A Physical Therapy Program Targeting Lower Extremity Selective Motor Control in Children With Spastic Cerebral Palsy
Physical Therapy Program for Selective Motor Control
1 other identifier
interventional
23
1 country
1
Brief Summary
The goal of this intervention study is to learn whether a physical therapy exercise camp called will improve leg movement (motor control) and functional ability in children with spastic CP who are between 5 and 18 years. The main questions the study aims to answer are:
- Does the ability to move the knee at high velocities improve?
- Does function such as walking, running, hopping, climbing stairs improve?
- Will the brain tracts that control movement change?
- Will children who have better independent control of joint motion improve more? All participants will:
- Attend 15 sessions of an exercise camp for 3 hours per day
- Perform a home exercise program after the camp ends Measurements:
- Lower extremity selective motor control
- Knee muscle strength at high speeds using an exercise machine
- Gross motor function
- Gait analysis (walking patterns)
- Parent's perception of their child's ability and their satisfaction with that ability
- Change in brain motor tracts using a scanner (MRI) for participants that meet the inclusion criteria for MRI MRI measurements will be taken twice (before and immediately after the treatment). All other measurements and will be taken 3 times (before, immediately after the treatment and approximately 4 months after the 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 May 2014
Longer than P75 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
May 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 7, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 7, 2019
CompletedFirst Submitted
Initial submission to the registry
December 16, 2025
CompletedFirst Posted
Study publicly available on registry
December 30, 2025
CompletedJanuary 9, 2026
January 1, 2026
4.7 years
December 16, 2025
January 7, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Gross Motor Function Measure
Children are asked to perform functional activities including standing, walking, running, balancing and stair climbing. The data are entered into a computer program to create a score ranging from 0-100. A higher score indicates better function.
nine months
Secondary Outcomes (3)
Knee joint torque
nine months
Canadian Occupational Performance Measure
nine months
Brain MRI - Diffusion tensor imaging
nine months
Study Arms (1)
Participants who have the intervention
EXPERIMENTALphysical therapy exercise intervention
Interventions
In sitting, the thigh and trunk are secured to a seat and the lower leg to a moving arm that provides resistance at exercise velocities progressing up to a maximum of 300 deg/s.
With the child in sitting, the ankle is secured to a moving segment. The child can control games such as tennis by dorsiflexing and plantar flexing their ankle at increasing velocities to meet the demands of the game.
The Canadian Occupational Performance Measure is used to identify functional goals. Activities to address these goals are designed by physical therapists and practiced during camp.
Walking barefoot over sand and grass. Foot and ankle sensory exploration using materials with various textures.
Children practices moving the joints of each lower leg independently.
Eligibility Criteria
You may qualify if:
- spastic cerebral palsy
- age between 5-18 years
- ability to walk at least 10 meters
- ability to follow simple verbal directions
You may not qualify if:
- All participants
- botulinum toxin or serial casting within the preceding 3 months
- recent orthopedic or neurological surgery within the preceding 12 months
- uncontrolled seizures
- For participants undergoing MRI
- inability to lie still
- incompatible metal implants
- baclofen pumps or shunts
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Center for Cerebral Palsy at UCLA/Orthopaedic Institute for Children
Los Angeles, California, 90095, United States
Related Publications (1)
Vuong A, Joshi SH, Staudt LA, Matsumoto JH, Fowler EG. Improved Myelination following Camp Leg Power, a Selective Motor Control Intervention for Children with Spastic Bilateral Cerebral Palsy: A Diffusion Tensor MRI Study. AJNR Am J Neuroradiol. 2023 Jun;44(6):700-706. doi: 10.3174/ajnr.A7860. Epub 2023 May 4.
PMID: 37142433RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eileen G Fowler, PhD, PT
University of California, Los Angeles
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Masking Details
- Outcomes assessor for GMFM was blinded.
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
December 16, 2025
First Posted
December 30, 2025
Study Start
May 1, 2014
Primary Completion
January 7, 2019
Study Completion
January 7, 2019
Last Updated
January 9, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share