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Can robotic technology assist children with cerebral palsy after botulinum toxin injection?

Not Applicable
Recruiting
Conditions
Lower limb hypertonia
Equinus
Neurological - Other neurological disorders
Gait abnormalities
Cerebral Palsy
Physical Medicine / Rehabilitation - Physiotherapy
Musculoskeletal - Other muscular and skeletal disorders
Registration Number
ACTRN12621000605897
Lead Sponsor
Womens and Childrens Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
30
Inclusion Criteria

Diagnosed with cerebral palsy (CP).
Gross Motor Function Classification System (GMFCS) Level I-IV.
Dynamic hypertonia in lower limb muscles with functional impact not responsive to therapy input alone.
Able to follow instructions, participate in 45 minutes of therapy.
Able to communicate pain, perceived level of exertion.

Exclusion Criteria

Body weight less than 15kg or greater than 135kg.
Femur length less than 23cm or greater than 47cm.
Unable to maintain standing >20minutes.
Knee flexion contracture >15degrees.
Knee valgus >40degrees.
Orthopaedic surgery (lower limb) <9months (soft tissue); <18months (bony)
Botulinum Toxin (type A) injection in past 4 months.
Uncontrolled siezures.
Weight-bearing restrictions.
Behavioural problems.
Requires serial casting.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Duration of effect. Time (in days) from botulinum toxin injection to functional deterioration that necessitates re-injection, assessed using Goal Attainment Scaling (GAS) responses from weekly text messages. A GAS score of -1 or below is considered functional deterioration.[Weekly, from week 1 after injection until 'time-to-event'. 'Time-to-event' will vary for the individual post-injection.]
Secondary Outcome Measures
NameTimeMethod
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