Objective is to study the effect of Targeted Training Therapy on balance control in children with Cerebral Palsy.
ID
Source
Brief title
Condition
- Congenital and peripartum neurological conditions
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Balance (COP analysis and FRT)
Functional skills (GMFM)
Status of ambulance at home (MoVra)
Secondary outcome
--
Background summary
Normal controle of balance is an important condition to develop functions and
skills like arm-hand cordination, sitting, standing and walking. Many children
with Cerebral Palsy (CP) have problems with active balance controle through
which developing these functions and skills are affected.
Targeted Training Therapy is a structured physical therapy treatment to get
active balance control based on biomechanical principles during standing.
Targeted Training Therapy and the required equipement is developed by Dr. P.
Butler and Mr. R. Major.
Study objective
Objective is to study the effect of Targeted Training Therapy on balance
control in children with Cerebral Palsy.
Study design
A pilot randomised clinical trial with 20 children with Cerebral Palsy. The
intervention group and the control group will each consist of 10 participants.
The intervention in the form of TTT will last for 6 monts. Measurements will be
made on 4 occasions, namely, initial (T0), after completion of the therapy
(T3), one in between (T2) and the last 3 months after the therapy is ended (T4).
Measurement instruments are Centre of Pressure analysis (COP) with a Functional
Reach Test (FRT), the Gross Motor Function measure (GMFM) and the Mobility
Questionnaire (MoVra).
Intervention
The intervention (Targeted Trainng Therapy) will be carried out 5 times a week
in a group for 6 months. Part of the TTT is that the participants are standing
in a standing equipment. The control group has no TTT. Both intervention- and
the control groups will receive normal physical therapy treatment during the
period.
Study burden and risks
There is minimal risk for the participants
The load of measurements at the different moments is low for participants.
Frequency (5 times a week) and total duration of the intervention(6 months) can
be experienced as much. Information about frequency and duration is given
before start of the investigation. Ther will be regular feedback with parents
and teachers about the load of the intervention for the children.
Roessinghsbleekweg 33
7522AH Enschede
Nederland
Roessinghsbleekweg 33
7522AH Enschede
Nederland
Listed location countries
Age
Inclusion criteria
Cerebral Palsy diagnosis,
GMFCS level 2, 3 and 4
Hagberg diagnosis: spastic diplegia or tetraplegia
Age:2 to 12 years
Mobility: shoulders: movements above 90 degrees should be possible
Hips: maximal flectiondeformity is 20 degrees
Knees: maximal flectiondeformity is 10 degrees
Mental level of the child:he/she understands the tasks and can carry them out. Interactive playing is possible. Bearing the load should be possible for the child and his parents.
Exclusion criteria
Severe epilepsy
Other interventions like operations or botoxinjections in the past half year or in the coming half year.
Severe structural deformities of muscles and joints
Severe athetose
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL14324.080.06 |