Evaluation of Functional, Neuroplastic and Biomechanical Changes Induced by an Intensive, Playful Early-morning Treatment Including Lower Limbs (EARLY-HABIT-ILE) in Preschool Children With Uni and Bilateral Cerebral Palsy

NCT ID: NCT04017871

Last Updated: 2021-12-07

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-18

Study Completion Date

2021-09-17

Brief Summary

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An urgent priority in the field of paediatric neurorehabilitation is the development of effective early motor interventions.

Hand and Arm Bimanual Intensive Therapy Including Lower Extremities (= HABIT-ILE) applies the concepts of motor skill learning and intensive training to both the Upper Extremities (UE) and Lower Extremities (LE) and has been shown to improve aspects of motor function of the UE and LE in school age children with unilateral and bilateral Cerebral Palsy (CP) across the 3 levels of the International Classification of Functioning, Disability and Health (ICFDH). The principles and content of HABIT-ILE can be applied to pre-school children and this method is highly promising for early rehabilitation.

Detailed Description

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The primary objective of this study is to evaluate the effect of two weeks of early HABIT-ILE on gross motor function in pre-school children with unilateral and and bilateral Cerebral Paralysy (CP), in comparison with two weeks of usual motor activity including usual rehabilitation (control group).

Conditions

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Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Interventional

10 days of intensive and structured motor therapy, 5 hours a day = 50h

Group Type EXPERIMENTAL

MRI

Intervention Type OTHER

MRI at baseline and J90

Electro-Encephalography-High Density (children with unilateral PC only)

Intervention Type OTHER

Electro-Encephalography-High Density (children with unilateral PC only) at baseline and J90

3D and EMG analysis

Intervention Type OTHER

3D and EMG analysis at baseline and J90

care and classic activities

Intervention Type OTHER

physiotherapy and psychomotility. As needed weekly sessions of speech therapist or orthoptist and daily activities of the child.

Accelerometers

Intervention Type DEVICE

During 5 days a sensor at each wrist to quantify their movement.

Control

10 days of care and classic activities

Group Type PLACEBO_COMPARATOR

MRI

Intervention Type OTHER

MRI at baseline and J90

Electro-Encephalography-High Density (children with unilateral PC only)

Intervention Type OTHER

Electro-Encephalography-High Density (children with unilateral PC only) at baseline and J90

3D and EMG analysis

Intervention Type OTHER

3D and EMG analysis at baseline and J90

care and classic activities

Intervention Type OTHER

physiotherapy and psychomotility. As needed weekly sessions of speech therapist or orthoptist and daily activities of the child.

Accelerometers

Intervention Type DEVICE

During 5 days a sensor at each wrist to quantify their movement.

Interventions

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MRI

MRI at baseline and J90

Intervention Type OTHER

Electro-Encephalography-High Density (children with unilateral PC only)

Electro-Encephalography-High Density (children with unilateral PC only) at baseline and J90

Intervention Type OTHER

3D and EMG analysis

3D and EMG analysis at baseline and J90

Intervention Type OTHER

care and classic activities

physiotherapy and psychomotility. As needed weekly sessions of speech therapist or orthoptist and daily activities of the child.

Intervention Type OTHER

Accelerometers

During 5 days a sensor at each wrist to quantify their movement.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Child with unilateral cerebral palsy or Child with bilateral cerebral palsy proven spastic or dyskinetic
* Aged from 1 to 4 years old (12 to 59 months) (age corrected if prematurity) able to follow instructions and to be able to carry out all the evaluations, according to his age

Exclusion Criteria

* Age\> 2 years old (35 months) or 4 years old (59 months) during the internship evaluation period
* Uncontrolled epilepsy
* History of botulinum toxin injection or surgery in the 6 months preceding the study period or scheduled within 3 months (during the study period)
* Visual or cognitive impairment that may interfere with the management
* Common contraindications to magnetic resonance imaging (MRI) such as metal implants
Minimum Eligible Age

12 Months

Maximum Eligible Age

59 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation Paralysie Cérébrale

OTHER

Sponsor Role collaborator

Université Catholique de Louvain

OTHER

Sponsor Role collaborator

University of Pisa

OTHER

Sponsor Role collaborator

University of Lausanne Hospitals

OTHER

Sponsor Role collaborator

University Angers

UNKNOWN

Sponsor Role collaborator

University Hospital, Brest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Les Capucins

Angers, , France

Site Status

Fondation ILDYS - Site de Ty Yann

Brest, , France

Site Status

Countries

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France

References

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Araneda R, Sizonenko SV, Newman CJ, Dinomais M, Le Gal G, Ebner-Karestinos D, Paradis J, Klocker A, Saussez G, Demas J, Bailly R, Bouvier S, Nowak E, Guzzetta A, Riquelme I, Brochard S, Bleyenheuft Y. Protocol of changes induced by early Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (e-HABIT-ILE) in pre-school children with bilateral cerebral palsy: a multisite randomized controlled trial. BMC Neurol. 2020 Jun 12;20(1):243. doi: 10.1186/s12883-020-01820-2.

Reference Type DERIVED
PMID: 32532249 (View on PubMed)

Other Identifiers

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EARLY_HABIT-ILE (29BRC19.0050)

Identifier Type: -

Identifier Source: org_study_id

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