Case Series_Targeted Training for Trunk Control Cerebral Palsy

NCT02246751 | Completed

• 1 other identifier: CP_TT_2014
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

Little is known about how children with cerebral palsy (CP) use their sensory systems (touch, sense of body position, balance organs in the inner ear, vision) to help them achieve trunk control for independent sitting. If a child with CP does not achieve trunk control by 4 years of age their prognosis for motor skill development including walking is poor. Clinical researchers at The Movement Centre in Oswestry, England have developed a method called Targeted Training in which children train trunk control in small segments from the top down using a custom fit training device. This study aims to examine how children with moderate to severe CP use sensory information for trunk control before, during and after a program of Targeted Training.

Conditions

Cerebral Palsy

Keywords

postural control; Targeted Training; cerebral palsy; sensorimotor control; trunk segments

Outcome Measures

Primary Outcomes (1)

• Change in sensory motor processes

  Change in sensory motor processes as evidenced by kinematic measures during sitting balance perturbation tasks.

  9 months and 1 and 3 months post training

Secondary Outcomes (2)

• Change in gross motor functional skills (e.g. sitting, crawling, standing)

  9 months and 1 & 3 months post training

• Segmental Assessment of Trunk Control

  2, 4, 6, 8 and 9 months and 1 & 3 months post training

Other Outcomes (1)

• Participation and Environment Measure for Children and Youth (CY) or Young Children (YC) (PEM-CY for children 5-12 years of age, or YC-PEM for children 2-5 years)

  9 months and 3 months post training

Study Arms (1)

Single subject design case series

EXPERIMENTAL

Targeted Training for trunk control, 5-6 days a week for 9 months, minimum of 20 minutes per day.

Device: Targeted Training for trunk control

Interventions

Targeted Training for trunk control DEVICE

Orthotics Research and Locomotor Research Unit (ORLAU) standers will be custom fit to help the child train at the segmental level of the trunk where they begin to lose control of posture. The typical course of treatment involves loaning the customized equipment to each family for use in their home or in their child's educational setting. Training occurs once daily usually for 30-45 minutes. This is done 5 or 6 days per week. Training programs typically involve playing with balls or balloons or video games that motivate the child to hold the head erect and to wave the arms and hands and move the upper body. The researchers evaluate children every 8 weeks and adjust the stander to lower levels of support as the child gains control.

Also known as: Segmental training for trunk control

Single subject design case series

Eligibility Criteria

• Age: 2 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• cerebral palsy
• age 2-12 years
• Gross Motor Function Classification System (GMFCS) Level III, IV or V

You may not qualify if:

• spinal fixation
• fixed scoliosis
• uncontrolled seizures

Sponsors & Collaborators

• University of Hartford: lead

Study Sites (1)

Pediatric Balance Laboratory; University of Hartford;

West Hartford, Connecticut, 06117, United States

Location

Related Publications (4)

• Goodworth AD, Peterka RJ. Sensorimotor integration for multisegmental frontal plane balance control in humans. J Neurophysiol. 2012 Jan;107(1):12-28. doi: 10.1152/jn.00670.2010. Epub 2011 Sep 21.

  PMID: 21940611 BACKGROUND

• Goodworth AD, Peterka RJ. Contribution of sensorimotor integration to spinal stabilization in humans. J Neurophysiol. 2009 Jul;102(1):496-512. doi: 10.1152/jn.00118.2009. Epub 2009 Apr 29.

  PMID: 19403751 BACKGROUND

• Saavedra SL, van Donkelaar P, Woollacott MH. Learning about gravity: segmental assessment of upright control as infants develop independent sitting. J Neurophysiol. 2012 Oct;108(8):2215-29. doi: 10.1152/jn.01193.2011. Epub 2012 Jul 25.

  PMID: 22832568 BACKGROUND

• Butler PB, Saavedra S, Sofranac M, Jarvis SE, Woollacott MH. Refinement, reliability, and validity of the segmental assessment of trunk control. Pediatr Phys Ther. 2010 Fall;22(3):246-57. doi: 10.1097/PEP.0b013e3181e69490.

  PMID: 20699770 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Sandra Saavedra, MS, PT, PhD

  University of Hartford

  PRINCIPAL INVESTIGATOR

• Adam Goodworth, MS, PhD

  University of Hartford

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 16, 2014
• First Posted: September 23, 2014
• Study Start: September 1, 2014
• Primary Completion: March 30, 2020
• Study Completion: March 30, 2020
• Last Updated: September 7, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)