Intensive Gait Training Rehabilitation Protocol After Surgery in Cerebral Palsy

Study Overview
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Brief Summary
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In the context of cerebral palsy, rehabilitation post Single-Event Multi-Level Surgery (SEMLS) is a long process. One year after surgery and rehabilitation, the functional benefits are usually less improved than the gait pattern. This may be caused by a lack of intensity in the final rehabilitation steps. Thus we created an intensive gait training rehabilitation protocole. This protocole associates 4 weeks of intensive rehabilitation in a healthcare center followed by 2 weeks of intensive rehabilitation at home. The objective of this study is to evaluate the efficiency of this protocol to improve walking speed and endurance, gross motor function et muscular strength.

Official Title
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Intensive Gait Training Rehabilitation Protocol to Enhance Functional Parameters of Walking After Single-event Multi-level Surgery in Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Intensive gait training rehabilitation protocole


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Cerebral palsy Age between 10 and 20 years Single-Event multi-level surgery more than one year ago GMFCS I to III Capacity to understand simple instructions Volontary consent Exclusion Criteria: injuries or pain in lower limbs toxines or surgery less than one year before the study

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 20 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intensive gait training rehabilitation protocole<br>Functional gait training Strengthening interventions High intensity interval training | Other: Intensive gait training rehabilitation protocole<br>* 6 weeks of intensive gait training : 4 weeks at the center and 2 weeks of home-based telerehabilitation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 6-minutes walking test | Evaluation of walking speed | 15 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gross Motor Function Measure (GMFM) | Evaluation of Gross motor function | 30 minutes | 
| 10 meters walking test | Evaluation of walking speed | 5 minutes | 
| Shuttle Run test-I and II | Evaluation of aerobic capacity | 10 minutes | 
| Muscle strength via a Dynamometer | Evaluation of muscle strength | 15 minutes | 
| Spatio-temporal gait parameters | Cadence, Walking speed, Step Length,Step Time,Step Width | 45 minutes | 
| Number of steps per day |  | one week wearing an accelerometer | 
| Pediatric Quality of Life Inventory (PedSQL) | Evaluation of quality of life via a questionnaire | 10 minutes |