Intensive Home-based Treadmill Training and Walking Attainment in Young Children With Cerebral Palsy

NCT ID: NCT02424526

Last Updated: 2020-07-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2018-09-30

Brief Summary

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This study is designed to find the optimal dosage of home-based treadmill training needed to accelerate walking onset and to examine the long-term effects on the child's walking activity.

Detailed Description

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The purpose of this study is to determine optimal parameters for dosing home-based treadmill training by comparing high-intensity (5 days/week, twice daily for 10-20 min for 6 weeks) to low-intensity (2 days/week, once daily for 10-20 minutes for 6 weeks) treadmill training; and to compare the effects of high- versus low-intensity treadmill training on walking attainment and overall walking activity in young children with cerebral palsy.

Hypotheses

* A more intensive protocol of treadmill training will increase walking onset in young children with CP.
* A more intensive protocol of treadmill training will increase overall walking activity in young children with CP.

Specific Aims

* To determine optimal parameters for dosing home-based treadmill training by comparing high-intensity to low-intensity home-based treadmill training.
* To compare the effects of high- versus low-intensity treadmill training on walking onset and overall walking activity.

Study design •Prospective randomized controlled trial

Study population

•Two groups of 12 children with CP under the age of 3 years and are not walking yet will receive either home-based high-intensity treadmill training or low-intensity treadmill training. The children will be assessed before, immediately after, at 1-month and at 4-months following the intervention via standardized outcome measures.

Conditions

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Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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high-intensity group

Children will engage in home-based treadmill training 5 days/week, twice daily for 10-20 min for 6 weeks

Group Type ACTIVE_COMPARATOR

home-based treadmill training

Intervention Type OTHER

the child will walk on a pediatric treadmill with the help of the parent/caregiver and with weekly supervision of a physical therapist

Treadmill

Intervention Type DEVICE

low-intensity group

Children will engage in home-based treadmill training 2 days/week, once daily for 10-20 minutes for 6 weeks

Group Type ACTIVE_COMPARATOR

home-based treadmill training

Intervention Type OTHER

the child will walk on a pediatric treadmill with the help of the parent/caregiver and with weekly supervision of a physical therapist

Treadmill

Intervention Type DEVICE

Interventions

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home-based treadmill training

the child will walk on a pediatric treadmill with the help of the parent/caregiver and with weekly supervision of a physical therapist

Intervention Type OTHER

Treadmill

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Signs of walking readiness as demonstrated by the ability to sit for 30 seconds when placed and to take 5 to 7 steps when supported at the trunk or arms.
* Because young children often are not formally diagnosed with CP until 2 years of age, we will include children

* who show bilateral impairment (i.e. diplegia and quadriplegia, but not hemiplegia)
* who demonstrate upper motor neuron signs (i.e. spasticity and/or hyperreflexia)
* who have been identified as high-risk for a motor disability by a physician

Exclusion Criteria

* a history of uncontrolled seizures
* a diagnosis of a genetic disorder
* cardiac or orthopedic contraindications for standing and walking
* orthopedic surgery in the past 6 months
* use of spasticity-reducing medication or Botox injections in the past 6 months
Minimum Eligible Age

1 Year

Maximum Eligible Age

3 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seattle Children's Hospital

OTHER

Sponsor Role collaborator

University of Puget Sound

OTHER

Sponsor Role collaborator

Thrasher Research Fund

OTHER

Sponsor Role collaborator

California State University, Sacramento

OTHER

Sponsor Role lead

Responsible Party

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Katrin Mattern-Baxter

PT, DPT, PCS

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Earwicker, BA,MA

Role: STUDY_DIRECTOR

California State University, Sacramento

Locations

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Seattle Children's Research Institute

Seattle, Washington, United States

Site Status

University of the Puget Sound

Tacoma, Washington, United States

Site Status

Countries

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United States

References

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Mattern-Baxter K, Looper J, Zhou C, Bjornson K. Low-Intensity vs High-Intensity Home-Based Treadmill Training and Walking Attainment in Young Children With Spastic Diplegic Cerebral Palsy. Arch Phys Med Rehabil. 2020 Feb;101(2):204-212. doi: 10.1016/j.apmr.2019.09.015. Epub 2019 Nov 1.

Reference Type BACKGROUND
PMID: 31678223 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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13-14-156

Identifier Type: -

Identifier Source: org_study_id

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