ strip, -Y‖ strip and -I‖ strip all seek various results. Several studies reported the effectiveness of Kinesio tape which reducing spasticity of muscles, enhancing the dynamic activities, and also improving extremity functions and repositioning. This study was to assess the effect of Kinesio tape of improving functional activity for erb's palsy children.
Action observation Therapy When someone observes an action, the Superior Temporal Sulcus in the temporal lobe sends information to describe the visual input, the mirror neuron system encodes this information to interpret the motor input and sends it back to the Superior Temporal Sulcus, which matches the sensory input of the desired movement with the visual information of the observed action.
The patient is asked to observe a real-life or a videotaped physical performance of another subject during Action Observation Therapy, after which the patient is required to imitate these movements.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- The examined group got 30 minutes of a standard, selected physical therapy program in addition to 30 minutes of AOT on the upper limb (total session time: 1 hour), 3 sessions per week for three consecutive months (total therapy time: 3 hours/week). g the excAction observation was executed with therapist guidance and repeated practice (3 repetitions for each task). Kenisiotaping :Shoulder taping will done using two Kinesiotex tapes(2.5 · 7 cm), in the form of I shape. The tapes follow the line of pull of the anterior and posterior deltoid muscle fibers applied in order to assist the deltoid muscle action . The tape was applied with the child in a sitting position by assistance from his care giver, while the therapist supported the child's arm.
| Arm | Type | Receives |
|---|---|---|
| Treatment protocol in Group A ,Action observation therapy | Active comparator | Other: Action observation therapy protocolThe examined group got 30 minutes of a standard, selected physical therapy program in addition to 30 minutes of AOT on the upper limb (total session time: 1 hour), 3 sessions per week for three consecutive months (total therapy time: 3 hours/week). Action observation was executed with therapist guidance and repeated practice (3 repetitions for each task). The child has been requested to perform the watched task with the same tool after observing a 3-minute video for each task on an adjustable monitor screen positioned one meter in front of him or her from forward, sideways, and backward directions. The therapist sat beside the child to provide verbal comments during the excursion and to guide the child's movement. The AOT for the examined group included six unimanual tasks and six bimanual tasks. |
| Treatment protocol in Group B , Kenisiotaping | Active comparator | Other: KenisiotapingShoulder taping will done using two Kinesiotex tapes(2.5 · 7 cm), in the form of I shape. The tapes follow the line of pull of the anterior and posterior deltoid muscle fibers applied in order to assist the deltoid muscle action . The tape was applied with the child in a sitting position by assistance from his care giver, while the therapist supported the child's arm. The first tape was initiated from the upper border of the lateral 1/3 of the clavicle (origin of anterior fibers of the deltoid) to the deltoid prominence on the middle of the lateral side of the body of the humerus moving backward and lateralward while the arm was externally rotated and horizontally abducted. |
Who may qualify
- Ages
- 5 to 7 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (3 listed)
- Their ages will be ranged from Five Years to Seven years in both sexes.
- The infants with Erb's palsy (C5-C6).
- Muscle tone within normal and muscle power within functional range.
Key exclusion criteria (7 listed)
- Children less than Five Years months or more than Seven years..
- Shoulder subluxation or dislocation.
- Children with congenital disease and serious medical disorder.
- Children undergoing surgical treatment.
- Complete sensory loss.
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 |
|---|---|---|
| Action observation therapy protocolThe examined group got 30 minutes of a standard, selected physical therapy program in addition to 30 minutes of AOT on the upper limb (total session time: 1 hour), 3 sessions per week for three consecutive months (total therapy time: 3 hours/week). Action observation was executed with therapist guidance and repeated practice (3 repetitions for each task). The child has been requested to perform the watched task with the same tool after observing a 3-minute video for each task on an adjustable monitor screen positioned one meter in front of him or her from forward, sideways, and backward directions. The therapist sat beside the child to provide verbal comments during the excursion and to guide the child's movement. The AOT for the examined group included six unimanual tasks and six bimanual tasks. The unimanual tasks included pressing a rubber stamp, stacking cups, drinking water from a cup, grabbing a pen, flipping cards, and putting things on a stick. | Other | Treatment protocol in Group A ,Action observation therapy |
| KenisiotapingShoulder taping will done using two Kinesiotex tapes(2.5 · 7 cm), in the form of I shape. The tapes follow the line of pull of the anterior and posterior deltoid muscle fibers applied in order to assist the deltoid muscle action . The tape was applied with the child in a sitting position by assistance from his care giver, while the therapist supported the child's arm. The first tape was initiated from the upper border of the lateral 1/3 of the clavicle to the deltoid prominence on the middle of the lateral side of the body of the humerus moving backward and lateralward while the arm was externally rotated and horizontally abducted. The second tape was initiated from the lower lip of the posterior border of the spine of the scapula towards also the humeral deltoid prominence moving forward and lateralward while the arm was horizontally adducted and internally rotated as if reaching to the outside of the contralateral hip. | Other | Treatment protocol in Group B , Kenisiotaping |
Primary outcome
Assessment of the grip strength
Time frame: After 12 week
Assessment of the grip strength by using Hand and Held Dynamometer
Jebsen Hand Function Test
Time frame: After 12 week
Measure hand function for activities of daily living. It has 7 items include: writing, turning over 3-by-5 inch cards, picking up small common objects, simulated feeding, stacking checkers, picking up large light objects and picking up large heavy object
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Aug 2025.
- Individual participant dataSharing planned: Undecided
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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Action observation therapy protocol and Kenisiotaping in people with Upper Extremity Function In Childern With Erb's Palsy, run by Kafrelsheikh University at 1 site in Egypt.
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 3 inclusion and 7 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: finished, as of the sponsor's last update on 15 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Assessment of the grip strength (time frame: After 12 week). The study lists 2 primary outcomes in all. 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 Aug 2025.