Targeted Training for Trunk Control_case Series Cerebral Palsy

Not Applicable

Completed

• Conditions: Cerebral Palsy; Traumatic Brain Injury
• Interventions: Device: Targeted Training

• Registration Number: NCT02097836
• Lead Sponsor: University of Oregon

Brief Summary

If a child with cerebral palsy does not develop independent sitting balance by 4 years of age, their prognosis for walking is very poor. Surprisingly little is known about how to facilitate head control or upright sitting balance and functional mobility in the child who is not developing these skills. This is one of the first studies that will examine intermediate stages in the development of the postural control system in children with neurologic deficits. Clinical researchers at The Movement Centre in Oswestry, England have developed a method called Targeted Training in which trunk control is trained in children segment by segment using a specific training device. This study aims to examine kinematic and electromyographic changes in a case series of children who undergo a 6-month Targeted Training intervention.

Detailed Description

Not available

Study Timeline

• Study Start: 2007-09
• Primary Completion: 2009-01
• Study Completion: 2010-01
• Study First Submitted: 2014-03-24
• Study First Submitted QC: 2014-03-24
• Study First Posted: 2014-03-27
• Status Verified: 2017-09
• Last Update Submitted: 2017-09-12
• Last Update Posted: 2017-09-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 11

Inclusion Criteria

• neurologic diagnosis that results in a deficit in trunk control (i.e. cerebral palsy, traumatic brain injury)
• age 4-17 years
• Gross Motor Function Classification System (GMFCS) level III, IV or V for children with cerebral palsy

Exclusion Criteria

• spinal fixation
• fixed scoliosis
• uncontrolled seizures

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Single subject case series	Targeted Training	Targeted training, 5-6 days a week for 6 months, minimum of 20 minutes per day

Primary Outcome Measures

Name	Time	Method
Change in Gross Motor Function Measure	6 months and followup post training 12 months
Probe data, balance	baseline, intervention, 2 months post intervention	timed balance task

Secondary Outcome Measures

Name	Time	Method
Change in head stability	6 months, 1,3, and 12 months post intervention	Change in alignment and stability of head postural sway during quiet sitting
Change in muscle activation strategy during quiet sitting with different levels of external support.	6 months, 1 and 3 months post intervention
Change in Pediatric Evaluation of Disability Inventory (PEDI)	6 months and 1,3, 12 months post intervention
Qualitative Parent, Teacher report	during intervention and post intervention