The goal of this study is to assess the individualized use of technology to assess motor function and balance for ambulatory children participating in an intensive therapy episode of care and determine the effectiveness of the program. Children 7-17 years old who can walk and are completing an intensive therapy episode of care will be recruited to participate in this study. Demographic, health history, and PT,OT,ST medical records will be collected. Based on the participant's functional goals, motor function and balance tests will be selected including common balance tests (standing with eyes open, standing with eyes closed), walking, walking and turning, standing up and sitting down from a bench, reaction time, and step down. Participants will be tested before, immediately after, 6 weeks after, and 12 weeks after the episode of care.
The goal of this study is to assess the individualized use of instrumented assessment of motor function and balance for ambulatory children participating in an intensive therapy episode of care and determine the effectiveness of the intervention. Children 7-17 with neurodevelopmental diagnosis, GMFCS Levels I and II and completing an intensive therapy episode of care will be recruited to participate in this study. Demographic, health history, and PT,OT,ST medical records will be collected. Based on the participant's functional goals, motor function and balance tests in single and dual conditions will be selected including Romberg balance tests, walking, walking and turning, sit to/from stand, reaction time, and step down administered while participant is recorded using a portable measurement platform which incorporates a custom force plate, Azure Kinect spatial sensor, and interface board. Participants will be tested before, immediately after, 6 weeks after, and 12 weeks after the episode of care. Testing is estimated to last for 45 minutes.
Study Type
OBSERVATIONAL
Enrollment
4
Intensive interdisciplinary therapy includes an intense burst of physical, occupational, and/or speech therapy with high intensity and frequency in a duration (e.g. 3-6 hours/day, 3-5 days/week for 4 weeks)
Children's Therapy Center--MU Healthcare
Columbia, Missouri, United States
Eyes closed standing on firm surface
center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface
Time frame: before physical therapy begins
Eyes closed standing on firm surface
center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface
Time frame: immediately following physical therapy
Eyes closed standing on firm surface
center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface
Time frame: 6 weeks following physical therapy
Eyes closed standing on firm surface
center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface
Time frame: 12 weeks following physical therapy
Eyes closed standing on firm surface
joint kinematics (movement strategies) obtained while eyes closed standing on firm surface
Time frame: before physical therapy
Eyes closed standing on firm surface
joint kinematics (movement strategies) obtained while eyes closed standing on firm surface
Time frame: immediately following physical therapy
Eyes closed standing on firm surface
joint kinematics (movement strategies) obtained while eyes closed standing on firm surface
Time frame: 6 weeks following physical therapy
Eyes closed standing on firm surface
joint kinematics (movement strategies) obtained while eyes closed standing on firm surface
Time frame: 12 weeks following physical therapy
Walking
speed obtained from spatial sensor
Time frame: before physical therapy
Walking
speed obtained from spatial sensor
Time frame: immediately following physical therapy
Walking
speed obtained from spatial sensor
Time frame: 6 weeks following physical therapy
Walking
speed obtained from spatial sensor
Time frame: 12 weeks following
Walking
stride length obtained from spatial sensor
Time frame: before physical therapy
Walking
stride length obtained from spatial sensor
Time frame: immediately following physical therapy
Walking
stride length obtained from spatial sensor
Time frame: 6 weeks following physical therapy
Walking
stride length obtained from spatial sensor
Time frame: 12 weeks following physical therapy
5 Times sit to stand test
time to complete obtained from spatial sensor
Time frame: before physical therapy
5 Times sit to stand test
time to complete obtained from spatial sensor
Time frame: immediately following physical therapy
5 Times sit to stand test
time to complete obtained from spatial sensor
Time frame: 6 weeks following physical therapy
5 Times sit to stand test
time to complete obtained from spatial sensor
Time frame: 12 weeks following physical therapy
5 Times sit to stand test
knee joint kinematics obtained from spatial sensor
Time frame: before physical therapy
5 Times sit to stand test
knee joint kinematics obtained from spatial sensor
Time frame: immediately following physical therapy
5 Times sit to stand test
knee joint kinematics obtained from spatial sensor
Time frame: 6 weeks following physical therapy
5 Times sit to stand test
knee joint kinematics obtained from spatial sensor
Time frame: 12 weeks following physical therapy
Step down
knee joint kinematics obtained from spatial sensor
Time frame: before physical therapy
Step down
knee joint kinematics obtained from spatial sensor
Time frame: immediately following physical therapy
Step down
knee joint kinematics obtained from spatial sensor
Time frame: 6 weeks following physical therapy
Step down
knee joint kinematics obtained from spatial sensor
Time frame: 12 weeks following physical therapy
Measures of processes of care
Questionnaire designed to assess parents' perceptions of the care they and their children receive from children's rehabilitation treatment centres. It is a means to assess family-centred behaviours of health care providers.
Time frame: immediately following the episode of care
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