Cerebral Palsy Clinical Trial
— CP_TT_UHartOfficial title:
Effect of Targeted Training on Sensorimotor Control of Trunk Posture
Verified date | September 2020 |
Source | University of Hartford |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Little is known about how children with cerebral palsy (CP) use their sensory systems (touch, sense of body position, balance organs in the inner ear, vision) to help them achieve trunk control for independent sitting. If a child with CP does not achieve trunk control by 4 years of age their prognosis for motor skill development including walking is poor. Clinical researchers at The Movement Centre in Oswestry, England have developed a method called Targeted Training in which children train trunk control in small segments from the top down using a custom fit training device. This study aims to examine how children with moderate to severe CP use sensory information for trunk control before, during and after a program of Targeted Training.
Status | Completed |
Enrollment | 10 |
Est. completion date | March 30, 2020 |
Est. primary completion date | March 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 2 Years to 12 Years |
Eligibility |
Inclusion Criteria: - cerebral palsy - age 2-12 years - Gross Motor Function Classification System (GMFCS) Level III, IV or V Exclusion Criteria: - spinal fixation - fixed scoliosis - uncontrolled seizures |
Country | Name | City | State |
---|---|---|---|
United States | Pediatric Balance Laboratory; University of Hartford; | West Hartford | Connecticut |
Lead Sponsor | Collaborator |
---|---|
University of Hartford |
United States,
Butler PB, Saavedra S, Sofranac M, Jarvis SE, Woollacott MH. Refinement, reliability, and validity of the segmental assessment of trunk control. Pediatr Phys Ther. 2010 Fall;22(3):246-57. doi: 10.1097/PEP.0b013e3181e69490. — View Citation
Goodworth AD, Peterka RJ. Contribution of sensorimotor integration to spinal stabilization in humans. J Neurophysiol. 2009 Jul;102(1):496-512. doi: 10.1152/jn.00118.2009. Epub 2009 Apr 29. — View Citation
Goodworth AD, Peterka RJ. Sensorimotor integration for multisegmental frontal plane balance control in humans. J Neurophysiol. 2012 Jan;107(1):12-28. doi: 10.1152/jn.00670.2010. Epub 2011 Sep 21. Erratum in: J Neurophysiol. 2012 Oct;108(8):2338. — View Citation
Saavedra SL, van Donkelaar P, Woollacott MH. Learning about gravity: segmental assessment of upright control as infants develop independent sitting. J Neurophysiol. 2012 Oct;108(8):2215-29. doi: 10.1152/jn.01193.2011. Epub 2012 Jul 25. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Participation and Environment Measure for Children and Youth (CY) or Young Children (YC) (PEM-CY for children 5-12 years of age, or YC-PEM for children 2-5 years) | The PEM-CY and YC-PEM are parent response questionnaires that measure participation frequency, extent of involvement and desire for change in sets of activities typical for the home, school or community. | 9 months and 3 months post training | |
Primary | Change in sensory motor processes | Change in sensory motor processes as evidenced by kinematic measures during sitting balance perturbation tasks. | 9 months and 1 and 3 months post training | |
Secondary | Change in gross motor functional skills (e.g. sitting, crawling, standing) | The Gross Motor Function Measure (GMFM 66) is a standardized test of gross motor function that has been validated for children with cerebral palsy | 9 months and 1 & 3 months post training | |
Secondary | Segmental Assessment of Trunk Control | Change in the trunk segment where static, active or reactive control is lost. | 2, 4, 6, 8 and 9 months and 1 & 3 months post training |
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