Impact of a Standing Program in a Child With Spina Bifida: A Case Report

Not Applicable

Completed

• Conditions: Spina Bifida With Hydrocephalus
• Interventions: Device: Altimate Medical EasyStand Bantam

• Registration Number: NCT05251740
• Lead Sponsor: University of St. Augustine for Health Sciences

Brief Summary

The purpose of this case study is to investigate a child with MMC who has significant knee and hip flexion contractures to answer the following research questions: 1) Is a home standing program effective in reducing hip and knee flexion contractures in a child with MMC? 2) Does a home standing program result in a change in the quality of functional movement?

A Physical therapist, PT, will administer the Peds NRS and goniometric measurements prior to the start of the study and at the end of the study. The PT will also provide the parent instruction on the standing home program with weekly check-ins to ensure the parent and child are able to follow the home program. The home standing program will last 8 weeks. The parent will keep a written log of stander use. The Peds NRS scores and goniometric measurements will be compared pre and post intervention. The expected outcome is that the Peds NRS scores and hip and knee extension range of motion measurements will improve.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-05-06
• Primary Completion: 2021-07-08
• Study Completion: 2021-07-08
• Study First Submitted: 2022-01-20
• Status Verified: 2022-02
• Study First Submitted QC: 2022-02-11
• Last Update Submitted: 2022-02-11
• Study First Posted: 2022-02-23
• Last Update Posted: 2022-02-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 1

Inclusion Criteria

• diagnosis of Spina Bifida
• be able to stand with an assistive device

Exclusion Criteria

• a diagnosis unrelated to Spina Bifida that limits standing
• medical restrictions that contraindicate standing

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Standing program	Altimate Medical EasyStand Bantam	The child completes a 60-minute home standing program five days per week over eight weeks.

Primary Outcome Measures

Name	Time	Method
Pediatric Neuromuscular Recovery Scale (Peds NRS)	At 8 weeks	The Pediatric Neuromuscular Recovery Scale (Peds NRS) assesses the quality of functional movement in children with MMC ages 1-12years. The Peds NRS examines the quality of sitting, upper extremity function, standing, and walking.The examiner administers the Peds NRS using a height-adjustable bench, mat table, fine motor manipulatives, and a ball. The examiner scores each of the 13 items on the Peds NRS on a 12-point scale, with one point allocated to each of the 12 phases of the item. The examiner scores the highest phase achieved by the child. A summary score is obtained using the sum of the items.
Goniometric measurements	At 8 weeks	A universal goniometer will be used to measure the child's hip and knee joint passive ranges of motion (PROM).

Trial Locations

Locations (1)

University of St. Augustine; 🇺🇸 San Marcos, California, United States