Can Transcutaneous Electrical Stimulation Garment Improve Gait in Children With Cerebral Palsy?
Effectiveness in Improving Gait and Feasibility of a Transcutaneous Electrical Stimulation Garment in Children With Cerebral Palsy in Singapore
1 other identifier
interventional
20
1 country
1
Brief Summary
Living with cerebral palsy is challenging for the child as well as the family charged with their care and support needs. Many families seek effective and sustainable interventions to improve gait of their children with cerebral palsy. The Mollii suit is a non-invasive therapeutic technology using electrical stimulation in the form of whole-body garment with multiple electrodes individually programmed to stimulate selected muscles. This study aims to examine if the Mollii suit improve gait in ambulant children with cerebral palsy and if the Mollii suit is acceptable and tolerable to children with cerebral palsy. We will recruit up to 20 children with cerebral palsy. This study will evaluate change in gait and function following a four-week intervention period using a protocol of wearing the Mollii suit at home for one hour every day for four weeks using instrumented 3-dimensional gait analysis and objective standardised assessment tools.
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 Dec 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 7, 2020
CompletedStudy Start
First participant enrolled
December 8, 2020
CompletedFirst Posted
Study publicly available on registry
January 20, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2021
CompletedJanuary 20, 2021
January 1, 2021
1.1 years
December 7, 2020
January 14, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Change in Gait Profile Score (GPS)
GPS is a single index measure that summarises the overall deviation of kinematic gait data relative to normative data. It ranges from 0 to 30, the higher the score, the more severe the gait. We will measure change in GPS pre and post intervention.
1 month post intervention
Change in Gait Profile Score (GPS)
GPS is a single index measure that summarises the overall deviation of kinematic gait data relative to normative data. It ranges from 0 to 30, the higher the score, the more severe the gait. We will measure change in GPS pre and post intervention.
2 months post intervention
Change in Gait deviation index (GDI)
GDI provides a numerical value that expresses overall gait pathology (ranging from 0 to 100, where 100 indicates the absence of gait pathology). The higher the GDI, the better the result.
1 month post intervention
Change in Gait deviation index (GDI)
GDI provides a numerical value that expresses overall gait pathology (ranging from 0 to 100, where 100 indicates the absence of gait pathology). The higher the GDI, the better the result.
2 months post intervention
Change in Gait speed (metre/sec)
The faster the gait speed, the better the result.
1 month post intervention
Change in Gait speed (metre/sec)
The faster the gait speed, the better the result.
2 months post intervention
Change in Cadence (steps/ minute)
The higher the cadence, the better the result.
1 month post intervention
Change in Cadence (steps/ minute)
The higher the cadence, the better the result.
2 months post intervention
Secondary Outcomes (12)
Change in Gross motor function measure (GMFM)
1 month post intervention
Change in Gross motor function measure (GMFM)
2 months post intervention
Change in Functional Assessment Questionnaire (FAQ)
1 month post intervention
Change in Functional Assessment Questionnaire (FAQ)
2 months post intervention
Change in EQ5D
1 month post intervention
- +7 more secondary outcomes
Study Arms (1)
Single arm study
EXPERIMENTALThe intervention is the Mollii suit which is fitted and programmed by the Mollii suit distributor, Inerventions and will be administered by trained physiotherapists from KKH. Participants will be involved in the Intervention phase of the study for 4 weeks with treatment duration of 60 min/ session every day.
Interventions
The Mollii suit is a new technology of electrical stimulation in the form of whole-body garment with multiple electrodes individually programmed to stimulate the selected muscles. Based on preliminary studies, it is suggested that the Mollii suit improves spasticity. Recent studies also proposed that it improves mobility, gait, function and quality of life. However, these studies are based on qualitative and subjective measures.
Eligibility Criteria
You may qualify if:
- Aged 4-18
- GMFCS level I to III
- Spasticity as the dominant motor feature
- Children agree to wear the Mollii suit as per procedures and consent to the study
- Parents/carers agree to assist their child to wear the Mollii suit as per procedures
- Medical practitioner's approval
You may not qualify if:
- Individuals with electrical implanted stimulatory device
- Individuals with medical devices that are affected by magnets, such as programmable shunts.
- Individuals with cardiovascular diseases, infectious diseases, malignance (cancer), fever, pregnancy, rashes or skin problems.
- Individuals who have had Botulinum toxin done 6 months prior intervention or soft tissue release surgery done 6 months prior intervention.
- Individuals who have had change in oral medication for spasticity 1 month prior intervention.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- KK Women's and Children's Hospitallead
- Inerventions ABcollaborator
Study Sites (1)
KKWCH
Singapore, 229899, Singapore
Related Publications (2)
Mills PB, Dossa F. Transcutaneous Electrical Nerve Stimulation for Management of Limb Spasticity: A Systematic Review. Am J Phys Med Rehabil. 2016 Apr;95(4):309-18. doi: 10.1097/PHM.0000000000000437.
PMID: 26829077BACKGROUNDWright PA, Durham S, Ewins DJ, Swain ID. Neuromuscular electrical stimulation for children with cerebral palsy: a review. Arch Dis Child. 2012 Apr;97(4):364-71. doi: 10.1136/archdischild-2011-300437.
PMID: 22447997BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Zhi Min Ng, MBBS
KK Women's and Children's Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Consultant
Study Record Dates
First Submitted
December 7, 2020
First Posted
January 20, 2021
Study Start
December 8, 2020
Primary Completion
December 31, 2021
Study Completion
December 31, 2021
Last Updated
January 20, 2021
Record last verified: 2021-01