Loading Gait in Spatic Cerebral Palsy

NCT02010736 | Completed

• 1 other identifier: CEP-UFRN 76519/2012
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to observe the behavior of kinematic variables in children with spastic hemiparetic cerebral palsy (SHCP), immediately after treadmill gait training with ankle loading. The children underwent a single treadmill training session with ankle loading. The kinematic parameters were assessed in three phases: before training (PRE); immediately after training (POST); and 5 minutes after the end of training (FOLLOW UP). The investigators hypothesized that the treadmill gait training with additional lower limb loading would be a disturbance capable of modifying the locomotor strategy of children with SHCP, by the increase in kinematic parameters in the swing phase of gait.

Conditions

Spastic Hemiplegic Cerebral Palsy

Keywords

Cerebral palsy; Gait; Weight Bearing; Rehabilitation

Outcome Measures

Primary Outcomes (1)

• Changes in kinematic gait parameters after treadmill trainning with ankles loading

  Kinematic gait data were captured by Qualisys Track Manager 1.6.0.x - QTM software and exported to Visual3D processing software, to reconstruct the segments and create a biomechanical model. It was carried out in two stages: static and dynamic collection. The dynamic collection was performed while the children walked on the electric treadmill. The primary outcome measure was the following spatiotemporal variables at the POST phase: cadence (steps/min), stride length (m), paretic step length (m), stance time (%), swing time (%) paretic lower limb (PLL), double stance (%), symmetry ratio and stance/swing time ratio. With respect to angular variables, the following parameters was analysed: angular displacement (maximum flexion, maximum extension and range of motion) of the hip and knee were investigated (º).

  Immediately after training with ankles loading (POST phase)

Secondary Outcomes (1)

• Changes in kinematic gait parameters after five minutes of rest

  After five minutes of rest (FOLLOW UP phase)

Study Arms (1)

Spastic Hemiparetic Cerebral Palsy

EXPERIMENTAL

Single treadmill gait training with additional loading

Other: Single treadmill gait training with additional loading

Interventions

Single treadmill gait training with additional loading OTHER

Spastic Hemiparetic Cerebral Palsy

Eligibility Criteria

• Age: 5 Years - 13 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Spastic Hemiparetic Cerebral Palsy;
• Being able to walk without an assistive device (levels I or II of the Gross Motor Function Classification System - GMFCS);
• Not having undergone muscle lengthening surgery within the previous year;
• Not having applied botulin toxin to the lower limbs or serial casting in the previous 6 months.

You may not qualify if:

• Inability to understand simple commands to perform the training and evaluation;
• Inability to walk on the treadmill with or without load on the lower limbs;
• Presence of any physical pain or discomfort during the course of training.

Sponsors & Collaborators

• Universidade Federal do Rio Grande do Norte: lead
• Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.: collaborator

Study Sites (1)

Universidade Federal do Rio Grande do Norte

Natal, Rio Grande do Norte, 59072-970, Brazil

Location

Related Links

• Cerebral palsy
• Gait training

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Camila R Simão, MSc

  Universidade Federal do Rio Grande do Norte

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: December 5, 2013
• First Posted: December 13, 2013
• Study Start: September 1, 2012
• Primary Completion: October 1, 2012
• Study Completion: November 1, 2012
• Last Updated: December 16, 2013

Record last verified: 2013-12

Locations

BR (1)