Does Participating in a Supervised Fitness Program Extend the Benefits of Episodic Physical Therapy More Than a Home Exercise Program for Adults With Cerebral Palsy?
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 18
- Locations
- 2
- Primary Endpoint
- Change in Pediatric Evaluation of Disability Inventory - Computer Adaptive Testing Version (PEDICAT) score
Study Overview
Brief Summary
The purpose of this study is to compare the effectiveness of 2 community intervention approaches to maintain community mobility and walking speed in adults with cerebral palsy who have previously completed an 8 week course of physical therapy.
Detailed Description
The proposed study will address the lifelong need for fitness in adults with cerebral palsy compared to individuals provided with a home exercise program at the end of their individualized physical therapy, individuals in the fitness group will...
Primary Hypothesis:
- Have higher Pediatric Evaluation of Disability Inventory Computer Adapted Test (PEDICAT) scores at the +12 weeks post intervention visit
- Increase their PEDICAT scores across the study period, while the home fitness group will decrease performance on the PEDICAT.
- Complete the Timed Up and Go (TUG) more quickly at +12 weeks post intervention
Secondary Hypothesis (study not powered for these variables): 4. Walk further on the Six Minute Walk Test (6MWT) at the +12 weeks post intervention visit
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
Outcome assessors will be blinded to group assignment. It is not possible to blind the participants or the care providers.
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adults with cerebral palsy Gross Motor Function Classification System (GMFCS) level I, II, or III
- •Completion of episode of physical therapy provided by the Developmental Disabilities program at Sheltering Arms within the one month prior to the baseline assessment
- •Lives within the community in their own home or group housing
Exclusion Criteria
- •GMFCS level IV or V
- •Unable to follow two-step directions
- •Adults who have a medical or legal power of attorney who sign their health authorization
Arms & Interventions
Home Group
Intervention: Home Exercise Group (Behavioral)
Center Group
Intervention: Fitness Center Group (Behavioral)
Outcomes
Primary Outcomes
Change in Pediatric Evaluation of Disability Inventory - Computer Adaptive Testing Version (PEDICAT) score
Time Frame: Baseline, 4 weeks, 8 weeks, 12 weeks
The PEDI-CAT assesses function in 4 domains: Daily Activity, Mobility, Social/Cognitive, Responsibility
Change in Timed Up and Go (TUG) score
Time Frame: Baseline, 4 weeks, 8 weeks, 12 weeks
Mobility assessment measuring amount of time it takes for participant to get up from chair, walk to a line on the floor at a normal pace, and return to a seated position
Secondary Outcomes
- Change in six-minute walk test (6MWT)(Baseline, 4 weeks, 8 weeks, 12 weeks)