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Functional Exercise Training in Cerebral Palsy: Follow Up

Completed
Conditions
Cerebral Palsy
Interventions
Other: Physical performance and cardiovascular health measures
Registration Number
NCT05859360
Lead Sponsor
University of Basel
Brief Summary

The goal of this cross-sectional study is to compare able-bodied peers to adolescents and young adults with cerebral palsy (CP) who have been regularly performing high-intensity functional training for almost two years.

The main research question is: is structured, long-term exercise training able to compensate strength and cardiovascular deficits in adolescents with CP compared to able-bodied peers?

Detailed Description

The pilot study investigating the effects of a functional exercise training in adolescents and young adults with cerebral palsy (CP) showed increases in strength, power, daily function as well as cardiovascular health. In order to establish the origin of the improvements and its broader effects, we wish to conduct follow-up measurements to the pilot study. These follow-up measurements would establish whether the positive changes in physical performance are due to neural or muscular changes (or both), and shed more light on how therapy should be performed and prescribed in adolescents with CP. Additionally, we wish to measure their aerobic capacity as well as examine their microvascular health. For this cross-sectional analysis, the participants of the CP-FIT Pilot Study who continued to train on a regular basis will be compared to age-matched peers in order to establish whether their strength and fitness deficits compared to peers can be compensated through structured and progressive functional exercise training.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria

CP Individuals:

  • Diagnosis of CP.
  • Between 14 and 26 years of age.
  • Gross Motor Functional Classification System (GMFCS): I-II.
  • Cognitive abilities must include: Ability to verbally or non-verbally communicate pain or discomfort; Ability to attend testing and; ability to understand and follow instructions. All included participants are capable of making decisions on their own and no not show any signs of mental or cognitive limitations.

Healthy peers:

  • Between 14 and 26 years of age.
Exclusion Criteria

CP Individuals:

  • Any surgery or botulinum toxin treatment within 6 months prior to the measurements or scheduled during study period. Other medications can be continued as prescribed by the participants' physician.
  • Known cardiovascular or pulmonary diseases that have not received medical clearance to participate in physical exercise.
  • Uncontrolled seizures or epilepsy.
  • Inability to conform to the above mentioned cognitive and physical abilities.

Healthy peers:

  • Diagnosis of congenital heart defects, pulmonary diseases or any neuromuscular disorders or diseases.
  • Diagnosis of any acute diseases.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Trained CPPhysical performance and cardiovascular health measuresAdolescents and young adults with CP who have continued their regular training after completing the pilot study.
Trained PeersPhysical performance and cardiovascular health measuresHealthy peers who perform high-intensity strength training on a regular basis.
Untrained CPPhysical performance and cardiovascular health measuresAdolescents and young adults with CP who have not continued their regular training after completing the pilot study.
Untrained PeersPhysical performance and cardiovascular health measuresHealthy peers who do not perform high-intensity strength training on a regular basis.
Primary Outcome Measures
NameTimeMethod
Maximum knee extension force20 minutes

Maximum force of knee extension in relation to body weight

Secondary Outcome Measures
NameTimeMethod
Spiroergometry20 minutes

Cardiopulmonary test on bicycle ergometer

Voluntary activation15 minutes

Maximum force able to voluntarily activate

Microvascular health5 minutes

Static retinal vessel analysis

Muscle architecture10 minutes

Ultrasound of defined muscle groups

Trial Locations

Locations (1)

Department of Sport, Exercise and Health, University of Basel

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Basel, Basel-Stadt, Switzerland

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