Cerebral Palsy
Conditions
Keywords
Cerebral Palsy, Erythropoietin, Rehabilitation
Brief summary
This randomized placebo-controlled trial aims to investigate the efficacy and safety of erythropoetin for children with cerebral palsy.
Detailed description
Cerebral palsy is a disorder of movement and posture resulted from a nonprogressive lesion or injury of the immature brain. It is a leading cause of childhood onset disability. Many experimental animal studies have revealed that erythropoietin is useful to repair neurological injury in brain. The main mechanism of erythropoietin is supposed as follows; 1. Neuroprotection effect 2. Angiogenesis 3. Anti-inflammation. On the basis of many experimental studies, erythropoietin is suggested as a therapeutic method for cerebral palsy.
Interventions
twice a week for 1 month
twice a week for 1 month
Sponsors
Study design
Eligibility
Inclusion criteria
* Cerebral Palsy * Abnormal Muscle Tone * Abnormal Brain MRI * Willing to Comply with All Study Procedure
Exclusion criteria
* Known Genetic Disorder * Other Etiologies Contributing Developmental Delay * Coagulopathy * Initial high Erythropoietin level in Serum * Previous Erythropoietin Treatment before 3 months * Presence of Drug Hypersensitivity Related to the Study Remedy * Intractable Seizure Disorder * Poor Cooperation of Guardian including Inactive Attitude for Rehabilitation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Quality of Movement | Baseline - 2 months | GMPM (Gross Motor Performance Measure) as a standardized measurement tool for assessing quality of movement regarding 3 properties of 5 ones: alignment, coordination, dissociated movement, stability, and weight shift. The interrater reliability of GMPM subscores and total scores was 0.758-0.886 (subject n=75, tester n=10). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Gross Motor Function | Baseline - 2 months | GMFM (Gross Motor Function Measure) as a standardized measurement tool for assessing Gross Motor Function consisting of 6 sub-scales; lying & rolling, sitting, crawling & kneeling, standing, walking, running & jumping. The measured interrater reliability of GMFM subscores and total scores was 0.974 - 0.997 (subject n=101, tester n=10) and intrarater reliability of GMFM subscores and total scores between one most experienced rater and another newly t rained rater was 0.994 - 1.000 (subject n=101, tester n=2). |
| Changes in Neurodevelopmental Outcomes | Baseline - 2 months | K-BSID-II (Korean version of Bayley Scale of Infant Development-II) Motor and Mental Scales. The measured intrarater and interrater reliability of K-BSID-II motor and mental scales was 0.92 - 0.99 (subject n=55, tester n=10). |
| Changes in Motor Development | Baseline - 2 months | AIMS (Alberta Infant Motor Scale)to measure the motor development |
| Changes in Spasticity | Baseline - 2 months | MAS (modified Ashworth Scale)measured at biceps, hip adductor, hamstring, heel cord |
Countries
South Korea