Clinical trial NCT02666560: Does Increasing Auditory Cueing Affect Gait Parameters in Children With Cerebral Palsy During a Functional Task?
Official title: Does Increasing Auditory Cueing Affect Gait Parameters in Children With Cerebral Palsy During a Functional Task?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cerebral Palsy
Children
Keywords: Auditory Cueing
Gait
Lead sponsor: Institute of Child Health
Sponsor class: OTHER
Collaborators: name: Gateshead Health NHS Foundation Trust
First posted: 2016-01-28
Enrollment: 19
Sex: ALL
Minimum age (years): 5
Maximum age (years): 11
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: To determine the clinical efficacy of auditory cueing using a cross over design to investigate whether increasing auditory cueing frequency by 20% above self paced cadence affects gait parameters in children with Cerebral Palsy when performing a functional task.

Detailed description: Introduction: Cerebral Palsy is a non progressive disorder occurring in early brain development, resulting in inefficient ambulatory pattern. The use of sensory cues to facilitate loco-motor activity has been suggested as providing the necessary trigger to synchronise movement with greater beneficial outcomes observed at higher frequency intensities within the adult population. Thus auditory cueing could have the potential to alter gait parameters during a functional task.

Aim: To explore if increasing auditory cueing frequency (AC20) affects gait during a functional task compared to auditory cueing at self-paced cadence (ACSC).

Method: Nineteen children with CP levels 1 and 2 on the Gross Motor Function Classification Scale participated using paired analysis. Outcomes were compared to the mean values for temporal spatial gait data within the conditions using a cross over design. TS data was obtained by using the GAITRite® walkway system whilst walking holding a cup.

Eligibility criteria: Inclusion Criteria:

* Children with Cerebral Palsy aged 5 to 11 years old who were scored as levels 1 to 2 on the Gross Motor Function Classification Scale.
* Cognitive status average or above on the Weschler Intelligence Scale for children.
* Able to hear without the use of a hearing aid.

Exclusion Criteria:

* Hearing impairment that results in the use of a hearing aid.
* Walking with assistance of a mobility aid.
* Cardiovascular problems or other associated health problems which limits the child waking multiple times over the GAITRite®.

Primary outcomes:
measure: Step Length as Measured by the Gaitrite Walk-way System.
timeFrame: Data was collected at a single time point for each condition. Conditions occurred within a two week time period.
Secondary outcomes:
measure: Velocity as Measured by the Gaitrite Walk-way System.
timeFrame: Data was collected at a single time point for each condition. Conditions occurred within a two week time period.
measure: Step Time as Measured by the Gaitrite Walk-way System.
timeFrame: Data was collected at a single time point for each condition. Conditions occurred within a two week time period.
measure: Cadence as Measured by the Gaitrite Walk-way System.
timeFrame: Data was collected at a single time point for each condition. Conditions occurred within a two week time period.
measure: Time Spent in Double Support as Measured by the Gaitrite Walk-way System.
timeFrame: Data was collected at a single time point for each condition. Conditions occurred within a two week time period.
measure: Time Spent in Single Support as Measured by the Gaitrite Walk-way System.
timeFrame: Data was collected at a single time point for each condition. Conditions occurred within a two week time period.
Other outcomes:
Locations:
Study officials:
affiliation: University College, London
name: Melissa Walk-ley
role: PRINCIPAL_INVESTIGATOR
affiliation: Northumberia University
name: Ann Lyons, PHD
role: STUDY_CHAIR
References:
citation: Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, Wood E, Bartlett DJ, Galuppi BE. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. JAMA. 2002 Sep 18;288(11):1357-63. doi: 10.1001/jama.288.11.1357.
citation: Kwak, E. (2007) Effect of rhythmic auditory stimulation on controlling stepping cadence of individuals with mental retardation and cerebral palsy. International journal of special education, vol 27, no 3, pp. 1-8.
citation: Kim SJ, Kwak EE, Park ES, Lee DS, Kim KJ, Song JE, Cho SR. Changes in gait patterns with rhythmic auditory stimulation in adults with cerebral palsy. NeuroRehabilitation. 2011;29(3):233-41. doi: 10.3233/NRE-2011-0698.