Cerebral Palsy
Conditions
Brief summary
Adolescents with cerebral palsy (CP) present important limitations for the performance of daily living activities. The aims of the study is to evaluate the feasibility and effects of an intensive goal training protocol for adolescents with CP. He hypothesize that adolescents submitted to the studied protocol will present improvements in performance and satisfaction of prioritized functional goals.
Detailed description
We will conduct a feasibility study to assess the implementation and the possible effects of an intensive individualized goal training with adolescents with CP. Adolescents will select up to 5 functional goals to be trained during a 2 weeks, 3 hour-daily training, totalling 30 hours across 2 weeks. Moreover, they will be asked to daily practice these activities at home along the intervention period.
Interventions
OTHERIntensive goal training
Intensive goal training : 30 hours during 2 weeks
Sponsors
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Federal University of Minas Gerais
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Masking description
The assessor will not know the aims and content of the intervention procedures.
Intervention model description
Individualized intensive training of functional priorities presented by adolescents with CP. The intervention will happen during 2 weeks, 5 days/week, during 3 hours in a local rehabilitation center. Trained occupational and physical therapists will conduct the intervention procedures
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Medical diagnosis of bilateral CP; * Age between 12 and 17 years old; * Manual Ability Classification System (MACS) ranging from levels I to III; * Gross Motor Function Classification System (GMFCS) ranging from levels I to IV; * Ability to understand verbal instructions.
Exclusion criteria
* Botulinum toxin or surgery in upper limbs in the previous 6 months of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Functional Goals | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Canadian Occupational Performance Measure (COPM) (ranging 1-10; higher values, better outcomes) |
| Change in Daily functioning- Self-Care | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Pediatric Evaluation Disability Inventory (PEDI) self-care: ranging from 0-63; higher values, better outcomes |
| Change in Daily functioning- Mobility | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Pediatric Evaluation Disability Inventory (PEDI) mobility: ranging from 0-55; higher values, better outcomes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Manual dexterity | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Box & Blocks Test (BBT)- number of blocks that are transported during 1 minute (there is no established max-min, higher values, better outcome) |
| Change in Participation in household activities | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Children´s Helping Out: Responsibility, Expectations and Supports (CHORES): structured questionnaire to assess the frequency and level of assistance in household activities: higher scores, better outcomes |
| Change in Gross motor function | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Gross Motor Function Measure (GMFM): gross motor function abilities assessed in activities from 5 domains: lying and rolling; seating; crawling and kneeling; standing; walking, running and jumping. higher scores, better outcome |
| Change in Participation at home | 1 month before intervention; pre-intervention; immediate post-intervention, 3-month follow-up | Participation Environment Measure: Children and Youth (PEM-CY): Structured questionnaire to assess the frequency and level of involvement in daily living tasks (home scale will be used) higher scores, better outcomes |
Countries
Brazil
Contacts
Primary ContactMARINA B BRANDAO, PhD
Backup ContactMARINA D BRANDAO, PhD
Outcome results
None listed