- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04020354
Changes Induced by Early HABIT-ILE in Pre-school Children With Uni- and Bilateral Cerebral Palsy (EarlyHABIT-ILE)
Functional, Neuroplastic and Biomechanical Changes Induced by Early Hand and Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) in Pre-school Children With Uni- and Bilateral Cerebral Palsy
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- children with unilateral or bilateral cerebral palsy (spastic or dyskinetic)
- age 1 to 4 years inclusive (corrected age if preterm birth)
- ability to follow instructions and complete testing according to the age.
Exclusion Criteria:
- active seizure
- programmed botulinum toxin or orthopedic surgery in the 6 months previous to the intervention, during intervention period or 3months after the intervention time
- severe visual impairments
- severe cognitive impairments
- contraindications to perform MRI assessments (Metal implants, etc.)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HABIT-ILE
Early HABIT-ILE (Hand and arm bimanual intensive therapy including lower extremities) will be applied over 2 weeks.
|
Early Hand and arm bimanual intensive therapy including lower extremities
|
Active Comparator: Usual Care
A two weeks period of usual customary care
|
Usual customary care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change on Gross Motor Function (GMFM-66)
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up.
|
Developed to assess the changes in gross motor function of children with cerebral palsy (scored in percentage), observed over time or after intervention for the second randomized controlled trial (RCT2)
|
pre-camp, two weeks post-camp, 3 months follow-up.
|
Change on Manual Ability (Assisting Hand Assessment (AHA))
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Developed to observe the efficacy of the assisting hand use, in children with unilateral cerebral palsy (scored in percentage), during bimanual activities for the first randomized controlled trial (RCT1)
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Melbourne 2 Assessment (MA2)
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
assess the unilateral performance of the upper extremities, quantifying the dexterity, fluency, accuracy and range of movement during several tasks of reaching and manipulation
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Inhibitory control task
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Measures the inhibition of a motor answer.
It's assessed by asking the child not to reach for a toy previously showed to play with.
The maximum waiting time is 30 seconds.
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Working memory task
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Measures the capacity to retain visual information in use, in a short period of time.
It's assessed by hiding a toy in front of the child and asking him/her to find it from 4 possibilities.
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Visuo-spatial attention assessment
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Through different simple tasks, measures the visual field, the visuo-motor coordination, the orientation of attention in the space and the eye pursuit.
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Semmes-Weinstein monofilaments
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Evaluates the pressure threshold or the response to a touching sensation of the filament.
It is quantified using a numerical grading ranging from high pression/clear touching sensation to a slight pression/slight touching sensation.
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Pressure Threshold
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
The superior pressure threshold will be determined at the moment of any visible change in the child's reaction to the pression made by the algometer.
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Activlim-CP questionnaire
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
This parent's filled questionnaire measures a patient's ability to perform daily activities requiring the use of the upper and/or the lower extremities through 43 items specific to patients with cerebral palsy.
It ranges from - 7 to +7 logits (higher score means better performance).
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Pediatric Evaluation of Disability Inventory questionnaire (PEDI)
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
This parent's filled questionnaire measures the performance of the child in the daily life activities and movement domains, focusing on the capacity of upper extremities and lower extremities during this activities.
It ranges from 0 to 100% (higher score means better performance).
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Young children's participation and environment measure (YC-PEM)
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Based in different children's activities, this parent's filled questionnaire evaluates the level of participation and the quality of the environment in which these activities take place.
For each type of activity, caregivers assess 3 dimensions of the child's participation: frequency (8-point scale; 0-7), level of involvement (5-point scale; 1-5), caregiver's percent desire for change (2-points level (y/n) transformed in percentage; 0-100) and perceived impact of environmental support (3-point scale transformed in percentage; 0-100).
A software calculates the total score with a maximum of 212 (higher score means better performance).
|
pre-camp, two weeks post-camp, 3 months follow-up
|
Measure of Processes of Care (MPOC-20)
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
Assesses the parents' perceptions of the care they and their children receive from children's rehabilitation treatment centres. Using a 8-point response scale, parents answer to 20 questions, indicating to what extent they have experienced the events or the situations described. A score of 7 means that they have experienced this aspect to a very great extent, or most of the time. A score of 1 means that they have not experienced this aspect at all. A score of 0 means that the question does not apply to them. There is no total score. However, because the statements are positively worded, higher total scores indicates that needs of the parents are being met to a great extent. |
pre-camp, two weeks post-camp, 3 months follow-up
|
Canadian Occupational Performance Measure (COPM)
Time Frame: pre-camp, two weeks post-camp, 3 months follow-up
|
This is an interview-setting designed to capture a patient's self-perception of performance and satisfaction of it in everyday activities, observed over time.
During the interview, parents set up 5 activities considered difficult in daily life.
These are then assessed, in a 1 to 10 scale, regarding the child's self-perception of performance and satisfaction of it.
The total score is the average of the scores for perception and satisfaction separately (score from 1 to 10; higher score means better performance/satisfaction)
|
pre-camp, two weeks post-camp, 3 months follow-up
|
3D T1-weighted structural imaging (T1)
Time Frame: pre-camp, 3 months follow-up
|
This sequence allows to measure changes in gray matter (cortical thickness)
|
pre-camp, 3 months follow-up
|
Changes on the Fractional Anisotropy (Diffusion tensor imaging (DTI))
Time Frame: pre-camp, 3 months follow-up
|
This sequence allows to measure changes in the fractional anisotropy (FA) on the white matter tracts.
FA is a scalar value (no unit) between zero and one that describes the degree of anisotropy of white matter water molecules.
|
pre-camp, 3 months follow-up
|
Changes on the Mean Diffusivity (Diffusion tensor imaging (DTI))
Time Frame: pre-camp, 3 months follow-up
|
This sequence allows to measure the mean changes in the diffusivity (MD).
MD is a scalar value (no unit) between zero and one that describes the degree of molecular diffusion.
|
pre-camp, 3 months follow-up
|
Changes on resting state functional connectivity (RS)
Time Frame: pre-camp, 3 months follow-up
|
Resting-state functional magnetic resonane imaging (rs-fMRI) evaluates the regional interactions that occur during the resting or task-negative state.
The magnitud of the brain activation during rs-fMRI will be assessed
|
pre-camp, 3 months follow-up
|
Changes on spatial parameters of the gait (Kinematics assessments)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the stride length (meters), step length (meters) and step width (meters).
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the gait (Cycle time)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure cycle of gait time (seconds).
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the gait (Stance time)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the stance time (percentage of total gait cycle).
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the gait (Swing time)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the swing time (percentage of total gait cycle).
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the gait (Stride)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the gait cadence (stride per minute).
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the gait (Velocity)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the gait velocity (meter/second)
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the gait (Acceleration)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the gait acceleration (meters/second^2)
|
pre-camp, 3 months follow-up
|
Changes on spatial parameters of the upper extremity (Straightness)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the straightness (percentage of upper extremity trajectory during a reaching task).
|
pre-camp, 3 months follow-up
|
Changes on spatial parameters of the upper extremity (Smoothness)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the smoothness (variability of the movement during a reaching task)
|
pre-camp, 3 months follow-up
|
Changes on temporal parameters of the upper extremity (Kinematics assessments)
Time Frame: pre-camp, 3 months follow-up
|
Through a 3D motion system, we measure the time from onset to end of the task (seconds).
the task consist in a reaching task.
|
pre-camp, 3 months follow-up
|
Quantification of physical activity
Time Frame: 5 hours during 5 consecutive days
|
With a movement sensor on each wrist, the percentage of total time spent in movement (i.e.
crawling, walking and running) is measured.
Calculated in terms of the changes in the acceleration (m/s^2).
These measurements will be performed during therapy in 5 consecutive days for the HABIT-ILE group and during a regular week for the Usual Care group.
|
5 hours during 5 consecutive days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Yannick Bleyenheuft, Pr, MSL-IN Lab, Institute of Neuroscience, Université catholique de Louvain
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- B403201316810d
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Cerebral Palsy
-
Gazi UniversityCompletedCerebral Palsy | Cerebral Palsy, Spastic | Cerebral Palsy Spastic Diplegia | Cerebral Palsy Quadriplegic | Cerebral Palsy, MonoplegicTurkey
-
Northwestern UniversityActive, not recruitingCerebral Palsy | Diplegic Cerebral Palsy | Bilateral Cerebral PalsyUnited States
-
Centre Médico-Chirurgical de Réadaptation des Massues...RecruitingCerebral Palsy, Dyskinetic | Cerebral Palsy, Spastic | Infantile Hemiplegic Cerebral PalsyFrance
-
St Mary's University CollegeUniversity of GloucestershireUnknownCerebral Palsy | Cerebral Palsy Ataxic | Cerebral Palsy, MixedUnited Kingdom
-
Hilde FeysHasselt University; ETH Zurich; Curtin UniversityRecruitingHemiplegic Cerebral Palsy | Cerebral Palsy, SpasticBelgium
-
University of California, San FranciscoNational Institutes of Health (NIH)RecruitingDystonic Cerebral Palsy | Dyskinetic Cerebral PalsyUnited States
-
MTI UniversityEnrolling by invitationSpastic Diplegic Cerebral PalsyEgypt
-
East Carolina UniversityRecruitingHemiplegic Cerebral Palsy | Unilateral Cerebral Palsy | Remote Ischemic ConditioningUnited States
-
October 6 UniversityCompletedSpastic Cerebral Palsy | Spastic Hemiplegic Cerebral PalsyEgypt
-
Marmara UniversityUnknownCerebral Palsy, Spastic | Cerebral Palsy, Spastic, DiplegicTurkey
Clinical Trials on HABIT-ILE
-
Université Catholique de LouvainCompletedCerebral PalsyBelgium
-
Université Catholique de LouvainRecruiting
-
Université Catholique de LouvainCompletedCerebral PalsyBelgium
-
Shriners Hospitals for ChildrenTeachers College, Columbia UniversityCompletedCerebral PalsyUnited States
-
University Hospital of Mont-GodinneUniversité Catholique de LouvainUnknownBimanual Training in Children With Hemiplegia With Lower Limb and Postural Stimulation (HABIT & Leg)Congenital HemiplegiaBelgium
-
Université Catholique de LouvainRecruiting
-
Université Catholique de LouvainRecruitingCerebral PalsyBelgium
-
Université Catholique de LouvainRecruitingAcquired Brain InjuryBelgium
-
Université Catholique de LouvainUniversity Hospital of Mont-GodinneRecruiting
-
Université Catholique de LouvainUniversity Hospital of Mont-GodinneRecruitingCerebral PalsyBelgium