A Comparative Analysis on Physical Activity Performance and Motor Function of Affected Upper Extremity Before and After a CIMT Program in Young Children With Hemiparetic Cerebral Palsy
1 other identifier
interventional
20
1 country
1
Brief Summary
This study evaluates CIMT(Constraint Induced Movement Therapy) in the treatment of physical activity performance and motor function of the weaker extremity in young children with cerebral palsy. Half of participants will receive CIMT while the other half will receive no treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2018
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 9, 2018
CompletedFirst Submitted
Initial submission to the registry
January 26, 2018
CompletedFirst Posted
Study publicly available on registry
February 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 8, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2019
CompletedFebruary 27, 2019
February 1, 2019
1.2 years
January 26, 2018
February 25, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Accelerometers(physical activity performance)
For the upper limb use assessment, participants wear two accelerometers (one on each wrist). To quantify the affected upper limb movement relative to the unaffected upper limb before and after the CIMT program, two other variables are computed: use ratio and magnitude ratio. The use ratio is the ratio of the active duration for the affected arm to that for the unaffected arm. The magnitude ratio quantifies the contribution of the affected upper limb to activity.
3 days
Pediatric Motor Activity Log(PMAL)
The Pediatric Motor Activity Log (PMAL) is a parent-report measure of the use, by children with hemiplegic cerebral palsy, of their affected upper limb in everyday activities. Each item is scored 0-5(0= Never used affected arm , 5= Used affected arm on almost every occasion)
30 minutes
Secondary Outcomes (3)
Pediatric Evaluation of Disability Inventory(PEDI)
30 minutes
Peabody Developmental Motor Scales-2(PDMS-2)
30 minutes
Gross motor function measure - 66(GMFM-66)
30 minutes
Study Arms (2)
CIMT group
EXPERIMENTALTwo-hour mCIMT per day for 15 days (dosage = 30 hours) 24-hour restraint for 3 weeks
Control group
NO INTERVENTIONno CIMT
Interventions
Constraint-induced movement therapy (CIMT) is a high-dosage, efficacious, rehabilitation approach used for children with hemiplegic cerebral palsy
Eligibility Criteria
You may qualify if:
- diagnosed with spastic hemiplegic cerebral palsy
- age between 18 months and 36 months
- Mini-MACS level 1-4
You may not qualify if:
- botox injection in upper extremity within 6 months
- poor cooperation with cognitive impairment
- any musculoskeletal disease
- visual or hearing impairment
- uncontrollable epilepsy
- skin damage that makes impossible for participant to wear a splint
- Mini-MACS level 5
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Samsung Medical Center
Seoul, 06351, South Korea
Related Publications (1)
Hwang YS, Kwon JY. Effects of Modified Constraint-Induced Movement Therapy in Real-World Arm Use in Young Children with Unilateral Cerebral Palsy: A Single-Blind Randomized Trial. Neuropediatrics. 2020 Aug;51(4):259-266. doi: 10.1055/s-0040-1702220. Epub 2020 Mar 6.
PMID: 32143221DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 26, 2018
First Posted
February 1, 2018
Study Start
January 9, 2018
Primary Completion
April 8, 2019
Study Completion
December 30, 2019
Last Updated
February 27, 2019
Record last verified: 2019-02