Cerebral Palsy spastic paresis
Conditions
Interventions
Perturbations in treadmill speed and real-time feedback of gait parameters
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: * Children with a diagnosis of uni/bilateral spastic paresis; * Aged between 5 and 16 years; * GMFCS level I-II. (gross motor function classification system) (Palisano et al. 1997); * Sufficient cognitive skills: able to follow simple instructions; * Good walking ability, i.e. able to follow protocol walking time of 28 minutes. It will be explained to the parents/carers that they must be able to walk on the treadmill for approximately half an hour, with short breaks provided. It is expected that care givers will have a good understanding of the child*s ability and therefore their suitability to take part.
Exclusion criteria
Exclusion criteria: * Functional surgery on bones and/or muscles of the legs or selective dorsal rhizotomy in the last 12 months; * Lower limbs BoNT A injection in the last 6 months; * Visual deficit that will hamper with the ability to see or interpret the visual feedback as assessed by the treating physician at the department; * Behavioural problems of an extent that may impede normal subject cooperation as assessed by the treating physician at the department; * Comorbidities that affect walking, visual or cognitive abilities (e.g. frequent epilepsy) to an extent that makes subjects unfit to participate as assessed by the treating physician at the department.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter for Objective 1 will be the ankle kinematics, kinetics, muscle lengths and activity; and for Objective 2 the (in)ability of children with CP to alter their gait in response to real-time visual feedback challenging gait modification and improve overall gait, as well as possible compensations, quantified by changes in hip, knee and ankle kinematics and kinetics, depending on feedback. | — |
Countries
Netherlands
Outcome results
None listed