Biofeedback-enhanced Interactive Computer-play for Youth With Cerebral Palsy

NCT03677193 | Completed

• 1 other identifier: 18-785
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

The protocol aims to evaluate the feasibility and potential efficacy of an Interactive Computer Play (ICP) intervention. The ICP intervention is built to help youth with Cerebral palsy (CP) who have difficulty performing activities of daily living with their hand. The ICP intervention is a video game controlled by performing gestures with the non-dominant hand. Using Low-cost commercial technology muscle activity and arm movement is used to recognize the gestures which control the game. Players will get feedback in the game about the quality of their movements through the built-in points and rewards system. This repetitive practice and feedback will help the participants build strength and control in their arm. To evaluate this ICP intervention, 10 participants, with hemiplegic CP and 8-18 years old, from Holland Bloorview will be recruited for a pilot feasibility study using a single-case experimental design (SCED). The design is as follows:

1. 1.Phase 1. Participants will speak with therapists / researchers in an Initial Dialogue to:
2. 2.Introduce the study/game and what it offers types of daily activities
3. 3.Set Performance goal areas (Canadian Occupational Performance Measure (COPM)), and
4. 4.Develop an action plan to facilitate the successful achievement of their goals.
5. 5.Phase 2. Participants will perform baseline functional assessments including: active range of motion (AROM), Assisting Hand Assessment (AHA), Box and Blocks Test (B\&B).
6. 6.Phase 3. During the 4-week intervention, participants will play the ICP game from their home according to the goals they define during the initial dialogue. This is expected to be 20-30 min \* 5 days per week. Once per week, participants will play the ICP intervention with a researcher in clinic or at home who will also measure AROM while recording the play session.
7. 7.Phase 4. After the intervention, participants will complete clinical measures of functional performance (AROM, AHA, B\&B) a final time and speak with therapist and researcher to re-evaluate goals (COPM).

Conditions

Cerebral Palsy

Outcome Measures

Primary Outcomes (2)

• Change in Active Range of Motion (AROM)

  active wrist AROM

  pre-intervention, each week of intervention (weeks 1-4 of the intervention)

• Change in Canadian Occupational Performance Measure (COPM)

  Evaluates changes in perceived function and satisfaction of performance in self-identified goal areas.

  pre-intervention, post-intervention (5 weeks after pre-intervention)

Secondary Outcomes (2)

• Change in Assisting Hand Assessment (AHA)

  Pre-intervention, post-intervention (5 weeks after pre-intervention)

• Change in Box and Blocks Test (B&B)

  Pre-intervention, post-intervention (5 weeks after pre-intervention)

Study Arms (1)

Experimental arm

EXPERIMENTAL

Behavioral: Playing ICP game

Interventions

Playing ICP game BEHAVIORAL

Participants will play the ICP game from their home this is expected to be 30 min \* 5 days / week for 4 weeks. Once per week, participants will play the ICP game with a researcher.

Experimental arm

Eligibility Criteria

• Age: 8 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Clinical diagnosis of Cerebral Palsy.
• Age: 8-18 years. This age range was selected given the popularity of video games and the size of the muscle sensors available.
• Manual Abilities Classification System levels I-III.
• Have a goal relating to improving hand / wrist function.
• Dominantly spastic presentation
• Able to co-operate, understand, and follow simple instructions for game play. This will be assessed during the information and assent process by the researcher.
• Having passive ROM of at least 10° greater than AROM.

You may not qualify if:

• History of unmanaged epilepsy. Video game systems are not recommended for individuals with a history of epilepsy as per manufacturer's Health and Safety Precautions.
• Has received a Botulinum Toxin treatment within 3 months or constraint-based movement therapy within 6 months of the study enrollment.
• Visual, cognitive or auditory disability at a level that would interfere with game play. The child must have normal or corrected to normal vision and hearing.
• Dominantly dystonic presentation
• Unable to commit an estimated minimum of 10 hours to their training plan over four weeks.

Sponsors & Collaborators

• Holland Bloorview Kids Rehabilitation Hospital: lead

Study Sites (1)

Holland Bloorview Kids Rehabilitation Hospital

Toronto, Ontario, M4G 1R8, Canada

Location

Related Publications (1)

• MacIntosh A, Desailly E, Vignais N, Vigneron V, Biddiss E. A biofeedback-enhanced therapeutic exercise video game intervention for young people with cerebral palsy: A randomized single-case experimental design feasibility study. PLoS One. 2020 Jun 22;15(6):e0234767. doi: 10.1371/journal.pone.0234767. eCollection 2020.

  PMID: 32569284 DERIVED

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

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

Study Officials

• Elaine Biddiss, PhD

  Bloorview Research Institute

  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: SPONSOR

Model Details: The study will be conducted a single-case experimental design (SCED). Participants will be randomly assigned to begin the intervention at staggered starting-points.

Study Record Dates

• First Submitted: July 31, 2018
• First Posted: September 19, 2018
• Study Start: September 27, 2018
• Primary Completion: March 14, 2019
• Study Completion: March 15, 2019
• Last Updated: January 31, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)