Cerebral Palsy
Conditions
Keywords
Postural control, Targeted Training, Gross motor function, Cerebral palsy
Brief summary
The project aims to test the effectiveness and explore the possibility of performing a novel therapeutic approach, targeting to increase strength and coordination around the trunk, giving a more active and functional seating and head control in those children with cerebral palsy (CP) who are wheelchair users. The project will also try to determine the muscle physiological effect of treatment using indirect measures of strength in the spinal musculature.
Interventions
The child's regular physiotherapy
OTHERTargeted Training
Targeted training, 5 days a week for 6 months, up to 30 minutes a day
Sponsors
Hvidovre University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
2 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* diagnosis of CP made by a neuro-pediatric physician experienced in assessment and diagnosis of CP * GMFCS level III, IV and V, * the child cannot walk without assistance, * age 2-15 year, * no joint deformity or contracture around the Targeted joint * not a candidate for surgery or other medical treatment that affects motor skills while participating in the project * trunk control problems.
Exclusion criteria
* uncontrolled epilepsy * surgery within 12 months of the study start * Botulinum toxin within 2 months of study start * Lack of personnel resources to treat the child at their school/kindergarten
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in Gross Motor Function Measure at 6 months | Baseline, 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 6 months | Baseline, 6 months |
| Change from baseline in seated sway at 6 months | Baseline, 6 months |
| Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS) | 6 months |
| Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 6 months | Baseline, 6 months |
| Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 12 months | Baseline, 12 months |
| Change from baseline in seated sway at 12 months | Baseline, 12 months |
| Change from baseline in Gross Motor Function Measure at 12 months | Baseline, 12 months |
| Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 12 months | Baseline, 12 months |
Countries
Denmark
Outcome results
None listed