GR IN: Evaluation of Group versus Individual Models of Physiotherapy for Children and Adolescents with Cerebral Palsy following Lower Limb Botulinum Toxin A injections.

Not Applicable

Completed

• Conditions: Cerebral Palsy; Neurological - Other neurological disorders

• Registration Number: ACTRN12611000454976
• Lead Sponsor: Royal Children's Hospital and Health Service District

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2011-05-03
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

The study will include children/adolescents aged 4-14 years with a diagnosis of spastic cerebral palsy who:
- are clients of the Queensland Cerebral Palsy Health Service
- require lower limb BoNTA to improve gait or mobility
- have a Gross Motor Function Classification System level I-III (Palisano, Rosenbaum et al. 1997)
- can commit to an intensive block of post BoNTA physiotherapy rehabilitation. This consists of 60 minutes, 1x a week for a total period of 6 weeks. Content of each 60 minute rehabilitation session will include: 5 minutes warm up activity; 10 minutes of lower limb stretching; 4x5 minute circuit stations with 1 minute inbetween each station to allow for rest/set up/drink. Stations to address: 1. functional strengthening 2. balance 3. targeted motor control 4. fitness/agility; 5 minutes warm down activity; 10 minutes review of home programme

Exclusion Criteria

Exclusion Criteria:
- Unable to complete baseline assessments or their families are unable to commit to rehabilitation
- Have had orthopaedic or neurological surgery and/or other new spasticity management (eg Baclofen) in the previous 6 months to commencing the study
- Are unable to follow basic commands
- Have co-morbidities which prevent them from exercising safely (eg cardiac, respiratory)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Quality of Gait will be compared to normal values using the Edinburgh Visual Gait Score for Cerebral Palsy (EVGS)[at baseline, 10 weeks post BoNTA (at completion of rehabilitation) and 6 months post BoNTA.];Attainment of individual goals as measured by the Canadian Occupational Performance Measure (COPM, adapted for children).[at baseline, 10 weeks post BoNTA (at completion of rehabilitation) and 6 months post BoNTA.]