Targeted Hip Strength Training in Children With Cerebral Palsy (CP)
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Purpose
This study's main aim is to look at targeted strength training for muscles at the hips. Specifically to consider whether targeted strength training not only effects strength of the specific muscles but also ability to stand on one leg (single leg balance) as well as walking in children with cerebral palsy? This study is a feasibility of method of investigation.
| Condition | Intervention | Phase |
|---|---|---|
|
Cerebral Palsy |
Other: Usual care plus progresive resistance training |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Targeted Hip Progressive Resistance Training to Improve Single Leg Balance and Walking in Children With Cerebral Palsy |
- Gait parameter [ Time Frame: baseline, plus 8 weeks and plus 8 weeks (exit point) ] [ Designated as safety issue: No ]4 camera CODA gait analysis system for change in percentage stance phase of gait and stride in cm.
- Gross Motor Function Measure (GMFM) [ Time Frame: Baseline, plus 8 weeks and plus 8 weeks (exit) ] [ Designated as safety issue: No ]To investigate any change in dimensions D and E of fucntioal activity with standardised GMFM.
| Estimated Enrollment: | 20 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: home progressive resistance exercise |
Other: Usual care plus progresive resistance training
Duration 8 weeks; two weeks of familiarisation with the intervention protocol without resistance (for familiarisation and neural adaptation) followed by 6 weeks progressive resistance (PR). The three times a week PR training will be as a home exercise program with fortnightly home visits to monitor/progress PR training. It comprises a 4 minute warm up and cool down with one exercise targeting the hip abductors and one the lateral rotators. Exercise prescription will follow existing guidelines for progressive PR training. Parents will be taught supervision by the researcher using clear explanations in words and pictures in a logbook. Logbooks have been found to facilitate compliance, dosage and motivation.
Other Name: strength training
|
Detailed Description:
This study is focusing on functional change. The reasoning is that if the targeted strength training is effective at improving hip muscle contribution to stability then single leg balance may be improved. This may be functionally evident when weight bearing is taken by say the left leg in gait (percentage stance phase of gait) and as a consequence the opposing swing phase will be optimised as measured by stride. Thus the research question is does strengthening of the rotating and sideways moving hip muscles improve the walking of children with CP as measured by appropriate aspects of gait? Secondly, does this targeted strengthening also increase duration of single leg balance which is a simple easy to use measure in the community without the need for specialised equipment? The primary outcome measure will use a laboratory based 4 camera Codsmotion (CODA) biomechanical analysis system to measure stride (a) and percentage duration of stance phase of gait (b). Secondarily the duration of single leg balance in terms of seconds will be recorded. Gross motor functional and quality of life as also being assessed. The intervention is strengthening which will be implemented with the principles of progressive resistance training. Children with CP's therapists would ask for this type of intervention to be carried out
Eligibility| Ages Eligible for Study: | 7 Years to 16 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children with CP aged between 7-16 years having sufficient cognition to undertake a strength training program
Exclusion Criteria:
- non-ambulation children or those unable to walk 5 meters independently (without walking aid),
- lower limb surgery within 12 months,
- botox within 6 months,
- oral muscle relaxant medication
- significant learning difficulty
- Any concurrent condition which would be contraindicated to progressive resistance training such as unmanaged high blood pressure, cardiac pathology or uncontrolled epilepsy
- Where at baseline assessment finds no weakness in the muscles under investigation
- concurrent or within 6 months involvement in any other research study
- Non consent to General Practitioner (GP) notification.
Contacts and Locations| Contact: Sarah E Westwater-Wood, MMedSci, BSc | +44 115 8231793 | sarah.westwater-wood@nottingham.ac.uk |
| Contact: Grahame Pope, MPhil, BSc | +44 115 8231785 | grahame.pope@nottingham.ac.uk |
| United Kingdom | |
| Divison of Physiotherapy, School of Nursing, Midwifery and Physiotherapy, The University of Nottingham | Recruiting |
| Nottingham, Nottinghamshire, United Kingdom, NG5 1PB | |
| Contact: Grahame Pope grahame.pope@nottingham.ac.uk | |
| Principal Investigator: Sarah E Westwater-Wood | |
| Principal Investigator: | Grahame Pope, MPhil, BSc | The University of Nottingham |
More Information
Publications:
| Responsible Party: | University of Nottingham |
| ClinicalTrials.gov Identifier: | NCT01633736 History of Changes |
| Other Study ID Numbers: | UoN-SWW-2 |
| Study First Received: | June 15, 2012 |
| Last Updated: | July 3, 2012 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by University of Nottingham:
|
single blinded randomised controlled |
physiotherapy children cerebral palsy |
Additional relevant MeSH terms:
|
Cerebral Palsy Paralysis Brain Damage, Chronic Brain Diseases |
Central Nervous System Diseases Nervous System Diseases Neurologic Manifestations Signs and Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013