Targeted Training for Trunk Control_case Series Cerebral Palsy

Cerebral Palsy Clinical Trial

— CP_TT  

Official title:

Segmental Training for Trunk Control a Pilot Study for Children With Moderate to Severe Motor Impairment.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02097836
• Other study ID #: CP_TT_2008
• Status: Completed
• Phase: N/A
• First received: March 24, 2014
• Last updated: September 12, 2017
• Start date: September 2007
• Est. completion date: January 2010

Study information

• Verified date: September 2017
• Source: University of Oregon
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

If a child with cerebral palsy does not develop independent sitting balance by 4 years of age, their prognosis for walking is very poor. Surprisingly little is known about how to facilitate head control or upright sitting balance and functional mobility in the child who is not developing these skills. This is one of the first studies that will examine intermediate stages in the development of the postural control system in children with neurologic deficits. Clinical researchers at The Movement Centre in Oswestry, England have developed a method called Targeted Training in which trunk control is trained in children segment by segment using a specific training device. This study aims to examine kinematic and electromyographic changes in a case series of children who undergo a 6-month Targeted Training intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 11
• Est. completion date: January 2010
• Est. primary completion date: January 2009
• Accepts healthy volunteers: No
• Gender: All
• Age group: 4 Years to 17 Years

Eligibility

Inclusion Criteria:

• neurologic diagnosis that results in a deficit in trunk control (i.e. cerebral palsy, traumatic brain injury)

• age 4-17 years

• Gross Motor Function Classification System (GMFCS) level III, IV or V for children with cerebral palsy

Exclusion Criteria:

• spinal fixation

• fixed scoliosis

• uncontrolled seizures

Related Conditions & MeSH terms

• Brain Injuries
• Cerebral Palsy
• Traumatic Brain Injury

Intervention

Device:
• Targeted Training
Custom training devices were imported from The Movement Centre for research purposes. The typical course of treatment involves loaning the customized equipment to each family for use in their home or in their child's educational setting. Training occurs once daily usually for 30-45 minutes. This is done 5 or 6 days per week. Training programs typically involve playing with balls or balloons or video games that motivate the child to hold the head erect and to wave the arms and hands and move the upper body.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
University of Oregon

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Gross Motor Function Measure		6 months and followup post training 12 months
Primary	Probe data, balance	timed balance task	baseline, intervention, 2 months post intervention
Secondary	Change in head stability	Change in alignment and stability of head postural sway during quiet sitting	6 months, 1,3, and 12 months post intervention
Secondary	Change in muscle activation strategy during quiet sitting with different levels of external support.		6 months, 1 and 3 months post intervention
Secondary	Change in Pediatric Evaluation of Disability Inventory (PEDI)		6 months and 1,3, 12 months post intervention
Secondary	Qualitative Parent, Teacher report		during intervention and post intervention