Study of Navigation Skills in Cerebral Palsy for Assessment and Rehabilitation in Immersive Virtual Reality

Not Applicable

Completed

• Conditions: Cerebral Palsy
• Interventions: Other: walking; Other: Orientation

• Registration Number: NCT04270305
• Lead Sponsor: IRCCS Eugenio Medea

Brief Summary

Spatial navigation refers to the ability to maintain a sense of direction/location while moving around the environment so to find one's way. It includes abilities such as orienting in complex environments,perceiving distance and planning routes to distant locations as well as mentally representing the reciprocal relations of landmarks in space (Lawton, 2010; Wolbers \& Hegarty 2010. Spatial navigation involves the precision in encoding multisensorial (visual, vestibular, proprioceptive)experiences, as well as to form mental representations to be used to guide behavior (Bianchini et al.,2014).

Cerebral Palsy (CP) is a neurodevelopmental disorder characterized by movement and posture disorders causing activity limitation. Impairment in many other functions is common in CP including visual spatial competences and spatial organization. In this study the investigators meant to explore the navigation and learning strategies in children with CP.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-02-09
• Study First Submitted: 2020-02-12
• Study First Submitted QC: 2020-02-13
• Study First Posted: 2020-02-17
• Primary Completion: 2021-07-31
• Study Completion: 2021-07-31
• Status Verified: 2022-08
• Last Update Submitted: 2022-08-04
• Last Update Posted: 2022-08-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

.

• diagnosis of bilateral CP;
• age between 8 and 14 years old;
• severity of motor impairment classified in levels I, II and III, according to the Gross Motor Function Classification System (GMFCS) (Palisano et al., 1997)
• or according to the Manual Ability Classification System (MACS) (Eliasson et al., 2006);
• ability to follow instructions.

Exclusion Criteria

• severe muscle spasticity and/or contracture,
• a diagnosis of severe learning disability,
• behavioral problems,
• visual or hearing difficulties that would affect the feasibility of proposed activities and/or compliance

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
walking	walking	Walking training with GRAIL
orientation	Orientation	Orientation training with GRAIL

Primary Outcome Measures

Name	Time	Method
The Corsi Block Test	1 month	The Corsi Block Test (Orsini et al., 1987) assesses visuospatial memory and consists of a set of identical wooden blocks arranged more or less haphazardly on a desktop. The tester taps on a number of blocks in sequence, and the participant is asked to reproduce the tapped sequence, which is of variable length
The Labyrinth subtest of the WISC-III	1 month	The Labyrinth subtest of the WISC-III (Wechsler Intelligence Scale for Children, third version) consists of 10 paper-and-pencil tasks with increasing complexity (Weschler, 1991). The participant has to find the way out from the center of a 2-dimensional maze; it measures planning ability, perceptual organization, visualmotor coordination, and self-control

Trial Locations

Locations (1)

IRCCS Medea; 🇮🇹 Bosisio Parini, LC, Italy