Trial Outcomes & Findings for Cerebral Palsy: Short-burst Interval Training (NCT NCT03373890)

NCT ID: NCT03373890

Last Updated: 2019-07-10

Results Overview

Average stride per day as measured by StepWatch accelerometry. StepWatch accelerometer stride counts per day ( minimum of 8 hrs/day wearing time) were averaged a crossed 5 days (4 weekdays and 1 weekend day) to create Average Strides/day variable

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

Change from baseline to immediately post SBLTT

Results posted on

2019-07-10

Participant Flow

Participants were recruited through a directed mailing to children with cerebral palsy receiving care at Seattle Children's Hospital between Sept 1, 2014 and June 30 2015.

In eligible if unable to walk at greater than their self selected walking speeds with orthotics on a treadmill.

Participant milestones

Participant milestones
Measure
Short Burst Interval Treadmill Training High Frequency
All participants receive short burst interval treadmill training for a total of 20 sessions. They are randomized to receive 5x/week for 4 weeks. Short Burst Interval Locomotor Treadmill Training (SBLTT): SBLTT consists of interval training consisting of short-bursts (30 seconds) of vigorous intensity locomotor treadmill training (LTT) alternating with low to moderate intensity LTT.
Short Burst Interval Treadmill Training Low Frequency
All participants receive short burst interval treadmill training for a total of 20 sessions. They are randomized to receive 2 x/week for10 weeks. Short Burst Interval Locomotor Treadmill Training (SBLTT): SBLTT consists of interval training consisting of short-bursts (30 seconds) of vigorous intensity locomotor treadmill training (LTT) alternating with low to moderate intensity LTT.
Overall Study
STARTED
6
6
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cerebral Palsy: Short-burst Interval Training

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Short Burst Interval Treadmill Training High Frequency
n=6 Participants
All participants receive short burst interval treadmill training for a total of 20 sessions. They are randomized to receive it either 5x/week for 4 weeks Short Burst Interval Locomotor Treadmill Training (SBLTT): SBLTT consists of interval training consisting of short-bursts (30 seconds) of vigorous intensity locomotor treadmill training (LTT) alternating with low to moderate intensity LTT.
Short Burst Interval Treadmill Training Low Frequency
n=6 Participants
All participants receive short burst interval treadmill training for a total of 20 sessions. They are randomized to receive it either 2x/week for 10 weeks Short Burst Interval Locomotor Treadmill Training (SBLTT): SBLTT consists of interval training consisting of short-bursts (30 seconds) of vigorous intensity locomotor treadmill training (LTT) alternating with low to moderate intensity LTT.
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
7.6 years
STANDARD_DEVIATION 2.3 • n=5 Participants
9.4 years
STANDARD_DEVIATION 2.0 • n=7 Participants
8.6 years
STANDARD_DEVIATION 2.2 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
12 participants
n=5 Participants

PRIMARY outcome

Timeframe: Change from baseline to immediately post SBLTT

Population: Change in average strides/day from baseline to immediately post SBLTT were compared between the high and low frequency groups/arms.

Average stride per day as measured by StepWatch accelerometry. StepWatch accelerometer stride counts per day ( minimum of 8 hrs/day wearing time) were averaged a crossed 5 days (4 weekdays and 1 weekend day) to create Average Strides/day variable

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Walking Performance High Versus Low Frequency SBLTT Groups
1872 strides per day
Standard Deviation 880
1551 strides per day
Standard Deviation 952

PRIMARY outcome

Timeframe: Change from baseline to immediately post SBLTT

Population: Change in average strides/day \> 30 strides/min as measured by StepWatch accelerometry for one side a cross 5 days (4 weekdays and 1 weekend day)

Average Strides/day \> 30 strides/min as measured by StepWatch accelerometry High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Community Walking Performance Intensity High Versus Low Frequency SBLTT Groups
866 strides per day
Standard Error 652
731 strides per day
Standard Error 522

PRIMARY outcome

Timeframe: Change from baseline to immediately post SBLT.

Population: Change in self selected walking speed between baseline and immediately post SBLTT was compared between the high and low frequency groups/arms.

Self selected walking speed as measured by 10 meter walk test High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Walking Capacity High Versus Low Frequency SBLTT Groups
.21 meters per sec
Standard Deviation .3
-.08 meters per sec
Standard Deviation .2

PRIMARY outcome

Timeframe: Change from baseline to immediately post SBLTT

Population: Change in distance walked in one minute between baseline and immediately post SBLTT compared between high and low frequency groups.

Distance walked during the One Minute Walk Test High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Walking Endurance- High Versus Low Frequency SBLTT Groups
13.8 meters
Standard Deviation 2.5
8.8 meters
Standard Deviation 2.6

SECONDARY outcome

Timeframe: Change from baseline to 6 weeks post SBLTT

Knee extensor muscle power - isotonic muscle power as measured by Biodex testing High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Muscle Performance -Power High Versus Low Frequency SBLTT Groups
1.2 watts
Standard Deviation .11
1.9 watts
Standard Deviation .19

SECONDARY outcome

Timeframe: Change from baseline to immediately post SBLTT

Population: Change in normalized isometric quadriceps strength as measured by Biodex, from baseline to immediately post SBLTT compared between high and low frequency groups/arms.

Knee extensor muscle strength - isometric muscle strength as measured by Biodex testing High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Muscle Performance - Strength High Versus Low Frequency SBLTT Groups
.13 newton meters
Standard Deviation .25
.14 newton meters
Standard Deviation .50

SECONDARY outcome

Timeframe: Change from baseline to immediately post SBLTT

Population: Change in rectus femoris cross sectional area as measured by 2D B Mode ultrasound, from baseline to immediately post SBLTT compared between high and low frequency groups/arms.

Rectus femoris mid thigh cross-sectional area as measured by 2D B Mode Ultrasound High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Muscle Architecture-High Versus Low Frequency SBLTT Groups
.05 mm^2
Standard Deviation .02
0 mm^2
Standard Deviation .03

SECONDARY outcome

Timeframe: Change from baseline to immediately post SBLTT

Population: Change in rectus femoris mid thigh fascicle length as measured by 2D B Mode ultrasound , from baseline to immediately post SBLTT compared between high and low frequency groups/arms.

Rectus femoris mid thigh fascicle length as measured by 2D B Mode Ultrasound High Versus Low Frequency SBLTT Groups

Outcome measures

Outcome measures
Measure
High Frequency 5x/Week
n=6 Participants
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 Participants
Received short burst interval training 2x week for total of 20 sessions
Change in Muscle Architecture-hypertrophy High Versus Low Frequency SBLTT Groups
.06 millimeters
Standard Deviation .12
.05 millimeters
Standard Deviation .13

Adverse Events

High Frequency 5x/Week

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Low Frequency 2x Week

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
High Frequency 5x/Week
n=6 participants at risk
This group received short burst interval treadmill training 5x/week for total of 20 sessions
Low Frequency 2x Week
n=6 participants at risk
Received short burst interval training 2x week for total of 20 sessions
Musculoskeletal and connective tissue disorders
Mild severity
16.7%
1/6 • Number of events 1 • Reported from consent/baseline to 6 week post intervention follow up which for high frequency group was approximately 4 months and for the low frequency group was 6 months
Severity coded Mild, moderate or severe Mild= inconvenience to day to day life Moderate= required medical attention Severe= Life threatening Relationship to study: Definitely Not Possibly Definitely Related
0.00%
0/6 • Reported from consent/baseline to 6 week post intervention follow up which for high frequency group was approximately 4 months and for the low frequency group was 6 months
Severity coded Mild, moderate or severe Mild= inconvenience to day to day life Moderate= required medical attention Severe= Life threatening Relationship to study: Definitely Not Possibly Definitely Related
Musculoskeletal and connective tissue disorders
Mild possibly related to study
16.7%
1/6 • Number of events 1 • Reported from consent/baseline to 6 week post intervention follow up which for high frequency group was approximately 4 months and for the low frequency group was 6 months
Severity coded Mild, moderate or severe Mild= inconvenience to day to day life Moderate= required medical attention Severe= Life threatening Relationship to study: Definitely Not Possibly Definitely Related
0.00%
0/6 • Reported from consent/baseline to 6 week post intervention follow up which for high frequency group was approximately 4 months and for the low frequency group was 6 months
Severity coded Mild, moderate or severe Mild= inconvenience to day to day life Moderate= required medical attention Severe= Life threatening Relationship to study: Definitely Not Possibly Definitely Related

Additional Information

Kristie Bjornson, PT, PhD

SeattleChildrens

Phone: 206-884-2066

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place