Neuromuscular Mechanisms of Specific Trunk Interventions in Children With CP

Launched by SHIRLEY RYAN ABILITYLAB · Apr 7, 2023

Keywords

ClinConnect Summary

This clinical trial is looking at how a specific type of training, called pelvis perturbation training, can help improve trunk posture and walking abilities in children with cerebral palsy (CP). The goal is to see if this training can make a difference for kids aged 4 to 12 who have certain types of CP that cause challenges with movement. The study is currently seeking participants and is open to children of all genders.

To be eligible for the trial, children must have a diagnosis of bilateral spastic CP and be able to sit without support for at least 10 seconds. They should also not have had certain treatments or surgeries in the past six months. Participants will engage in training sessions designed to strengthen their trunk and help with balance and movement. This trial is a great opportunity for children with CP to potentially improve their physical abilities in a supportive environment.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Children with a diagnosis of bilateral spastic CP attributed to complications of prematurity, intracranial hemorrhage and periventricular leukmalacia according to the definition of Bax.
• • Children aged 4 to 12 years old without Botulinum toxin treatment within 6 months, and without surgeries (such as selective dorsal rhizotomy) within 12 months before the onset of the training.
• • Subjects will be able to remain seated without help for ≥10s.
• • GMFCS levels will be I to IV.
• • Children must be able to signal pain, fear or discomfort reliably.
• • Children with mild scoliosis (Cobb angle \< 20 °).
• • Children with CP who have no prior hippotherapy experiences within 6 months.
• Exclusion Criteria:
• • severe lower extremity contractures, fractures, osseous instabilities, osteoporosis.
• • severe disproportional bone growth.
• • unhealed skin lesions in the lower extremities.
• • thromboembolic diseases, cardiovascular instability.
• • aggressive or self-harming behaviors.