Cerebral Palsy Clinical Trial
Official title:
BEYOND: Body-function Enhancement for YOuth Through participatioN in Real-worlD Contexts. The Downstream Effects of Personalized 'Top-down' Participation-based Interventions Among Youth With Physical Disabilities
Participation in community-based activities is essential to the health and well-being of youth with physical disabilities; yet, it is extremely restricted. Emerging treatment approaches aimed at improving participation have shifted from focusing only on impaired body functions towards the performance of functional meaningful activities within the youth's natural environment. Investigators' initial results from studies in Quebec show that targeting intervention at the activity/participation level can result in improvement of impaired body functions (e.g., balance, attention, anxiety) - important components to address in rehabilitation. Investigators' team aims to continue studying the impact of participation by launching a larger more rigorous study. Investigators have partnered with major organizations providing rehabilitation services for youth as well as key community-based stakeholders including youth, clinicians, and managers, and together investigators plan to further examine whether engaging in an 8-week community-based activity individually chosen by the youth (e.g., sledge hockey, drawing, playing a musical instrument) can lead to a significant improvement in three key body functions: motor, behavioral and emotional. One hundred and fifty youth with physical disabilities living in Quebec and Ontario will participate and engage in an activity of choice. Changes in their body functions (e.g., movement, attention, mood) will be measured multiple times before, during and after engagement in the chosen activity. Findings of this study can guide clinicians, families and policy-makers to select effective approaches that not only promote participation but also facilitate additional motor and mental benefits from a single intervention. Such 'real-world' treatment approaches involving activities of choice can also increase motivation, compliance and reduce burden on the healthcare system and on the youth and families.
Status | Not yet recruiting |
Enrollment | 150 |
Est. completion date | April 2027 |
Est. primary completion date | October 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 12 Years to 18 Years |
Eligibility | Inclusion Criteria: - a physical disability (e.g., due to cerebral palsy, spina bifida, spinal cord injury, non progressive musculoskeletal disorders, juvenile arthritis); - restricted mobility, such as an inability to navigate all surfaces and stairs independently and safely without the use of aids, physical assistance, or external support; - youth with various diagnoses will be eligible; - youth with cognitive and communication issues and/or intellectual delay will be included and a proxy version of self-reported assessments will be used. - living in the province of Quebec or Ontario Exclusion Criteria: - youth who are recovering within the first year following a severe brain injury or an orthopedic surgery or botulinum toxin treatment 6 months prior or anticipated during the study period - youth with degenerative disorders - youth with a severe untreated mental health condition will also be excluded based on the Kessler Psychological Distress Scale (K6) |
Country | Name | City | State |
---|---|---|---|
Canada | Lethbridge-Layton-Mackay Rehabilitation Center of CIUSSS West-Central Montreal (Mackay site) | Montreal | Quebec |
Lead Sponsor | Collaborator |
---|---|
McGill University | Canadian Institutes of Health Research (CIHR), Drexel University, McMaster University |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Client Satisfaction Questionnaire | An 8-item tool that measures levels of satisfaction of a program/service using a 4-point scale that takes 3-8 minutes to complete. Overall scores range from 8-32, higher scores indicating higher satisfaction. | This outcome will be assessed once after the intervention (week 22). | |
Primary | Behavioral Assessment System for Children | Evaluates the behavioral and emotional aspects of body functions using a 4-point scale. T-scores range from 0 to 120 in which lower scores indicate greater behavioral and emotional body functions. | 22 weeks | |
Primary | Trunk Impairment Scale | Assesses trunk control and includes 3 sub-scales; static sitting balance, dynamic sitting balance and coordination. It contains 17 items rated on a 2-, 3- or 4- point scale. Total score measures motor body functions in terms of trunk control. Total score ranges from 0 (low performance) to 23 (high performance). | 22 weeks | |
Primary | Functional Reach Test | Assesses motor body functions in terms of reaching. The maximum distance in inches the participant can reach forward while standing/sitting in a fixed position is measured; units: inches. | 22 weeks | |
Primary | Jamar/Handheld micro Force Evaluation and Testing 2 (microFET2) Dynamometers | Measures motor body functions in terms of maximal grip, pinch strength and isometric muscle strength; units: pounds of force. Scores range from 0 to 200 pounds. | 22 weeks | |
Primary | Goniometer | Measures active range of motion of specific joints relevant to the activity and based on the task analysis; units: degrees of range of motion. | 22 weeks | |
Primary | Canadian Occupational Performance Measure | A gold-standard 10-point scale that measures activity performance. Score ranges from 1 (unable to perform) to 10 (performs extremely well). | 22 weeks |
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