Intensive Home-based Treadmill Training and Walking Attainment in Young Children With Cerebral Palsy
NCT ID: NCT02424526
Last Updated: 2020-07-02
Study Results
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View full resultsBasic Information
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COMPLETED
NA
19 participants
INTERVENTIONAL
2015-07-31
2018-09-30
Brief Summary
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Detailed Description
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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
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
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
Treadmill
low-intensity group
Children will engage in home-based treadmill training 2 days/week, once daily for 10-20 minutes for 6 weeks
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
Treadmill
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
Treadmill
Eligibility Criteria
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Inclusion Criteria
* 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 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
1 Year
3 Years
ALL
No
Sponsors
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Seattle Children's Hospital
OTHER
University of Puget Sound
OTHER
Thrasher Research Fund
OTHER
California State University, Sacramento
OTHER
Responsible Party
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Katrin Mattern-Baxter
PT, DPT, PCS
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
University of the Puget Sound
Tacoma, Washington, United States
Countries
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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.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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13-14-156
Identifier Type: -
Identifier Source: org_study_id
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