- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00061139
Constraint-Based Therapy to Improve Motor Function in Children With Cerebral Palsy
Randomized Controlled Trial of Pediatric CI Therapy
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
Cerebral palsy afflicts at least two in 1,000 children in the United States and approximately 2,000,000 children worldwide. Behavioral techniques that impact the plasticity of the nervous system need to be incorporated into practical, evidence-based therapeutic interventions for this condition.
CI therapy was derived from basic research with animal and human subjects. Randomized, controlled studies indicate that it can substantially reduce the motor deficit of adult patients with mild to moderately severe chronic strokes and can increase their independence over a period of years. CI therapy involves motor restriction of the less affected upper extremity for a period of 2 to 3 weeks while concurrently training the more affected upper limb. This gives rise to concentrated, repetitive use of the more affected extremity. In adults, CI therapy has lead to a large increase in use-dependent cortical reorganization involving the recruitment of substantial new regions of the brain in the innervation of more affected extremity movement.
The study will evaluate CI therapy in a pediatric population. The study will test whether pediatric CI therapy can promote new and improved motor behavior in young children with hemiparesis associated with cerebral palsy. Pediatric CI therapy involves total restraint of the unaffected upper extremity with simultaneous repetitive use of the affected extremity for 6 hours/day for 21 consecutive days.
Fifty-two children ages 2 to 6 years old with hemiparetic cerebral palsy will be randomly assigned to either the pediatric CI therapy group or to a control group. The control group will receive standard rehabilitation therapy. All children will have a complete medical evaluation with emphasis on motor function prior to treatment initiation. Children will undergo follow-up testing at 1, 6, and 12 months post-treatment. The primary study assessment tools are the Pediatric Developmental Motor Scales - II (PDMS-II), DASI - II, Bayley Developmental Skills Test, Pediatric Motor Activity Log (PMAL), Child Arm Use Test (CAUT), and Emerging Behavior Scale (EBS).
Studietyp
Inskrivning
Fas
- Fas 2
Kontakter och platser
Studieorter
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Alabama
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Birmingham, Alabama, Förenta staterna, 35294
- Rekrytering
- University of Alabama at Birmingham
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Kontakt:
- Edward Taub, PhD
- Telefonnummer: 205-934-2471
- E-post: etaub@uab.edu
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Huvudutredare:
- Edward Taub, PhD
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria
- Clinical diagnosis of hemiparetic cerebral palsy consistent with criteria in Swaiman and Russman (1999) and Badawi et al. (1998)
- Recommended for participation in pediatric rehabilitation and/or early intervention
- Lives within 50 miles of the Civitan Center at University of Alabama at Birmingham or the family is willing to temporarily relocate to the Birmingham area for treatment
Exclusion Criteria
- Profound bilateral hearing loss with the use of hearing aids
- Severe visual impairment
- Serious seizure disorder or uncontrolled seizures
- Genetic and syndromic conditions historically excluded for CP registries
- Familial Spastic Paraplegia
- Ataxic Cerebral Palsy
- Diagnosis of Pervasive Developmental Disability or autism
- Serious or recurring medical complications
- Scheduled for surgery within 12 months of study entry
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Faktoriell uppgift
- Maskning: Enda
Samarbetspartners och utredare
Utredare
- Huvudutredare: Edward Taub, PhD, University of Alabama at Birmingham
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande
Avslutad studie
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- R01HD040692 (U.S.S. NIH-anslag/kontrakt)
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