Intensive Pediatric Group Intervention
NCT Number: NCT06527469
Status: NOT_YET_RECRUITING
Study Type: OBSERVATIONAL
Conditions: Cerebral Palsy
Interventions: OTHER: PhysZou emPOWER: a strength, power, and gait intervention group physical therapy program for children with CP
Sponsor: University of Missouri-Columbia
Sex: ALL
Age: CHILD
Enrollment: 6
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-08-19
Completion Date: 2025-02
Locations: PhysZou-University of Missouri Department of Physical Therapy, Columbia, Missouri, 65211, United States

Summary:
The purpose of the Mizzou emPOWER program is to meet the curricular needs of entry-level doctorate of physical therapy students by providing them the real-world experience of implementing recent evidence surrounding physical therapy dosing for children with cerebral palsy (CP) for power, strength, and gait interventions while meeting an unmet community need.

Primary Outcome Measures: 1 Repetition Maximum (1-RM) Testing, Particpants will complete strength testing of hip/knee extensors and plantarflexor muscle groups using a leg press, using 1 Rep max testing protocols, as outlined in Pontiff and moreau, 2022. (PMID 35960137), Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|10 meter walk test, Walking speed test of 10 meter distance, completed in both conditions of self selected speed and fast gait speed, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Keiser Leg Press, Assessment of lower extremity power, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Timed up and Down Stairs, Functional measure of how quickly child can climb up and down 1 flight of stairs, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|30 second sit to stands, This is a clinical assessment of lower extremity strength, in which investigators count the number of repetitions of sit to stands completed in 30 seconds., Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|30 second half kneel to stand, This is a clinical assessment of lower extremity strength, in which investigators count the number of repetitions of half kneel to stand complete correctly in a 30 second time period., Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Lateral Step Ups, This is a clinical assessment of lower extremity strength, in which investigators count the number of repetitions of lateral step ups completed in 30 seconds on a standard size 6 inch step., Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Gross Motor Function Measure-88 (GMFM-88), This is a criterion referenced measure of gross motor function and is valid and reliable for children with cerebral palsy. It evaluates motor skills that are typical for normal development. Dimensions D and E will be utilized, as these 2 sections assess the overall gross motor function in direct relation to standing, walking, running, and jumping., Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Canadian Occupational Performance Measure, Evidence-based outcome measure designed to capture a client's self-perception of performance in goals they determine before intervention. The measurement focuses on self-care, leisure activities, and productivity. The participant rates their performance and their satisfaction with their performance on a scale from 1-10, with 1 indicating poor performance and low satisfaction, while 10 indicates very good performance and high satisfaction., Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Standing balance with eyes closed standing on firm surface, Participants will stand on a force plate with eyes closed. Postural control information is obtained from the investigators and the force plate tracks the center of pressure of the participant., Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Standing balance with eyes closed standing on firm surface, Joint kinematics (movement strategies) obtained while eyes closed standing on firm surface, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Walking- single task, Walking speed is obtained form spatial sensor, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Walking- single task, Stride length obtained from spatial sensor, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Walking- cognitive dual task, speed of walking will be obtained from spatial sensor while completing appropriate/salient cognitive dual task, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Walking- cognitive dual task, stride length will be obtained from spatial sensor while completing appropriate/salient cognitive dual task, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|5 Times sit to stand test, time to complete and knee joint kinematics obtained from spatial sensor, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Step down, knee joint kinematics obtained from spatial sensor while the participant steps down from a 6 inch curb step, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Jumping, Production of power will be obtained from force plate and spatial sensor, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Jumping, Assessment of knee joint kinematics during jumping will be obtained from force plate and spatial sensor, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).|Reaction time, measurement of upper extremity reaching reaction, Before PT intervention begins (week 1), midpoint of program (Week 7), and last week of program (week 15).
Secondary Outcome Measures: Perspectives of children and caregivers, Semi-structured interviews will provide researchers with the perspective of the children and caregivers who participated in this novel program., Completion of program (Week 15)|Perspectives of children and caregivers, Open ended surveys will provide researchers with the perspective of the children and caregivers who participated in this novel program., Completion of program (Week 15)|Perspectives of Doctor of Physical Therapy Students, Open ended surveys will provide researchers and faculty with the perspective of the learning opportunity from the students, Completion of program (week 15)