unilateral Cerebral Palsy / spasticity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Main group: Children and adolescents with unilateral Cerebral Palsy (4-17 jaar) who are registered for either a modified Constraint Induced Movement Therapy (mCIMT- "piraten" group, n
Exclusion criteria
Exclusion criteria: Severe hearing or visual disability; inability to understand the task For MRI: presence of iron containing implants, pacemaker. Inability to keep immobile in a lying position for at least several minutes.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main group: Event Related Potential (ERP) components from the ongoing EEG in reaction to different visual stimuli and consecutive motor responses (pressing a large button) during several simple tasks. Tasks are directed at the use of either the non-affected or the affected hand/arm. Results from stimulus-response pairs demanding the use of the non-affected hand will be compared with results from stimulus-response pairs demanding the use of the affected hand. In addition, results before and after intervention will be compared. Sub group: Anatomical integrity of the corticospinal tract will be measured by diffusion tensor DT-MRI and subsequent tractography of both ipsi- and contral-lateral hemispheres with respect to both the affected and non-affected hand/arm. These DTI measures (fractional anisotropy FA , mean diffusivity MD) will be compared with EEG/ERP parameters and clinical observation of the hand capacity. In addition, results before and after intervention will be compared. | — |
Secondary
| Measure | Time frame |
|---|---|
| Demographic variables including gender, age and co-morbidity. | — |
Countries
Netherlands