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The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy

Not Applicable
Completed
Conditions
Cerebral Palsy
Interventions
Other: Targeted Training
Other: Regular physiotherapy
Registration Number
NCT01357954
Lead Sponsor
Hvidovre University Hospital
Brief Summary

The project aims to test the effectiveness and explore the possibility of performing a novel therapeutic approach, targeting to increase strength and coordination around the trunk, giving a more active and functional seating and head control in those children with cerebral palsy (CP) who are wheelchair users. The project will also try to determine the muscle physiological effect of treatment using indirect measures of strength in the spinal musculature.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
28
Inclusion Criteria
  • diagnosis of CP made by a neuro-pediatric physician experienced in assessment and diagnosis of CP
  • GMFCS level III, IV and V,
  • the child cannot walk without assistance,
  • age 2-15 year,
  • no joint deformity or contracture around the "Targeted" joint
  • not a candidate for surgery or other medical treatment that affects motor skills while participating in the project
  • trunk control problems.
Exclusion Criteria
  • uncontrolled epilepsy
  • surgery within 12 months of the study start
  • Botulinum toxin within 2 months of study start
  • Lack of personnel resources to treat the child at their school/kindergarten

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Targeted TrainingTargeted Training-
ControlRegular physiotherapy-
Primary Outcome Measures
NameTimeMethod
Change from baseline in Gross Motor Function Measure at 6 monthsBaseline, 6 months
Secondary Outcome Measures
NameTimeMethod
Change from baseline in seated sway at 6 monthsBaseline, 6 months
Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS)12 months
Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 12 monthsBaseline, 12 months
Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 6 monthsBaseline, 6 months
Change from baseline in Gross Motor Function Measure at 12 monthsBaseline, 12 months
Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 6 monthsBaseline, 6 months
Change from baseline in seated sway at 12 monthsBaseline, 12 months
Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 12 monthsBaseline, 12 months

Trial Locations

Locations (1)

Hvidovre University Hospital

🇩🇰

Hvidovre, Copenhagen, Denmark

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