Analyzing the Effect of Trunk Training on Limbs in Children With Spastic Cerebral Palsy (FTT)
Primary Purpose
Cerebral Palsy, Spastic
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Functional Trunk Training
Sponsored by
About this trial
This is an interventional treatment trial for Cerebral Palsy, Spastic focused on measuring Trunk Training, Motor Function
Eligibility Criteria
Inclusion Criteria:
- Children with spastic cerebral palsy effected bilaterally
- Between 4-18 years age
Exclusion Criteria:
- Received orthopedic surgery during last 6 weeks
- Receive Botulinum Toxin injection during last 6 weeks
- Mentally retarded children with communication limitations
- Had epileptic seizures during last 12 moths -
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Functional Trunk Training Group
Control Group
Arm Description
Functional Trunk Training which includes strengthening of trunk muscle and functional activities including trunk region.
No intervention, the continued their regular physical therapy
Outcomes
Primary Outcome Measures
Change in trunk control over time assessed with Trunk Control Measurement Scale.
Assessing change in trunk control
Secondary Outcome Measures
Change in daily living activities and participation over time assessed with Child Health Questionary Parent Form 50.
Assessment of child's daily living activities and participation
Change in muscle activation over time assessed with Surface Electromyography.
Assessment of muscle activation
Change in muscle spasticity over time assessed with Modified Tardieu Scale.
Assessing muscle spasticity
Change in gross motor function over time assessed with Gross Motor Function Measurement
Assessing gross motor function
Change in upper extremity skills over time assessed with Quality of Upper Extremity Skills Test
Assessing upper extremity skills
Change in loco motion over time assessed with Gillette Functional Assessment Scale
Assessing loco motion.
Change in walking parameters over time assessed with Physicians Rating Scale
Assessing walking parameters
Change in functional loco motion over time assessed with Timed Up and Go Test
Assessing functional loco motion
Change in walking speed over time assessed with 1 Minute Walk Test
Assessing walking speed
Change in balance over time assessed with Pediatric Balance Scale
Assessing balance
Change in impact of having a disabled child on family over time assessed with Impact on Family Scale
Assessing impact on family to have a disabled child
Change in independence level over time assessed with Functional Independence Measure for Kids
Assessing independence level
Full Information
NCT ID
NCT02643160
First Posted
November 25, 2015
Last Updated
December 30, 2015
Sponsor
Abant Izzet Baysal University
Collaborators
Hacettepe University
1. Study Identification
Unique Protocol Identification Number
NCT02643160
Brief Title
Analyzing the Effect of Trunk Training on Limbs in Children With Spastic Cerebral Palsy
Acronym
FTT
Official Title
Analyzing the Effect of Functional Trunk Training on Upper and Lower Limb Motor Function in Children With Spastic Cerebral Palsy
Study Type
Interventional
2. Study Status
Record Verification Date
December 2015
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
October 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abant Izzet Baysal University
Collaborators
Hacettepe University
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to analyze if trunk training has effects on trunk, upper, lower extremity motor functions in children with spastic Cerebral Palsy. Second purpose is to analyze the relation between trunk control and prematurity, birth weight, upper and lower extremity motor functions in children with spastic Cerebral Palsy.
Detailed Description
Cerebral Palsy (CP) is a condition caused by a lesion occurred in immature brain during prenatal, natal or postnatal period. Children with CP may have motor, cognitive, sensory, auditory, behavioral problems during their lifespan. Spastic type CP is most common type of CP and many children with spastic CP have both trunk and limb impairment. Physiotherapy is very important for improving motor function and protect from secondary impairments in this children and should start as early as possible. The aim of this study is to analyze if trunk training has effects on trunk, upper and lower extremity motor function in children with spastic CP. 38 children with spastic CP between 4-18 years age are included in this study. Both genders are included. The Participants randomized according to their gross motor function classification system levels and their age. Before intervention all groups assessed with assessment tools which assess muscle spasticity, balance, gross motor function, trunk control and walking characteristics. After randomization there wasn't any intervention for control group; they continued their regular physiotherapy in special education centers two times a week. Study group received trunk training two times a week in addition to their regular physiotherapy in special education centers during 8 weeks. After 8 weeks all groups assessed with the same assessment tools.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cerebral Palsy, Spastic
Keywords
Trunk Training, Motor Function
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
38 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Functional Trunk Training Group
Arm Type
Experimental
Arm Description
Functional Trunk Training which includes strengthening of trunk muscle and functional activities including trunk region.
Arm Title
Control Group
Arm Type
No Intervention
Arm Description
No intervention, the continued their regular physical therapy
Intervention Type
Other
Intervention Name(s)
Functional Trunk Training
Intervention Description
The intervention includes neurodevelopment treatment, muscle strengthening and functional activities of trunk region
Primary Outcome Measure Information:
Title
Change in trunk control over time assessed with Trunk Control Measurement Scale.
Description
Assessing change in trunk control
Time Frame
At baseline and 8 weeks after baseline
Secondary Outcome Measure Information:
Title
Change in daily living activities and participation over time assessed with Child Health Questionary Parent Form 50.
Description
Assessment of child's daily living activities and participation
Time Frame
At baseline and 8 weeks after baseline
Title
Change in muscle activation over time assessed with Surface Electromyography.
Description
Assessment of muscle activation
Time Frame
At baseline and 8 weeks after baseline
Title
Change in muscle spasticity over time assessed with Modified Tardieu Scale.
Description
Assessing muscle spasticity
Time Frame
At baseline and 8 weeks after baseline
Title
Change in gross motor function over time assessed with Gross Motor Function Measurement
Description
Assessing gross motor function
Time Frame
At baseline and 8 weeks after baseline
Title
Change in upper extremity skills over time assessed with Quality of Upper Extremity Skills Test
Description
Assessing upper extremity skills
Time Frame
At baseline and 8 weeks after baseline
Title
Change in loco motion over time assessed with Gillette Functional Assessment Scale
Description
Assessing loco motion.
Time Frame
At baseline and 8 weeks after baseline
Title
Change in walking parameters over time assessed with Physicians Rating Scale
Description
Assessing walking parameters
Time Frame
At baseline and 8 weeks after baseline
Title
Change in functional loco motion over time assessed with Timed Up and Go Test
Description
Assessing functional loco motion
Time Frame
At baseline and 8 weeks after baseline
Title
Change in walking speed over time assessed with 1 Minute Walk Test
Description
Assessing walking speed
Time Frame
At baseline and 8 weeks after baseline
Title
Change in balance over time assessed with Pediatric Balance Scale
Description
Assessing balance
Time Frame
At baseline and 8 weeks after baseline
Title
Change in impact of having a disabled child on family over time assessed with Impact on Family Scale
Description
Assessing impact on family to have a disabled child
Time Frame
At baseline and 8 weeks after baseline
Title
Change in independence level over time assessed with Functional Independence Measure for Kids
Description
Assessing independence level
Time Frame
At baseline and 8 weeks after baseline
10. Eligibility
Sex
All
Minimum Age & Unit of Time
4 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Children with spastic cerebral palsy effected bilaterally
Between 4-18 years age
Exclusion Criteria:
Received orthopedic surgery during last 6 weeks
Receive Botulinum Toxin injection during last 6 weeks
Mentally retarded children with communication limitations
Had epileptic seizures during last 12 moths -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mintaze KEREM GÜNEL, Professor
Organizational Affiliation
Hacettepe University, Graduate School of Health Sciences, Physical Therapy and Rehabilitation Department
Official's Role
Study Director
12. IPD Sharing Statement
Citations:
PubMed Identifier
21757321
Citation
Heyrman L, Molenaers G, Desloovere K, Verheyden G, De Cat J, Monbaliu E, Feys H. A clinical tool to measure trunk control in children with cerebral palsy: the Trunk Control Measurement Scale. Res Dev Disabil. 2011 Nov-Dec;32(6):2624-35. doi: 10.1016/j.ridd.2011.06.012. Epub 2011 Jul 14.
Results Reference
result
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Analyzing the Effect of Trunk Training on Limbs in Children With Spastic Cerebral Palsy
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