Individualized Assessment of Motor Function and Balance in Intensive Therapy

Study Overview
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Brief Summary
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The goal of this study is to assess the individualized use of technology to assess motor function and balance for ambulatory children participating in an intensive therapy episode of care and determine the effectiveness of the program. Children 7-17 years old who can walk and are completing an intensive therapy episode of care will be recruited to participate in this study. Demographic, health history, and PT,OT,ST medical records will be collected. Based on the participant's functional goals, motor function and balance tests will be selected including common balance tests (standing with eyes open, standing with eyes closed), walking, walking and turning, standing up and sitting down from a bench, reaction time, and step down. Participants will be tested before, immediately after, 6 weeks after, and 12 weeks after the episode of care.

Detailed Description
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The goal of this study is to assess the individualized use of instrumented assessment of motor function and balance for ambulatory children participating in an intensive therapy episode of care and determine the effectiveness of the intervention. Children 7-17 with neurodevelopmental diagnosis, GMFCS Levels I and II and completing an intensive therapy episode of care will be recruited to participate in this study. Demographic, health history, and PT,OT,ST medical records will be collected. Based on the participant's functional goals, motor function and balance tests in single and dual conditions will be selected including Romberg balance tests, walking, walking and turning, sit to/from stand, reaction time, and step down administered while participant is recorded using a portable measurement platform which incorporates a custom force plate, Azure Kinect spatial sensor, and interface board. Participants will be tested before, immediately after, 6 weeks after, and 12 weeks after the episode of care. Testing is estimated to last for 45 minutes.

Official Title
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Individualized Use of a Multi-dimensional Instrumented Assessment of Motor Function and Balance Following an Intensive Therapy Episode of Care

Conditions
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Neurodevelopmental Disorders

Intervention / Treatment
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* Other: Intensive interdisciplinary therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ambulatory children 7-17 years old receiving care in an interdisciplinary, intensive therapy program GMFCS Levels I and II able to follow 2-3 step directions English speaking Exclusion Criteria: orthopedic surgery in the past year or significant visual impairment significant hearing impairment.

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Intensive interdisciplinary therapy|Intensive interdisciplinary therapy includes an intense burst of physical, occupational, and/or speech therapy with high intensity and frequency in a duration (e.g. 3-6 hours/day, 3-5 days/week for 4 weeks)|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Eyes closed standing on firm surface | center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface | before physical therapy begins | 
| Eyes closed standing on firm surface | center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface | immediately following physical therapy | 
| Eyes closed standing on firm surface | center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface | 6 weeks following physical therapy | 
| Eyes closed standing on firm surface | center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface | 12 weeks following physical therapy | 
| Eyes closed standing on firm surface | joint kinematics (movement strategies) obtained while eyes closed standing on firm surface | before physical therapy | 
| Eyes closed standing on firm surface | joint kinematics (movement strategies) obtained while eyes closed standing on firm surface | immediately following physical therapy | 
| Eyes closed standing on firm surface | joint kinematics (movement strategies) obtained while eyes closed standing on firm surface | 6 weeks following physical therapy | 
| Eyes closed standing on firm surface | joint kinematics (movement strategies) obtained while eyes closed standing on firm surface | 12 weeks following physical therapy | 
| Walking | speed obtained from spatial sensor | before physical therapy | 
| Walking | speed obtained from spatial sensor | immediately following physical therapy | 
| Walking | speed obtained from spatial sensor | 6 weeks following physical therapy | 
| Walking | speed obtained from spatial sensor | 12 weeks following | 
| Walking | stride length obtained from spatial sensor | before physical therapy | 
| Walking | stride length obtained from spatial sensor | immediately following physical therapy | 
| Walking | stride length obtained from spatial sensor | 6 weeks following physical therapy | 
| Walking | stride length obtained from spatial sensor | 12 weeks following physical therapy | 
| 5 Times sit to stand test | time to complete obtained from spatial sensor | before physical therapy | 
| 5 Times sit to stand test | time to complete obtained from spatial sensor | immediately following physical therapy | 
| 5 Times sit to stand test | time to complete obtained from spatial sensor | 6 weeks following physical therapy | 
| 5 Times sit to stand test | time to complete obtained from spatial sensor | 12 weeks following physical therapy | 
| 5 Times sit to stand test | knee joint kinematics obtained from spatial sensor | before physical therapy | 
| 5 Times sit to stand test | knee joint kinematics obtained from spatial sensor | immediately following physical therapy | 
| 5 Times sit to stand test | knee joint kinematics obtained from spatial sensor | 6 weeks following physical therapy | 
| 5 Times sit to stand test | knee joint kinematics obtained from spatial sensor | 12 weeks following physical therapy | 
| Step down | knee joint kinematics obtained from spatial sensor | before physical therapy | 
| Step down | knee joint kinematics obtained from spatial sensor | immediately following physical therapy | 
| Step down | knee joint kinematics obtained from spatial sensor | 6 weeks following physical therapy | 
| Step down | knee joint kinematics obtained from spatial sensor | 12 weeks following physical therapy | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measures of processes of care | Questionnaire designed to assess parents' perceptions of the care they and their children receive from children's rehabilitation treatment centres. It is a means to assess family-centred behaviours of health care providers. | immediately following the episode of care | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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technology, neurodevelopmental disorders, pediatrics, rehabilitation, intensive therapy