Does Increasing Auditory Cueing Affect Gait Parameters in Children With Cerebral Palsy During a Functional Task?

NCT ID: NCT02666560

Last Updated: 2016-08-31

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

2015-04-30

Study Completion Date

2015-05-31

Brief Summary

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To determine the clinical efficacy of auditory cueing using a cross over design to investigate whether increasing auditory cueing frequency by 20% above self paced cadence affects gait parameters in children with Cerebral Palsy when performing a functional task.

Detailed Description

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Introduction: Cerebral Palsy is a non progressive disorder occurring in early brain development, resulting in inefficient ambulatory pattern. The use of sensory cues to facilitate loco-motor activity has been suggested as providing the necessary trigger to synchronise movement with greater beneficial outcomes observed at higher frequency intensities within the adult population. Thus auditory cueing could have the potential to alter gait parameters during a functional task.

Aim: To explore if increasing auditory cueing frequency (AC20) affects gait during a functional task compared to auditory cueing at self-paced cadence (ACSC).

Method: Nineteen children with CP levels 1 and 2 on the Gross Motor Function Classification Scale participated using paired analysis. Outcomes were compared to the mean values for temporal spatial gait data within the conditions using a cross over design. TS data was obtained by using the GAITRite® walkway system whilst walking holding a cup.

Conditions

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Cerebral Palsy Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Auditory cueing at self paced cadence

Participants performed a functional task with auditory cueing set at self paced cadence.

Group Type ACTIVE_COMPARATOR

Auditory Cueing

Intervention Type DEVICE

Auditory cueing set at different frequency rates

Cueing at 20% above self paced cadence

Participants performed a functional task with auditory cueing set at 20% above self paced cadence whilst performing a functional task.

Group Type EXPERIMENTAL

Auditory Cueing

Intervention Type DEVICE

Auditory cueing set at different frequency rates

Interventions

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Auditory Cueing

Auditory cueing set at different frequency rates

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Children with Cerebral Palsy aged 5 to 11 years old who were scored as levels 1 to 2 on the Gross Motor Function Classification Scale.
* Cognitive status average or above on the Weschler Intelligence Scale for children.
* Able to hear without the use of a hearing aid.

Exclusion Criteria

* Hearing impairment that results in the use of a hearing aid.
* Walking with assistance of a mobility aid.
* Cardiovascular problems or other associated health problems which limits the child waking multiple times over the GAITRite®.
Minimum Eligible Age

5 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gateshead Health NHS Foundation Trust

OTHER

Sponsor Role collaborator

Institute of Child Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Melissa Walk-ley

Role: PRINCIPAL_INVESTIGATOR

University College, London

Ann Lyons, PHD

Role: STUDY_CHAIR

Northumberia University

References

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Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, Wood E, Bartlett DJ, Galuppi BE. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. JAMA. 2002 Sep 18;288(11):1357-63. doi: 10.1001/jama.288.11.1357.

Reference Type BACKGROUND
PMID: 12234229 (View on PubMed)

Kwak, E. (2007) Effect of rhythmic auditory stimulation on controlling stepping cadence of individuals with mental retardation and cerebral palsy. International journal of special education, vol 27, no 3, pp. 1-8.

Reference Type BACKGROUND

Kim SJ, Kwak EE, Park ES, Lee DS, Kim KJ, Song JE, Cho SR. Changes in gait patterns with rhythmic auditory stimulation in adults with cerebral palsy. NeuroRehabilitation. 2011;29(3):233-41. doi: 10.3233/NRE-2011-0698.

Reference Type BACKGROUND
PMID: 22142756 (View on PubMed)

Other Identifiers

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141A22

Identifier Type: -

Identifier Source: org_study_id

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