Targeted Hip Strength Training in Children With Cerebral Palsy (CP)

NCT ID: NCT01633736

Last Updated: 2012-07-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2013-03-31

Brief Summary

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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.

Detailed Description

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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

Conditions

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Cerebral Palsy

Keywords

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single blinded randomised controlled physiotherapy children cerebral palsy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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home progressive resistance exercise

Group Type EXPERIMENTAL

Usual care plus progresive resistance training

Intervention Type OTHER

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.

Interventions

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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.

Intervention Type OTHER

Other Intervention Names

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strength training

Eligibility Criteria

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Inclusion Criteria

* Children with CP aged between 7-16 years having sufficient cognition to undertake a strength training program

Exclusion Criteria

1. non-ambulation children or those unable to walk 5 meters independently (without walking aid),
2. lower limb surgery within 12 months,
3. botox within 6 months,
4. oral muscle relaxant medication
5. significant learning difficulty
6. Any concurrent condition which would be contraindicated to progressive resistance training such as unmanaged high blood pressure, cardiac pathology or uncontrolled epilepsy
7. Where at baseline assessment finds no weakness in the muscles under investigation
8. concurrent or within 6 months involvement in any other research study
9. Non consent to General Practitioner (GP) notification.
Minimum Eligible Age

7 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Nottingham

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Grahame Pope, MPhil, BSc

Role: PRINCIPAL_INVESTIGATOR

The University of Nottingham

Locations

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Divison of Physiotherapy, School of Nursing, Midwifery and Physiotherapy, The University of Nottingham

Nottingham, Nottinghamshire, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Sarah E Westwater-Wood, MMedSci, BSc

Role: CONTACT

Phone: +44 115 8231793

Email: [email protected]

Grahame Pope, MPhil, BSc

Role: CONTACT

Phone: +44 115 8231785

Email: [email protected]

Facility Contacts

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Grahame Pope

Role: primary

References

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Other Identifiers

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UoN-SWW-2

Identifier Type: -

Identifier Source: org_study_id