Stretch-REFLEX down-conditIONING using feedback in children with spastic pareses

Completed

Conditions: 10028037
Cerebral palsy
spastic children

Registration Number: NL-OMON48808

Lead Sponsor: Vrije Universiteit Medisch Centrum

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 37

Inclusion Criteria

- aged between 6 and 17 years
- Sufficient cognitive skills: able to follow simple instructionsPatients:
- children diagnosed with spastic uni-or bilateral CP/SP/HSP
- hyperreflexia in at least one of the triceps surae muscles
- GMFCS level I-II (gross motor function classification system)rogram

Exclusion Criteria

• Functional surgery on bones and/or muscles of the legs in the last 12 months;
• Lower limbs BoNT A injection in the last 6 months;
• Selective dorsal rhizotomy surgery in the past
• Intrathecal baclofenpump
• Shortening of the gastrocnemius (more than 10 degrees plantair flexion
contracture)
• Visual deficit that will hamper with the ability to see or interpret the
visual feedback as assessed by the treating physician at the department;
• Behavioural problems of an extent that may impede normal subject cooperation
as assessed by the treating physician at the department;
• Comorbidities that affect walking, visual or cognitive abilities (e.g.
frequent epilepsy) to an extent that makes subjects unfit to participate as
assessed by the treating physician at the department.

Study & Design

Study Type: Observational non invasive

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The main study parameters are the size of the hyperreflexia of the triceps<br /><br>surae muscles as measured using a controlled setting with mechanical<br /><br>perturbations, the dynamic hyperreflexia measured as the triceps surae muscular<br /><br>response to muscle fiber lengthening during gait and the double bump index of<br /><br>the triceps surae electromyographic signal before and after visual feedback.</p><br>

Secondary Outcome Measures