Non-ambulatory children with cerebral palsy (CP), who cannot walk or sit without support Nervous System Diseases Cerebral palsy
Conditions
Interventions
The standard care in Sweden for non-ambulatory children with CP includes daily static standing. The standing exercise training in standing frames is a static standing (StS) exercise where the child is
Sponsors
Lund University, Faculty of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Children aged 2-17 years 2. Cerebral palsy, GMFCS level IV and V (non-ambulatory) 3. Boys and girls 4. Living in the Skane county, in Southern Sweden
Exclusion criteria
Exclusion criteria: 1. Children younger than 2 years of age 2. Young people older than 17 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Metabolic response: capillary blood samples were taken from a fingertip for blood glucose and blood lactate analysis before and after the Static Standing (StS) in the standing frame compared to the Dynamic Standing (DyS) in the Innowalk | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Respiratory gas exchange measured with an airtight mask covering the mouth and nose while standing for 30 minutes in StS or DyS 2. Heart rate monitored with a Polar belt while standing for 30 minutes in StS or DyS 3. Spasticity in hip flexors and extenders, adductors, hamstrings, knee extenders and gastrocnemius assessed by the Modified Ashworth Scale before and after Sts and DyS 4. Passive Range Of Motion (PROM) in the hips, knee and ankle joints measured by goniometry before and after Sts and DyS 5. Blood pressure assessed at the upper arm (model, country) at rest before standing, 1 minute before the test started, at 10, 20 and 30 minutes of standing and at rest after standing 6. Body temperature assessed using infrared thermometer at both forearms, hands, shanks and feet at rest before standing, 1 minute before the test started, at 10, 20 and 30 minutes of standing and at rest after standing | — |
Countries
Sweden
Outcome results
None listed