Effect of Physical Activity Intervention Children With Spastic Diplegia After Resistance Training

National Taiwan University Hospital32 enrolled

Overview

The purpose of this study is to investigate the effects of a 6-month physical activity intervention program on mobility and participation after the termination of a 6-week functional strengthening program for school-age children with spastic diplegia cerebral palsy. The primary outcomes are gross motor function, participation, and physical activity behavior.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cerebral Palsy Spastic Diplegia

Interventions

Loaded sit-to-stand resistance exerciseBEHAVIORAL

Loaded STS exercise at home, 3 times a week for 6 weeks

Physical activity interventionBEHAVIORAL

The intervention is based on the social cognitive theory and the transtheoretical model. There are two principle components, the individual consultation and the small group PA activities. In the individual consultation, assessment of current stage of readiness for PA will be performed first. Then, individualized, stage-matched feedback will be sent to the participants. Small group PA activities will be held every 2 weeks in order to increase learning opportunity by peer interaction, make exercise fun, and introduce a role model.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 13 Years

Medical Language ↔ Plain English

Inclusion Criteria: * children with spastic diplegia, aged 6 to 12 year-old, and Gross Motor Function Classification System (GMFCS) level between I to III * able to stand up from a chair independently and maintain standing for more than 2 seconds without falling * able to answer questionnaire designed for school-age children * able to follow verbal instructions Exclusion Criteria: * have orthopedic surgery, selective dorsal rhizotomy, or use of a baclofen pump within 6 months * have orthopedic problems or other medical conditions preventing the child from joining the resistance exercise program, such as obvious LE joint contractures, uncontrolled epilepsy, or cardiopulmonary problems * hearing loss or using hearing aid

Locations (1)

Institute of Physical Therapy, National Taiwan University

Taipei, Taiwan

Outcomes

Primary Outcomes

Gross Motor Function Measure

Time frame: 1.5 months

Secondary Outcomes

One-repetition maximum of loaded sit-to-stand

Time frame: 1.5 months

Gait speed

Time frame: Week 0, 6, 12, 18, 24, 36, 42, 48, 72

1-minute walk test

Time frame: 1.5 months

School Function Assessment

Time frame: 3 months

Pediatric Evaluation of Disability Inventory

Time frame: 1.5 months

Physical activity status by International Physical Activity Questionnaire and accelerometer

Time frame: 3 months

Data from ClinicalTrials.gov

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