Functional gait training for children and adolescents with Cerebral Palsy

Recruiting

Conditions: Cerebral Palsy

Registration Number: NL-OMON27335

Lead Sponsor: Sint Maartenskliniek

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 30

Inclusion Criteria

Age 6 to 17 years
- Spastic, dyskinetic or ataxtic Cerebral Palsy, both uni and bilateral
- GMFCS level I or II.
- Referral of the rehabilitation specialist with a question concerning walking ability

Exclusion Criteria

- Surgery in the last two years like SEMLS or Selective Dorsal Rhizotomy (SDR) or Intrathecal Baclofen Therapy (ITB).
- BotulinumToxin injection in the lower extremity in the last 6 months.
- If participation in training on the C-mill (a treadmill) is not possible due to for example epilepsy, severe vision problems, cognitive problems or temporary complaints affecting walking.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome is gait adaptability, measured with the Walking Adaptability Ladder test for Kids (WAL-K). Participants walk in a ladder of 10 meters, in which the targets decrease with 2 centimeters. The score on the WAL-K will be determined by means of completion time and failures during the task.

Secondary Outcome Measures

Name	Time	Method
- Obstacle avoidance task on the GRAIL<br>- Motor plan task on the GRAIL<br>- Motor control during walking on the GRAIL: amount of synergies during walking based on EMG signals of the lower extremity. <br>- 10 meter walk test: comfortable and maximal walking speed<br>- Functional muscle power of the lower extremity (Functionele Spierkracht Meting, FSM-CP)<br>- Perceived motor competence (Competentiebelevingsschaal voor kinderen, motorische subschaal, CBSK-M)<br>- Quality of life (NL-KIDSCREEN-52)<br>- GMFCS level<br>- Localisation of the CP (uni versus bilateral)