Study of a Stationary Cycling Intervention for Children With Spastic Diplegic Cerebral Palsy
The recruitment status of this study is unknown because the information has not been verified recently.
Verified November 2006 by University of Southern California.
Recruitment status was Active, not recruiting
Recruitment status was Active, not recruiting
Sponsor:
University of Southern California
Collaborator:
Physical Therapy Clinical Research Network
Information provided by:
University of Southern California
ClinicalTrials.gov Identifier:
NCT00401154
First received: November 15, 2006
Last updated: NA
Last verified: November 2006
History: No changes posted
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Purpose
The study is about the effect of an exercise program using stationary bicycling for children with the spastic diplegic form of cerebral palsy. Spastic diplegia is a type of cerebral palsy that involves spasticity or “tightness” of the leg muscles. We hope to learn whether this type of exercise will allow the children to develop improved strength in the muscles that bend and straighten their knees, enhance their level of physical fitness, improve their ability to walk and improve their ability to perform other activities that are important to them. We hypothesize that children who participate in the stationary cycling intervention will gain strength in the muscles that bend and straighten their knees, will be able to complete a 600 yard walk run test (a test of endurance) more rapidly, and will improve their score on a test of function called the Gross Motor Function Measure (a test designed specifically for children with cerebral palsy).
| Condition | Intervention | Phase |
|---|---|---|
|
Spastic Diplegic Cerebral Palsy |
Behavioral: Stationary Cycling |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Single Blind Primary Purpose: Treatment |
| Official Title: | Pediatric Endurance and Limb Strengthening (PEDALS) |
Resource links provided by NLM:
Further study details as provided by University of Southern California:
Primary Outcome Measures:
- All measures will be taken at baseline and followup evaluations, within a two week period after enrollment, and within a two week period after completion of the intervention.
- Gross Motor Function Measure (GMFM)
- 600 Yard Walk-Run Test
- 30 Second Walk Test
- Knee Flexor and Knee Extensor Torque
- PedsQL
- Pediatric Outcomes Data Collection Instrument (PODCI)
Secondary Outcome Measures:
- Gait Analysis will be performed on a subset of the children enrolled.
| Estimated Enrollment: | 60 |
| Study Start Date: | September 2003 |
| Estimated Study Completion Date: | January 2006 |
Eligibility| Ages Eligible for Study: | 7 Years to 18 Years |
| Genders Eligible for Study: | Both |
Criteria
Inclusion Criteria:
- between the ages of 7 and 16 years and engaged in regular education as their primary academic path (children receiving resource help will not be excluded); - ability to follow simple verbal directions;
- good or fair selective motor control for at least one limb; and
- ability to walk independently, with or without assistive devices, for short distances. The lowest level of walking ability for inclusion is independent walking indoors but limitations outdoors and in the community, requiring the use of a wheelchair in these settings. These criteria for walking ability place subjects in Levels I-III of the Gross Motor Functional Classification System (GMFCS) (Palisano et al., 1997).
Exclusion Criteria:
- musculoskeletal or neurosurgical surgery or baclofen pump implantation within the past year;
- botulinum toxin injections within the past 6 months;
- serial casting or new orthotics within the past 3 months;
- initiating or increasing oral medications that affect the neuromuscular system, e.g. baclofen, within the past 3 months;
- onset of physical therapy, exercise, sport activity, or change in assistive devices for walking within the past 3 months;
- inability or unwillingness to maintain age appropriate behavior;
- serious medical conditions such as cardiac disease, diabetes, asthma, or uncontrolled seizures;
- current participation in a fitness program, that includes a cardiorespiratory endurance exercise, at least one time per week;
- significant hip joint contractures so that the hip cannot be passively moved throughout an excursion between 30 and 80 degrees;
- significant knee joint contractures so that the knee cannot be passively moved throughout an excursion between 40 and 110 degrees; and
- significant ankle joint contractures so that the ankle cannot be passively moved throughout an excursion of -10 to 20 degrees of plantarflexion. Exclusion criteria 8 – 10 are based on passive joint excursions necessary to perform stationary cycling (Ericson et al., 1988) allowing for some hip and knee joint compensation for subjects without ankle dorsiflexion range of motion.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00401154
Locations
| United States, California | |
| University of Southern California | |
| Los Angeles, California, United States, 90033 | |
Sponsors and Collaborators
University of Southern California
Physical Therapy Clinical Research Network
Investigators
| Principal Investigator: | Eileen Fowler, PT, PhD | University of California at Los Angeles |
More Information
No publications provided by University of Southern California
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00401154 History of Changes |
| Other Study ID Numbers: | HS-025023-CR001 |
| Study First Received: | November 15, 2006 |
| Last Updated: | November 15, 2006 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Southern California:
|
Spastic Diplegia Cerebral Palsy Children |
Adolescents Strengthening Endurance |
Additional relevant MeSH terms:
|
Cerebral Palsy Muscle Spasticity Paralysis Brain Damage, Chronic Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Muscular Diseases Musculoskeletal Diseases Muscle Hypertonia Neuromuscular Manifestations Neurologic Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013