Intensive Activities-based Locomotor Training Program in Children With Cerebral Palsy
The Impact of an Intensive Activities-based Locomotor Training Program on Activity Capacity, Performance, and Participation in Children With Cerebral Palsy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Texas
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Waco, Texas, United States, 76798
- Baylor University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Intervention: Participants will be included if they have a diagnosis of CP and are between the ages of 2 to 12 years. They must also be enrolled in the 3-week AB-LT program at Fortis Therapy Center.
Parent Interview: Participants will be included if they are the parent or guardian (any age) of a child who participated in the 3-week AB-LT program and attended at least 3 sessions with their child.
Exclusion Criteria:
- Intervention study: Participants will be excluded if they have had surgery or botulinum toxin injections in the previous 6 months or have uncontrolled epilepsy or cardiovascular disease.
Parent Interview: Participants will be excluded if they have not attended at least 3 AB-LT sessions with their child.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Gross Motor Function Measure-66 (GMFM)
Time Frame: 6.5 months
|
Gross Motor Function Measure-66: Items scored on 0-3 scale.
Minimum value: 0. Maximum value: 99.
Higher scores indicate better outcome.
|
6.5 months
|
|
Pediatric Neuromuscular Recovery Scale (PedsNRS)
Time Frame: 6.5 months
|
Pediatric Neuromuscular Recovery Scale: Each of the 13 items on the Peds NRS have 12 phases.
Each item is scored on a 12-point scale, with one point allocated to each phase of the item.
The age-appropriate item cards instruct the rater to begin at a designated "start phase" indicated by a bold box around the phase within the 12 phases on each card.
If the child cannot perform the movement as listed in the start phase (which may be midway through the card), the rater starts at the beginning of the item card and assesses the child's performance at the first phase for that item.
The rater continues sequentially through the 12 phases on the card until the child is unable to perform a phase.
The rater scores the highest phase achieved by the child and moves on to the next item card, through all 13 items.
Items are then summed into a summary Peds NRS score using an algorithm.
|
6.5 months
|
|
Pediatric Evaluation of Disability Inventory (PEDI-CAT)
Time Frame: 6.5 months
|
Pediatric Evaluation of Disability Inventory:
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6.5 months
|
|
Pediatric Quality of Life Inventory CP Module (PedsQL-CP)
Time Frame: 6.5 months
|
For each of the 4 domains, in addition to scaled scores, normative standard scores (provided as T-scores and age percentiles) are calculated.
Normative scores describe the child's performance in comparison to other children of the same age (in one year intervals).
For T-scores, the mean for each age group is 50, with a standard deviation of 10 (same format used for normative scores in the original PEDI).
Typically, T-scores between 30 and 70 (i.e.
mean ± 2 standard deviations) are considered within the expected range for age.
Scores below 30 indicate decreased functional ability compared to what is typically expected for that age range.
Scores above 70 indicate scores above what is typically expected for that age range.
Higher scores indicate better outcome.
|
6.5 months
|
|
Functional near-infrared spectroscopy
Time Frame: 6.5 months
|
Non-invasive, continuous wave functional near-infrared spectroscopy using an OctaMon+ (Artinis Medical Systems, Lieden, Netherlands) to identify metabolic changes and track oxygenation status.
|
6.5 months
|
|
Electromyography
Time Frame: 6.5 months
|
Electrodes will measure voluntary (child is asked to perform a movement) and reflex activities (patellar reflex, achilles reflex, triceps reflex) of the dominant limbs.
|
6.5 months
|
|
ActiGraph sensors
Time Frame: 6.5 months
|
Activity performance will be measured using ActiGraph accelerometers, which are motion sensors worn as a bracelet around the rist designed to detect movement when worn.
They have excellent inter-instrument reliability (ICC = 0.98).
|
6.5 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Megan B Flores, Baylor University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1922152-2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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