Cerebral Palsy
Conditions
Brief summary
The WittyChildren project aims to evaluate the response to visual stimuli in terms of reaction times and movement execution using advanced instruments. The evaluation is aimed at children with motor and cognitive deficits associated with various pathologies such as Down Syndrome, Infantile Cerebral Palsy, Autism. The evaluation protocol involves the execution of specific memory tasks: the child is asked to turn off light targets equipped with proximity sensors by approaching their hand. These visual signals, consisting of colored lights and symbols, are emitted according to pre-established patterns by a dedicated LED system (WittySEM - Microgate) capable of precisely measuring reaction times. During the execution of the task, quantitative and multifactorial analysis of movement and posture is also performed using an optoelectronic system (Smart DX - BTS Bioengineering) in order to obtain a complete analysis obtained from the combination of information regarding the child's motor and cognitive abilities. The analysis is repeated pre- and post-specific rehabilitation treatment, such as ARMEO, CIMT and occupational therapy, with the aim of evaluating the effects with objective and quantitative measurements through cutting-edge instruments, thus overcoming the intrinsic limits of commonly used scales and clinical tests. The project will be implemented in collaboration with the Politecnico di Milano - Lecco Territorial Campus and the IRCCS Eugenio Medea - Associazione la nostra famiglia. The first will provide the study with the necessary equipment at the Human Performance Laboratory - E4Sport of the Lecco Territorial Campus and the biomechanical engineering skills. The second, thanks to its consolidated experience in the treatment, rehabilitation and research of childhood pathologies, will provide the necessary support from a medical/rehabilitative point of view.
Interventions
DEVICEThe WittySEM system, in addition to simultaneously allowing the evaluation of the movement associated with the execution of the task, also provides for an active and play-like involvement of the sub
The possibility of using tools for objective and quantitative evaluations can overcome these limitations. Added to this is the need to evaluate the beneficial effects of rehabilitation so as to understand its effectiveness and impact on quality of life. However, it is difficult to resort to tests that use dedicated devices such as the WittySEM system which, in addition to simultaneously allowing the evaluation of the movement associated with the execution of the task, also provides for an active and play-like involvement of the subject which should not be underestimated in the case of children.
Sponsors
Politecnico di Milano
IRCCS Eugenio Medea
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
7 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric age (\< 18 years); * Diagnosis of hemiplegia or hemiplegic CP; * Ability to understand and follow given motor instructions; * Ability to move such that the use of crutches or wheelchairs is not required.
Exclusion criteria
* Severe cognitive impairment. * Severe visual impairment * Uncontrolled epilepsy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reaction time - before rehabilitation | Baseline, before starting rehabilitation treatment | Reaction time as measured through optoelectronic data. |
| Reaction time - after rehabilitation | After one month | Reaction time as measured through optoelectronic data. |
Countries
Italy
Outcome results
None listed