NCT06033885

Brief Summary

Standing frames have existed for a long time and are well-established medical devices used to allow weight bearing in standing for persons who are unable to stand independently. Documenting the effectiveness of interventions using standing frames is complex. The current evidence base for their use is limited due to studies of low to moderate quality and small effects documented. Providing real-time feed-back on force and position and thus continuous tracking of the intensity allows for informed decision making about the support provided by the standing frame in clinical settings, thereby making it possible to document the potential setup for optimal support and potential association between the intensity and positive effects of the standing frames. The objective of the study is to document potential short-term benefits on a) patient satisfaction and health-related quality of life and b) changes in prescription from the prescribing therapist of the use of standing frames in children with standing disabilities when PONDUS®, a digital product used to assess the force applied during standing in a R82 standing frame is applied opposed to current practice. The study is a one-arm feasibility intervention study using participants as their own controls. The study will include 15 children with functional disabilities who currently uses a standing frame.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

September 5, 2023

Completed
8 days until next milestone

First Posted

Study publicly available on registry

September 13, 2023

Completed
4 months until next milestone

Study Start

First participant enrolled

January 15, 2024

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 20, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 20, 2024

Completed
Last Updated

June 24, 2024

Status Verified

June 1, 2024

Enrollment Period

5 months

First QC Date

September 5, 2023

Last Update Submit

June 21, 2024

Conditions

Keywords

ChildrenAdolescentsStanding frame

Outcome Measures

Primary Outcomes (1)

  • Patient satisfaction with an instrumented standing frame

    Patient satisfaction with an instrumented standing frame will be assessed with the Quebec User Evaluation of Satisfaction with Assistive Technology (Quest 2.0) questionnaires eight items assessing characteristics of the assistive device in terms of the following dimensions: 1) dimensions (size), 2. weight, 3. adjustments, 4. safety, 5. durability, 6. simplicity of use, 7. comfort and 8. effectiveness. For each item, the questionnaire uses a 5point scale, 1 being not satisfied at all and 5 being very satisfied.

    8 weeks difference in change score between the control period and intervention period

Secondary Outcomes (4)

  • The three most important aspects of patient satisfaction with an instrumented standing frame

    8 weeks difference in change score between the control period and intervention period

  • Usability of an instrumented standing frame

    8 weeks difference in change score between the control period and intervention period

  • Health-related quality of life

    8 weeks difference in change score between the control period and intervention period

  • Changes in prescription from the prescribing therapist

    8 weeks difference in change score between the control period and intervention period

Other Outcomes (2)

  • Patient satisfaction with assistive device service of an instrumented standing frame

    8 weeks difference in change score between the control period and intervention period

  • Patient satisfaction with PONDUS®

    4 weeks score from the intervention period

Study Arms (1)

4-week control period + 4-week intervention period

EXPERIMENTAL

Prior to the intervention a 4-week control period, where the non-instrumented standing frame is used according to current practice, will be carried out. Subsequently, a 4-week intervention period, where the standing frame is instrumented (PONDUS®) allowing continued adjustments of the force and position within and between sessions will be conducted.

Device: PONDUS®

Interventions

PONDUS®DEVICE

PONDUS® is a CE-marked medical device to support the positioning of the user in a R82 standing frame. PONDUS® is designed as a pair of instrumented foot plates and an app as an external display. PONDUS® gives individual readings from the right and the left plate telling how much force is applied to each plate by combining high frequency data from three pressure sensors in each plate. The data is displayed in the app as a time series graph and can also be exported.

4-week control period + 4-week intervention period

Eligibility Criteria

Age3 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Children with disabilities aged 3-17 years who uses a standing frame
  • Informed consent from parents
  • Informed consent from children aged 15-17 years

You may not qualify if:

  • Earlier interventions in the form of orthopedic surgery within the past 52 weeks
  • Injections with botulinum toxin type A in the 12 weeks prior to baseline assessments
  • Insufficient co-operation and cognitive understanding to participate in the study
  • Planned interventions in form of orthopedic surgery and/or botulinum toxin type A in the study period

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Southern Denmark

Odense C, 5000, Denmark

Location

Related Publications (18)

  • WHO Multicentre Growth Reference Study Group. WHO Motor Development Study: windows of achievement for six gross motor development milestones. Acta Paediatr Suppl. 2006 Apr;450:86-95. doi: 10.1111/j.1651-2227.2006.tb02379.x.

    PMID: 16817682BACKGROUND
  • Wijnhoven TM, de Onis M, Onyango AW, Wang T, Bjoerneboe GE, Bhandari N, Lartey A, al Rashidi B. Assessment of gross motor development in the WHO Multicentre Growth Reference Study. Food Nutr Bull. 2004 Mar;25(1 Suppl):S37-45. doi: 10.1177/15648265040251S105.

    PMID: 15069918BACKGROUND
  • Goodwin J, Lecouturier J, Smith J, Crombie S, Basu A, Parr JR, Howel D, McColl E, Roberts A, Miller K, Cadwgan J. Understanding frames: A qualitative exploration of standing frame use for young people with cerebral palsy in educational settings. Child Care Health Dev. 2019 May;45(3):433-439. doi: 10.1111/cch.12659.

    PMID: 30883842BACKGROUND
  • Paleg GS, Smith BA, Glickman LB. Systematic review and evidence-based clinical recommendations for dosing of pediatric supported standing programs. Pediatr Phys Ther. 2013 Fall;25(3):232-47. doi: 10.1097/PEP.0b013e318299d5e7.

    PMID: 23797394BACKGROUND
  • Rodby-Bousquet E, Hagglund G. Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study. BMC Musculoskelet Disord. 2010 Jun 23;11:131. doi: 10.1186/1471-2474-11-131.

    PMID: 20573201BACKGROUND
  • Rivi E, Filippi M, Fornasari E, Mascia MT, Ferrari A, Costi S. Effectiveness of standing frame on constipation in children with cerebral palsy: a single-subject study. Occup Ther Int. 2014 Sep;21(3):115-23. doi: 10.1002/oti.1370. Epub 2014 May 16.

    PMID: 24838311BACKGROUND
  • Capati V, Covert SY, Paleg G. Stander Use for an Adolescent with Cerebral Palsy at GMFCS Level with Hip and Knee Contractures. Assist Technol. 2020 Nov 1;32(6):335-341. doi: 10.1080/10400435.2019.1579268. Epub 2019 Apr 4.

    PMID: 30945990BACKGROUND
  • Han EY, Choi JH, Kim SH, Im SH. The effect of weight bearing on bone mineral density and bone growth in children with cerebral palsy: A randomized controlled preliminary trial. Medicine (Baltimore). 2017 Mar;96(10):e5896. doi: 10.1097/MD.0000000000005896.

    PMID: 28272197BACKGROUND
  • Macias-Merlo L, Bagur-Calafat C, Girabent-Farres M, A Stuberg W. Effects of the standing program with hip abduction on hip acetabular development in children with spastic diplegia cerebral palsy. Disabil Rehabil. 2016;38(11):1075-81. doi: 10.3109/09638288.2015.1100221. Epub 2015 Oct 30.

    PMID: 26517269BACKGROUND
  • Macias-Merlo L, Bagur-Calafat C, Girabent-Farres M, Stuberg WA. Standing Programs to Promote Hip Flexibility in Children With Spastic Diplegic Cerebral Palsy. Pediatr Phys Ther. 2015 Fall;27(3):243-9. doi: 10.1097/PEP.0000000000000150.

    PMID: 26020594BACKGROUND
  • Hough JP, Boyd RN, Keating JL. Systematic review of interventions for low bone mineral density in children with cerebral palsy. Pediatrics. 2010 Mar;125(3):e670-8. doi: 10.1542/peds.2009-0292. Epub 2010 Feb 1.

    PMID: 20123765BACKGROUND
  • Salem Y, Lovelace-Chandler V, Zabel RJ, McMillan AG. Effects of prolonged standing on gait in children with spastic cerebral palsy. Phys Occup Ther Pediatr. 2010 Feb;30(1):54-65. doi: 10.3109/01942630903297177.

    PMID: 20170432BACKGROUND
  • Curtis DJ, Woollacott M, Bencke J, Lauridsen HB, Saavedra S, Bandholm T, Sonne-Holm S. The functional effect of segmental trunk and head control training in moderate-to-severe cerebral palsy: A randomized controlled trial. Dev Neurorehabil. 2018 Feb;21(2):91-100. doi: 10.1080/17518423.2016.1265603. Epub 2017 Jan 3.

    PMID: 28045553BACKGROUND
  • Curtis DJ, Butler P, Saavedra S, Bencke J, Kallemose T, Sonne-Holm S, Woollacott M. The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross-sectional study. Dev Med Child Neurol. 2015 Apr;57(4):351-7. doi: 10.1111/dmcn.12641. Epub 2014 Nov 20.

    PMID: 25412902BACKGROUND
  • Pedlow K, McDonough S, Lennon S, Kerr C, Bradbury I. Assisted standing for Duchenne muscular dystrophy. Cochrane Database Syst Rev. 2019 Oct 13;10(10):CD011550. doi: 10.1002/14651858.CD011550.pub2.

    PMID: 31606891BACKGROUND
  • Paleg G, Altizer W, Malone R, Ballard K, Kreger A. Inclination, hip abduction, orientation, and tone affect weight-bearing in standing devices. J Pediatr Rehabil Med. 2021;14(3):433-441. doi: 10.3233/PRM-190660.

    PMID: 34057103BACKGROUND
  • Herman D, May R, Vogel L, Johnson J, Henderson RC. Quantifying weight-bearing by children with cerebral palsy while in passive standers. Pediatr Phys Ther. 2007 Winter;19(4):283-7. doi: 10.1097/PEP.0b013e318156cc4d.

    PMID: 18004195BACKGROUND
  • Kecskemethy HH, Herman D, May R, Paul K, Bachrach SJ, Henderson RC. Quantifying weight bearing while in passive standers and a comparison of standers. Dev Med Child Neurol. 2008 Jul;50(7):520-3. doi: 10.1111/j.1469-8749.2008.03021.x.

    PMID: 18611202BACKGROUND

Study Officials

  • Anders Holsgaard-Larsen, Professor

    Department of Clinical Research, SDU & Department of Orthopaedics and Traumatology, OUH

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

September 5, 2023

First Posted

September 13, 2023

Study Start

January 15, 2024

Primary Completion

June 20, 2024

Study Completion

June 20, 2024

Last Updated

June 24, 2024

Record last verified: 2024-06

Data Sharing

IPD Sharing
Will not share

Due to ethical and legal considerations, our data cannot be shared publicly. This is due to the restrictions from the Regional and the National Committee on Health Research Ethics and the General Data Protection Regulation (EU) 2016/679, since the data contains person-specific information on birth date, sex, and diagnosis classification among other. Data are available for researchers who meet the criteria for access to confidential data. Access may be acquired through contact to the research group.

Locations