Motor Imagery Training in Children With Unilateral Cerebral Palsy

NCT ID: NCT03954808

Last Updated: 2020-10-14

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

COMPLETED

Clinical Phase

NA

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-01

Study Completion Date

2020-07-01

Brief Summary

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Motor imagery (MI) is a promising method to improve more cognitive aspects of motor behaviour, and may, thus, be effective for facilitating motor planning in children with Cerebral Palsy (CP). MI training facilitates the neural plasticity by enhancing the neuronal cortical pathways in brain. In children with CP, motor planning and MI capacity were found to be affected by studies. In the literature, there are studies about the evaluation of MI in Unilateral CP but there is insufficient number of studies included in MI in the rehabilitation program.

The aim of the study was to investigate the effect of motor imagery training for gait and lower extremity muscle activity (with EMG), functional capacity, quality of life, and time performance variables in Children with Unilateral CP.

The eligible participants will be allocated three groups, including motor imagery training group, traditional physiotherapy control group, and healthy control group. All the assessments will be performed before and after the training in the 8-week motor imagery training group and 6 weeks after the end of training. The participants in the control group will be evaluated with a 8-week interval and 6 weeks after the end of physiotherapy training. The healthy participants will be assessed only once. The motor imagery training will be designed for the individual basis with standard protocols. It will be applied two times a week for 8 weeks. All sessions will be performed in the clinic.

Detailed Description

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Unilateral CP and age matched healthy individuals will be participate the study between the ages of 7 and 18 years. Children's gross motor skills classified with GMFCS.

The control group individuals will be given a traditional physiotherapy two days per week for a total of 8 weeks (traditional physiotherapy session will last 45 minutes). Motor imagery training group will receive a traditional physiotherapy and motor imagery training within a specific program, two days a week for a total of 8 weeks (30 minutes traditional physiotherapy session+15 minutes MI training) .

Within the scope of MI training, individual training program will be determined by taking into consideration the needs of the individuals and the expectations for gait. The basic case of PETTLEP (Physical, Environment, Task, Timing, Learning, Emotion, Perspective) will be followed. MI training will be given individually with the same physiotherapist.

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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Motor imagery training group

Children with Cerebral Palsy. Motor imagery training group will receive a traditional physiotherapy and motor imagery training within a specific program, two days a week for a total of 8 weeks (30 minutes traditional physiotherapy session+15 minutes MI training). The motor imagery training will be designed for the individual basis with standard protocols. All sessions will be performed in the clinic.

Group Type EXPERIMENTAL

Motor Imagery Training

Intervention Type OTHER

Motor imagery training will be designed for the individual basis with standard protocols

Cerebral Palsy control group

Children with Cerebral Palsy. Traditional physiotherapy control group individuals will be given a traditional physiotherapy two days per week for a total of 8 weeks (traditional physiotherapy session will last 45 minutes).

Group Type ACTIVE_COMPARATOR

Traditional physiotherapy

Intervention Type OTHER

Traditional physiotherapy within a specific program

Typically developing control group

Age matched healthy individuals, with no treatment.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Motor Imagery Training

Motor imagery training will be designed for the individual basis with standard protocols

Intervention Type OTHER

Traditional physiotherapy

Traditional physiotherapy within a specific program

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of Cerebral Palsy voluntary participation
* Age between 7-18 years, Children with Unilateral Cerebral Palsy
* With suitable cognitive state for training
* To attend a formal school
* GMFCS Level I-II
* IQ\>70 Children with Unilateral Cerebral Palsy (from children's file)
* Mini-Mental State Exam For Children score above 24

Exclusion Criteria

* Severe cognitive impairment and not able to follow task instructions
* IQ\<70 Children with Unilateral Cerebral Palsy (from children's file)
* Who received motor imagery training last 6 months
* Severe Vision and hearing problems
* Botox or surgeries in the last 6 months
Minimum Eligible Age

7 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Abant Izzet Baysal University

OTHER

Sponsor Role lead

Responsible Party

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Demet Karabulut

PhD Student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eylem T Yümin

Role: STUDY_DIRECTOR

Abant Izzet Baysal University

Locations

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Bolu Abant Izzet Baysal University

Bolu, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Steenbergen B, Craje C, Nilsen DM, Gordon AM. Motor imagery training in hemiplegic cerebral palsy: a potentially useful therapeutic tool for rehabilitation. Dev Med Child Neurol. 2009 Sep;51(9):690-6. doi: 10.1111/j.1469-8749.2009.03371.x.

Reference Type BACKGROUND
PMID: 19709140 (View on PubMed)

Steenbergen B, Jongbloed-Pereboom M, Spruijt S, Gordon AM. Impaired motor planning and motor imagery in children with unilateral spastic cerebral palsy: challenges for the future of pediatric rehabilitation. Dev Med Child Neurol. 2013 Nov;55 Suppl 4:43-6. doi: 10.1111/dmcn.12306.

Reference Type BACKGROUND
PMID: 24237279 (View on PubMed)

Lust JM, Wilson PH, Steenbergen B. Motor imagery difficulties in children with Cerebral Palsy: A specific or general deficit? Res Dev Disabil. 2016 Oct;57:102-11. doi: 10.1016/j.ridd.2016.06.010. Epub 2016 Jul 9.

Reference Type BACKGROUND
PMID: 27399206 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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AbantIBU-FTR-DK-1

Identifier Type: -

Identifier Source: org_study_id

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