The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Hvidovre University Hospital
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Change from baseline in Gross Motor Function Measure at 6 months
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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.
Investigators
Derek Curtis
Research Physiotherapist, Hvidovre University Hospital.
Hvidovre University Hospital
Eligibility Criteria
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
Outcomes
Primary Outcomes
Change from baseline in Gross Motor Function Measure at 6 months
Time Frame: Baseline, 6 months
Secondary Outcomes
- Change from baseline in seated sway at 6 months(Baseline, 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 months(Baseline, 12 months)
- Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 6 months(Baseline, 6 months)
- Change from baseline in Gross Motor Function Measure at 12 months(Baseline, 12 months)
- Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 6 months(Baseline, 6 months)
- Change from baseline in seated sway at 12 months(Baseline, 12 months)
- Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 12 months(Baseline, 12 months)