Bimanual Training in Children With Hemiplegia With Lower Limb and Postural Stimulation (HABIT & Leg)

Study Overview
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Brief Summary
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A randomized control trial of HABIT-ILE therapy compared with regular / conventional intervention (same amount of hours). The protocols have been developed on the basis of bimanual therapy (HABIT) developed at Columbia University.

Detailed Description
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A randomized control trial of HABIT-ILE therapy at intensive frequency contrasted with regular frequency intervention. The protocols have been developed on the basis of bimanual therapy (HABIT) developed at Columbia University. The intervention takes place either in a 2 weeks day and night camp, either in regular/conventional intervention (1 to 5 hours a week). Children of all groups will benefit from 90h of intensive treatment (children in regular frequency will be crossed over afterwards to benefit from HABIT-ILE. Both in the camp and the regular interventions, there is at least one therapist for each child.

Official Title
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Effet de la réadaptation Sur Les déficiences, Limitations d'activité et Restriction de la Participation Des Enfants présentant Des lésions Neurologiques Non-évolutives (Infirmes Moteurs cérébraux).

Conditions
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Congenital Hemiplegia

Intervention / Treatment
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* Other: HABIT-ILE


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: willingness to enter the research program and the testing procedures Exclusion Criteria: uncontrolled epilepsy upper limb injections in the upper limb during the last six months / or intend to receive during the training period

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Intensive rehab group<br>A group of children will beneficiate of HABIT-ILE treatment in an intensive way (camp) for 90h. | Other: HABIT-ILE<br>* 90 h of training with HABIT-ILE, in an intensive rehabilitation camp compared with a regular therapy program (groups are crossed-over afterwards).<br>* Other names: Bimanual training, HABIT, neurorehabilitation;|
| Active Comparator: Regular treatment group<br>A group of children with hemiplegic cerebral palsy will beneficiate from conventional training at a regular frequency (1 to 6 hours / week) for 90hours. | Other: HABIT-ILE<br>* 90 h of training with HABIT-ILE, in an intensive rehabilitation camp compared with a regular therapy program (groups are crossed-over afterwards).<br>* Other names: Bimanual training, HABIT, neurorehabilitation;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impairment, disability, participation | The 3 WHO main domains will be investigated. Impairments will be investigated through force, sensory and manipulation testing (including manipulation with mechanical device). Analysis of lower limb is also included in the protocol. Disabilities will be tested through video-taped assessments and questionnaires. Participation will be assessed through questionnaires. | 4 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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bimanual training, lower limb, intensive rehabilitation, regular rehabilitation, hemiplegia