Effects of Intensive Locomotor Treadmill Training on Gross Motor Function in Young Children With Neuromotor Impairment

Study Overview
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Brief Summary
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The purpose of this project is to examine if early exposure to intensive, short-term locomotor treadmill training (LT) in young children with neuromotor impairment will help develop walking skills earlier, decrease the amount of outside assistance needed (such as a walker or crutches) as compared to children with neuromotor impairment who receive traditional physical therapy intervention.

Official Title
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Effects of Intensive Locomotor Treadmill Training on Gross Motor Function in Young Children With Neuromotor Impairment

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: treadmill training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: a diagnosis of CP with GMFCS levels I and II ages 9 to 36 months the ability to sit for at least 30 seconds unsupported in ring-sitting or W-sitting the ability to take ten consecutive steps when held on hands Exclusion Criteria: a diagnosis of a genetic syndrome independent ambulation without an assistive device previous or current use of treadmill intervention during physical therapy a medical contraindication for standing or walking defined by the physician 5) uncontrolled seizures a history of orthopedic surgery use of medication to control spasticity in the past 6 months

Ages Eligible for Study
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Minimum Age: 9 Months
Maximum Age: 36 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: treadmill training<br>children will receive home-based treadmill training with supervision from a physical therapist | Other: treadmill training<br>* Home-based treadmill training will be administered to the children in the experimental group<br>|
| No Intervention: no treadmill training<br>children will not receive treadmill training | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gross Motor Function Measure Dimension D and E |  | up to 4-months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Peabody Developmental Motor Scales-2 |  | pre-intervention, 6-week post-intervention, 1-month post-intervention, 4-month post-intervention | 
| timed 10 meter walk test |  | pre-intervention, 6-week post-intervention, 1-month post-intervention, 4-month post-intervention | 
| Pediatric Evaluation of Disability Inventory |  | pre-intervention, 6-week post-intervention, 1-month post-intervention, 4-month post-intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebral palsy, treadmill training