Intensive Motor Training After Perinatal Stroke to Enhance Walking
Perinatal Stroke
About this trial
This is an interventional treatment trial for Perinatal Stroke focused on measuring cerebral palsy, physical therapy, rehabilitation, hemiplegia
Eligibility Criteria
Inclusion Criteria:
- hemiplegia with confirmation of perinatal stroke through magnetic resonance imaging
- born near term (> or equal to 36 weeks gestation)
- current age between 8 months to 3.0 years old; or currently 4 years old (control)
- no other neurological disorders
- informed consent from parent or guardian
Exclusion Criteria:
- central nervous system injury besides the one-sided stroke
- musculoskeletal problems that limit leg activity
- cognitive, behavioral or developmental impairments that preclude participation in the protocol
- unstable epileptic seizures within the last 6 months
- any contraindications to transcranial magnetic stimulation
- Botox injection in the legs over the last 6 months
Sites / Locations
- Alberta Children's Hospital
- University of Alberta
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
No Intervention
Experimental
Early treatment group
Delayed treatment group
Control group
Parent training group
These children will undergo the intervention (i.e., early leg training) shortly after recruitment. Measures will be taken before, during and after the intervention.
These children will undergo the intervention (delayed leg training) after a delay of ~3 months, during which outcome measures will be taken so that they can serve as a control for the early treatment group. Their intervention is identical to the Immediate treatment group.
These children will be recruited close to the age of 4 years old, and will only undergo gait analysis and GMFM-66 scoring.
These children will undergo the intervention (i.e., parent leg training) shortly after recruitment. Parents will be trained to provide the intervention instead of a physical therapist. Measures will be taken before, during and after the intervention.