Effects of Physical Therapy on the Multisystems of Children With Cerebral Palsy: a Longitudinal Study
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Federal University of Health Science of Porto Alegre
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- Gross Motor Function
Overview
Brief Summary
Cerebral Palsy (CP) refers to childhood movement and posture disorders, whose severity, patterns of motor involvement and associated impairments are very varied. It is the most prevalent type of physical disability in children. Any non-progressive central nervous system (CNS) lesion that occurs in the prenatal, perinatal and postnatal period up to 2 years of life is considered CP. Thus, the present work aims to evaluate, monitor and verify the effects of physical therapy interventions on gross motor function, spasticity, balance, muscle activation, fatigue, respiratory system, functionality and social participation in children with cerebral palsy. This work will use some evaluation scales such as the Gross Motor Function Measure (GMFM-66), the Modified Ashworth Scale (MAS), the Early Clinical Assessment of Balance (ECAB), electromyography, the Fatigue Severity Scale and the Pediatric Functional Status. Scale. In addition to questionnaires, which will be applied directly to parents/caregivers, such as the Young Children's Participation and Environment Measure (YC-PEM), the PEDI (Pediatric Evaluation Disability Inventory) and the Goal Attainment Scaling (GAS).
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 0 Months to 12 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •clinical diagnosis of Cerebral Palsy
- •aged between 0-12 years
- •classified in all the levels of the GMFCS
- •those responsible agree to release the minor to participate in the study and sign the Free and Informed Consent Form (FICT)
Exclusion Criteria
- •have had botulinum toxin applied 6 months before the intervention
- •recent surgery
- •other physical abnormalities, genetic or severe syndromes.
Outcomes
Primary Outcomes
Gross Motor Function
Time Frame: 1 year
Measurement of Gross Motor Function
Gross Motor Function Classification System
Time Frame: Levels I - V. Higher scores mean a worse outcome
Scale Gross Motor Function Classification System
Secondary Outcomes
- Electromyography(1 year)
- Fatigue Severity Scale(1 year)
- Early Clinical Assessment of Balance - ECAB(1 year)
- Modified Ashworth Scale (MAS)(1 year)
- YC-PEM - Young Children's Participation and Environment Measure(1 year)
- Pediatric Functional Status Scale(1 year)
- PEDI (Pediatric Evaluation Disability Inventory)(1 year)
- GAS (Goal Attainment Scaling)(1 year)
Investigators
Fernanda Cechetti
Professor
Federal University of Health Science of Porto Alegre