Analyzing the Effect of Trunk Training on Limbs in Children With Spastic Cerebral Palsy

Cerebral Palsy, Spastic Clinical Trial

— FTT  

Official title:

Analyzing the Effect of Functional Trunk Training on Upper and Lower Limb Motor Function in Children With Spastic Cerebral Palsy

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02643160
• Other study ID #: GO 14 135
• Status: Completed
• Phase: N/A
• First received: November 25, 2015
• Last updated: December 30, 2015
• Start date: January 2014
• Est. completion date: October 2015

Study information

• Verified date: December 2015
• Source: Abant Izzet Baysal University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to analyze if trunk training has effects on trunk, upper, lower extremity motor functions in children with spastic Cerebral Palsy. Second purpose is to analyze the relation between trunk control and prematurity, birth weight, upper and lower extremity motor functions in children with spastic Cerebral Palsy.

Description:

Cerebral Palsy (CP) is a condition caused by a lesion occurred in immature brain during prenatal, natal or postnatal period. Children with CP may have motor, cognitive, sensory, auditory, behavioral problems during their lifespan. Spastic type CP is most common type of CP and many children with spastic CP have both trunk and limb impairment. Physiotherapy is very important for improving motor function and protect from secondary impairments in this children and should start as early as possible. The aim of this study is to analyze if trunk training has effects on trunk, upper and lower extremity motor function in children with spastic CP. 38 children with spastic CP between 4-18 years age are included in this study. Both genders are included. The Participants randomized according to their gross motor function classification system levels and their age. Before intervention all groups assessed with assessment tools which assess muscle spasticity, balance, gross motor function, trunk control and walking characteristics. After randomization there wasn't any intervention for control group; they continued their regular physiotherapy in special education centers two times a week. Study group received trunk training two times a week in addition to their regular physiotherapy in special education centers during 8 weeks. After 8 weeks all groups assessed with the same assessment tools.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: October 2015
• Est. primary completion date: October 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 4 Years to 18 Years

Eligibility

Inclusion Criteria:

1. Children with spastic cerebral palsy effected bilaterally

2. Between 4-18 years age

Exclusion Criteria:

1. Received orthopedic surgery during last 6 weeks

2. Receive Botulinum Toxin injection during last 6 weeks

3. Mentally retarded children with communication limitations

4. Had epileptic seizures during last 12 moths -

Related Conditions & MeSH terms

• Cerebral Palsy
• Cerebral Palsy, Spastic
• Muscle Spasticity
• Paralysis

Intervention

Other:
• Functional Trunk Training
The intervention includes neurodevelopment treatment, muscle strengthening and functional activities of trunk region

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Abant Izzet Baysal University	Hacettepe University

References & Publications (1)

Heyrman L, Molenaers G, Desloovere K, Verheyden G, De Cat J, Monbaliu E, Feys H. A clinical tool to measure trunk control in children with cerebral palsy: the Trunk Control Measurement Scale. Res Dev Disabil. 2011 Nov-Dec;32(6):2624-35. doi: 10.1016/j.rid — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in trunk control over time assessed with Trunk Control Measurement Scale.	Assessing change in trunk control	At baseline and 8 weeks after baseline
Secondary	Change in daily living activities and participation over time assessed with Child Health Questionary Parent Form 50.	Assessment of child's daily living activities and participation	At baseline and 8 weeks after baseline
Secondary	Change in muscle activation over time assessed with Surface Electromyography.	Assessment of muscle activation	At baseline and 8 weeks after baseline
Secondary	Change in muscle spasticity over time assessed with Modified Tardieu Scale.	Assessing muscle spasticity	At baseline and 8 weeks after baseline
Secondary	Change in gross motor function over time assessed with Gross Motor Function Measurement	Assessing gross motor function	At baseline and 8 weeks after baseline
Secondary	Change in upper extremity skills over time assessed with Quality of Upper Extremity Skills Test	Assessing upper extremity skills	At baseline and 8 weeks after baseline
Secondary	Change in loco motion over time assessed with Gillette Functional Assessment Scale	Assessing loco motion.	At baseline and 8 weeks after baseline
Secondary	Change in walking parameters over time assessed with Physicians Rating Scale	Assessing walking parameters	At baseline and 8 weeks after baseline
Secondary	Change in functional loco motion over time assessed with Timed Up and Go Test	Assessing functional loco motion	At baseline and 8 weeks after baseline
Secondary	Change in walking speed over time assessed with 1 Minute Walk Test	Assessing walking speed	At baseline and 8 weeks after baseline
Secondary	Change in balance over time assessed with Pediatric Balance Scale	Assessing balance	At baseline and 8 weeks after baseline
Secondary	Change in impact of having a disabled child on family over time assessed with Impact on Family Scale	Assessing impact on family to have a disabled child	At baseline and 8 weeks after baseline
Secondary	Change in independence level over time assessed with Functional Independence Measure for Kids	Assessing independence level	At baseline and 8 weeks after baseline