Associated Disorders of Locomotion and Postural Control of Axial Segments in Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 17
- 试验地点
- 2
- 主要终点
- Change of the peak of ankle negative power during the weight acceptance phase of gait
研究概览
简要总结
Gait abnormalities, which occur in Cerebral Palsy (CP), are characterized usually by a toe-to-floor or a plantar-to-floor initial contact (equinus gait), followed by an early braking of the tibia's forward progression (during ankle dorsiflexion). This causes consequently a trunk deceleration. Moreover, children with CP have difficulties to stabilize the trunk and the head in the space, and that could have impact on gait. If equinus gait is often attributed to the triceps surae spasticity, recent works suggest rather that this early braking of the dorsiflexion could be a motor adaptation to axial postural control difficulties. This thesis project aims firstly to attest that locomotor disorders are related to these difficulties in the stabilization of the axial body segments in children with CP and, secondly, to show that improving the trunk and head postural control with a specific rehabilitation protocol could reduce the early braking of the dorsiflexion and, consequently, the gait abnormalities observed in CP.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Gross Motor Function Classification System I or II
- •no or minimal contracture of the triceps surae
- •presence of soleus spasticity
排除标准
- •botulinum toxin injections or surgery in the lower limb respectively in the 6 and 12 months preceding the study
- •any modification of the physical or orthopaedic therapy within the last two months
- •minimal hip flexion above 20° in a clinical examination
- •pain in the lower legs when standing or walking
结局指标
主要结局
Change of the peak of ankle negative power during the weight acceptance phase of gait
时间窗: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
In watts per kg.
Change of the peak of trunk's anterior deceleration during the weight acceptance phase of gait
时间窗: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
In m/s²
Change of the score of the Trunk Control Measurement Scale (TCMS)
时间窗: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Score from 0 to 58. The higher the score, the better the trunk control.
Change of the center of pressure sway area during unstable sitting posturography
时间窗: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
In mm²
Change of the center of pressure velicoty during unstable sitting posturography
时间窗: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
In mm²/s
Change of the peak of the center of mass downward deceleration during the weight acceptance phase of gait
时间窗: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
In m/s²
次要结局
- Change of the Dimensionless walking speed(Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation)
- Change of the center of pressure sway area during quiet standing(Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation)
- Change of the dimensionless step width(Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation)
- Change of the center of pressure velicoty during quiet standing(Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation)