Cerebral Palsy, Spastic Diplegia
Conditions
Brief summary
The purpose of this study is to investigate the effects of a 6-month physical activity intervention program on mobility and participation after the termination of a 6-week functional strengthening program for school-age children with spastic diplegia cerebral palsy. The primary outcomes are gross motor function, participation, and physical activity behavior.
Interventions
BEHAVIORALLoaded sit-to-stand resistance exercise
Loaded STS exercise at home, 3 times a week for 6 weeks
BEHAVIORALPhysical activity intervention
The intervention is based on the social cognitive theory and the transtheoretical model. There are two principle components, the individual consultation and the small group PA activities. In the individual consultation, assessment of current stage of readiness for PA will be performed first. Then, individualized, stage-matched feedback will be sent to the participants. Small group PA activities will be held every 2 weeks in order to increase learning opportunity by peer interaction, make exercise fun, and introduce a role model.
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
* children with spastic diplegia, aged 6 to 12 year-old, and Gross Motor Function Classification System (GMFCS) level between I to III * able to stand up from a chair independently and maintain standing for more than 2 seconds without falling * able to answer questionnaire designed for school-age children * able to follow verbal instructions
Exclusion criteria
* have orthopedic surgery, selective dorsal rhizotomy, or use of a baclofen pump within 6 months * have orthopedic problems or other medical conditions preventing the child from joining the resistance exercise program, such as obvious LE joint contractures, uncontrolled epilepsy, or cardiopulmonary problems * hearing loss or using hearing aid
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gross Motor Function Measure | 1.5 months |
Secondary
| Measure | Time frame |
|---|---|
| Gait speed | Week 0, 6, 12, 18, 24, 36, 42, 48, 72 |
| 1-minute walk test | 1.5 months |
| One-repetition maximum of loaded sit-to-stand | 1.5 months |
| Pediatric Evaluation of Disability Inventory | 1.5 months |
| Physical activity status by International Physical Activity Questionnaire and accelerometer | 3 months |
| School Function Assessment | 3 months |
Countries
Taiwan
Outcome results
None listed