RecruitingNot ApplicableNCT05805410

Neuromuscular Mechanisms of Specific Trunk Interventions in Children With CP

Neuromuscular Mechanisms of Specific Trunk Interventions in Children With Cerebral Palsy


Sponsor

Shirley Ryan AbilityLab

Enrollment

44 participants

Start Date

Nov 1, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Determine the effect of repeated pelvis perturbation training on trunk posture and locomotor function in children with CP.


Eligibility

Min Age: 4 YearsMax Age: 12 Years

Inclusion Criteria7

  • Children with a diagnosis of bilateral spastic CP attributed to complications of prematurity, intracranial hemorrhage and periventricular leukmalacia according to the definition of Bax.
  • Children aged 4 to 12 years old without Botulinum toxin treatment within 6 months, and without surgeries (such as selective dorsal rhizotomy) within 12 months before the onset of the training.
  • Subjects will be able to remain seated without help for ≥10s.
  • GMFCS levels will be I to IV.
  • Children must be able to signal pain, fear or discomfort reliably.
  • Children with mild scoliosis (Cobb angle < 20 °).
  • Children with CP who have no prior hippotherapy experiences within 6 months.

Exclusion Criteria5

  • severe lower extremity contractures, fractures, osseous instabilities, osteoporosis.
  • severe disproportional bone growth.
  • unhealed skin lesions in the lower extremities.
  • thromboembolic diseases, cardiovascular instability.
  • aggressive or self-harming behaviors.

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Interventions

BEHAVIORALrobotic hippotherapy

A custom designed cable-driven robotic system that mimics horseback movement during walking was used in this study.

BEHAVIORALConventional physical therapy

Stretching of trunk and leg muscles, followed by sitting and standing balance training, and conventional treadmill walking.


Locations(1)

Shirley Ryan AbilityLab

Chicago, Illinois, United States

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NCT05805410


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