Analysis of Trunk and Center of Mass Control Development During Gait in Children With Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 270
- 试验地点
- 1
- 主要终点
- Trunk and center-of-mass accelerations and acceleration variability
研究概览
简要总结
During the acquisition of posturokinetic abilities such as walking, postural control of the trunk is of paramount importance. Indeed, its development is strongly linked to the overall motor function of children. In cerebral palsy (CP), a term that refers to a set of motor disorders following a perinatal lesion, deficits in axial control are present from early childhood. These deficits are strongly correlated with the functional deficits observed in this population. In particular, during walking, deviations of the trunk (amplitudes, accelerations) are observed in the three planes of space. While recent literature increasingly questions the impact of trunk control deficit on the walking of children with CP, elements are still missing for a holistic understanding of the interaction between locomotor and postural disorders in children with CP. In particular, no study has focused on the deviations of trunk control and the center of mass (which is a global indicator of balance strategies) during the development and maturation of walking in children with CP. Therefore, the primary objective of this cross-sectional observational study will be to characterize the development of trunk control and center of mass during walking in children with CP.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Months 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Children (< 18 years) with cerebral palsy
- •GMFCS I to III
- •Independent walking with or without technical walking aids (walker, crutches, etc.)
- •Able to understand the instructions of various clinical assessments and functional explorations
- •Affiliated with a social security scheme
排除标准
- •Children with cerebral palsy
- •Neuro-orthopaedic surgery of the lower limbs or trunk within the last 12 months
- •Botulinum toxin A injections within the last 6 months
- •Therapeutic intervention targeting trunk control last 6 months
- •Typically developing children
- •Surgery on lower limbs or trunk last 12 months
- •Neurological and/or orthopedic pathology that may influence gait
研究组 & 干预措施
Children with cerebral palsy
All children will undergo :
- A neuro-articular assessment
- A gait analysis on a walking track and with three inertial units to analyze the behavior of their trunk and center of mass during walking.
- Assessment of gross motor function
- Static posturography
- Functional assessment of the trunk
- Functional assessment of balance
Children with typical development
All children will undergo :
- A neuro-articular assessment
- A gait analysis on a walking track and with three inertial units to analyze the behavior of their trunk and center of mass during walking.
- Static posturography
- Functional assessment of the trunk
- Functional assessment of balance
结局指标
主要结局
Trunk and center-of-mass accelerations and acceleration variability
时间窗: At the end of the one-day experimental
In addition to the zeno walking track, inertial computers will be used to record accelerations of the patient's trunk and center of mass as they walk. One will be attached to the sternum, the other to the lumbosacral hinge, using hypoallergenic double-sided tape. A third will be attached to the patient's shoe to synchronize the data from the treadmill and the inertial units. Acceleration variability is calculated in post-processing.
次要结局
- Gait Variability Index(At the beginning of the one-day experimental)
- Early Clinical Assessment of Balance score(At the beginning of the one-day experimental)
- Trunk Control Measurement Scale score (TCMS)(At the beginning of the one-day experimental)