The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy

Hvidovre University Hospital28 enrolled

Overview

The project aims to test the effectiveness and explore the possibility of performing a novel therapeutic approach, targeting to increase strength and coordination around the trunk, giving a more active and functional seating and head control in those children with cerebral palsy (CP) who are wheelchair users. The project will also try to determine the muscle physiological effect of treatment using indirect measures of strength in the spinal musculature.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cerebral Palsy

Interventions

Regular physiotherapyOTHER

The child's regular physiotherapy

Targeted TrainingOTHER

Targeted training, 5 days a week for 6 months, up to 30 minutes a day

Eligibility

Sex: ALLMin age: 2 YearsMax age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * diagnosis of CP made by a neuro-pediatric physician experienced in assessment and diagnosis of CP * GMFCS level III, IV and V, * the child cannot walk without assistance, * age 2-15 year, * no joint deformity or contracture around the "Targeted" joint * not a candidate for surgery or other medical treatment that affects motor skills while participating in the project * trunk control problems. Exclusion Criteria: * uncontrolled epilepsy * surgery within 12 months of the study start * Botulinum toxin within 2 months of study start * Lack of personnel resources to treat the child at their school/kindergarten

Locations (1)

Hvidovre University Hospital

Hvidovre, Copenhagen, Denmark

Outcomes

Primary Outcomes

Change from baseline in Gross Motor Function Measure at 6 months

Time frame: Baseline, 6 months

Secondary Outcomes

Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 6 months

Time frame: Baseline, 6 months

Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 6 months

Time frame: Baseline, 6 months

Change from baseline in seated sway at 6 months

Time frame: Baseline, 6 months

Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS)

Time frame: 6 months

Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 12 months

Time frame: Baseline, 12 months

Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 12 months

Time frame: Baseline, 12 months

Change from baseline in seated sway at 12 months

Time frame: Baseline, 12 months

Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS)

Time frame: 12 months

Change from baseline in Gross Motor Function Measure at 12 months

Time frame: Baseline, 12 months

Data from ClinicalTrials.gov

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