Cerebral Palsy
Conditions
Keywords
abnormal muscle tone, cerebral palsy, hypotonia, muscle tone, spasticity
Brief summary
The purpose of this study is to determine the impact of the SPIO® Core-MAX® Expedition orthosis on an infant's head, trunk and upper limb function.
Detailed description
This study will observe the difference in outcomes between two courses of standard clinical care: therapy or therapy with the SPIO® Core-MAX® Expedition orthosis. Families will self-select that standard care option that works best for their family, and outcomes will be observed at baseline, 3 months and 6 months.
Interventions
SPIO® Core-MAX® Expedition thoracolumbosacral orthosis use 2 hours per day for 6 months
Standard of care Therapy without the use of trunk orthosis
Sponsors
Study design
Eligibility
Inclusion criteria
* Study subjects aged 6 months to 18 months age corrected with abnormal muscle tone * No previous use of SPIO® or similar Lycra/compression garments * Assessed by provider as likely to benefit from use of compression garment
Exclusion criteria
* Non-English speaking * Inability for family to bring study subject to assessments * Orthosis or casting that contraindicate SPIO® Core-MAX® during the study period * Botulinum toxin injections within 3 months, or during study participation * Having prior orthopedic or neurosurgery surgeries within one year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in head and trunk position from centerline at baseline, 3-months and 6-months. | Through study completion, an average of 2 years | Degree change in head and trunk position from centerline as assessed by motion capture. |
| Change from baseline to 3-months and 6-months on the Pediatric Quality of Life Inventory Infant Scale. | Through study completion, an average of 2 years | The Pediatric Quality of Life Inventory Infant Scales (PedQL-I) is used to assess parent-reported health-related quality of life for children with ages 1-12 months or 12-24 months. It has the same five components, including physical functioning (6 items), physical symptoms (10 items), emotional functions (12 items), social functioning (4 items), and cognitive functioning (4 items) with scale from 0 to 4. 0 if it is never a problem 1. if it is almost never a problem 2. if it is sometimes a problem 3. if it is often a problem 4. if it is almost always a problem |
Countries
United States