The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy

Study Overview
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Brief Summary
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The project aims to test the effectiveness and explore the possibility of performing a novel therapeutic approach, targeting to increase strength and coordination around the trunk, giving a more active and functional seating and head control in those children with cerebral palsy (CP) who are wheelchair users. The project will also try to determine the muscle physiological effect of treatment using indirect measures of strength in the spinal musculature.

Official Title
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The Efficacy of Targeted Training on the Postural Control and Gross Motor Function in Children With Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Regular physiotherapy
* Other: Targeted Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: diagnosis of CP made by a neuro-pediatric physician experienced in assessment and diagnosis of CP GMFCS level III, IV and V, the child cannot walk without assistance, age 2-15 year, no joint deformity or contracture around the Targeted joint not a candidate for surgery or other medical treatment that affects motor skills while participating in the project trunk control problems. Exclusion Criteria: uncontrolled epilepsy surgery within 12 months of the study start Botulinum toxin within 2 months of study start Lack of personnel resources to treat the child at their school/kindergarten

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 15 Years

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: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Targeted Training<br> | Other: Targeted Training<br>* Targeted training, 5 days a week for 6 months, up to 30 minutes a day<br>* Other names: The Movement Centre;|
| Other: Control<br> | Other: Regular physiotherapy<br>* The child's regular physiotherapy<br>* Other names: Physiotherapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in Gross Motor Function Measure at 6 months |  | Baseline, 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 6 months |  | Baseline, 6 months | 
| Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 6 months |  | Baseline, 6 months | 
| Change from baseline in seated sway at 6 months |  | Baseline, 6 months | 
| Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS) |  | 6 months | 
| Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 12 months |  | Baseline, 12 months | 
| Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 12 months |  | Baseline, 12 months | 
| Change from baseline in seated sway at 12 months |  | Baseline, 12 months | 
| Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS) |  | 12 months | 
| Change from baseline in Gross Motor Function Measure at 12 months |  | Baseline, 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Postural control, Targeted Training, Gross motor function, Cerebral palsy