Physical Therapy Program for Selective Motor Control
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 试验地点
- 1
- 主要终点
- Gross Motor Function Measure
研究概览
简要总结
The goal of this intervention study is to learn whether a physical therapy exercise camp called will improve leg movement (motor control) and functional ability in children with spastic CP who are between 5 and 18 years. The main questions the study aims to answer are:
- Does the ability to move the knee at high velocities improve?
- Does function such as walking, running, hopping, climbing stairs improve?
- Will the brain tracts that control movement change?
- Will children who have better independent control of joint motion improve more?
All participants will:
- Attend 15 sessions of an exercise camp for 3 hours per day
- Perform a home exercise program after the camp ends
Measurements:
- Lower extremity selective motor control
- Knee muscle strength at high speeds using an exercise machine
- Gross motor function
- Gait analysis (walking patterns)
- Parent's perception of their child's ability and their satisfaction with that ability
- Change in brain motor tracts using a scanner (MRI) for participants that meet the inclusion criteria for MRI
MRI measurements will be taken twice (before and immediately after the treatment). All other measurements and will be taken 3 times (before, immediately after the treatment and approximately 4 months after the treatment).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Outcomes assessor for GMFM was blinded.
入排标准
- 年龄范围
- 5 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •spastic cerebral palsy
- •age between 5-18 years
- •ability to walk at least 10 meters
- •ability to follow simple verbal directions
排除标准
- •All participants
- •botulinum toxin or serial casting within the preceding 3 months
- •recent orthopedic or neurological surgery within the preceding 12 months
- •uncontrolled seizures
- •For participants undergoing MRI
- •inability to lie still
- •incompatible metal implants
- •baclofen pumps or shunts
研究组 & 干预措施
Participants who have the intervention
physical therapy exercise intervention
干预措施: Selective movement of individual lower limb joints (Other)
Participants who have the intervention
physical therapy exercise intervention
干预措施: Knee joint strengthening at high velocities (Other)
Participants who have the intervention
physical therapy exercise intervention
干预措施: Ankle controlled gaming (Other)
Participants who have the intervention
physical therapy exercise intervention
干预措施: Functional activities based on child and parental goals (Other)
Participants who have the intervention
physical therapy exercise intervention
干预措施: Sensori-motor exercises (Other)
结局指标
主要结局
Gross Motor Function Measure
时间窗: nine months
Children are asked to perform functional activities including standing, walking, running, balancing and stair climbing. The data are entered into a computer program to create a score ranging from 0-100. A higher score indicates better function.
次要结局
- Canadian Occupational Performance Measure(nine months)
- Knee joint torque(nine months)
- Brain MRI - Diffusion tensor imaging(nine months)
研究者
Eileen Fowler
Professor
University of California, Los Angeles