Robot-assisted Training in Children With CP

NCT ID: NCT06450158

Last Updated: 2024-06-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-25

Study Completion Date

2025-12-31

Brief Summary

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Cerebral palsy (CP) is the most common physical disability in early childhood causing serious motor and sensory impairments. Effective interventions for the recovery of motor functions are of profound significance to children with CP, their families, caregivers, and health professionals. Robot-assisted rehabilitation represents a frontier with potential to improve motor functions and induce brain reorganization in children with CP.

Detailed Description

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This study is designed to test whether robot-assisted hand training with Amadeo improves manual functions and induces cerebral neural plasticity in children with CP. To evaluate the efficacy of the robot-assisted hand training, investigators will measure manual motor and sensory functions with behavioral tasks and assess neural activities in the sensorimotor cortical network with high-density electroencephalography (HD-EEG) and transcranial magnetic stimulation (TMS) one day before, one day after, and two months after the robot-assisted training. The study will provide direct evidence on the effectiveness of the robot-assisted training in recovering of manual functions in children with CP. It will provide detailed insights on potential experience-dependent neuraplastic changes in the brain of children with CP. It has the potential to insight the development of more effective rehabilitation for children with CP and also children with other neurological disorders, like pediatric stroke. It may uncover factors that will be predictive of functional improvements in individual CP patient.

Conditions

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Cerebral Palsy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Experimental Group I

Participants in this group will be between the ages of 7 and 18 years old and have a diagnosis of cerebral palsy. Amadeo will be used to train the more-affected hand of participants in this group. The training will last approximately 1 hour per day for 14 successive days. Participants will be asked to first do active finger and passive finger moving, then receive haptic vibration, and finally play interactive games.

Group Type EXPERIMENTAL

Robot (Amadeo)-assisted Training

Intervention Type DEVICE

Amadeo® is an FDA Class I Exempt hand/finger robot that has the capacity to precisely measure hand/finger functions.

To use Amadeo, a participant will be seated in a chair. The height of the robot arm support will be adjusted to achieve a comfortable position for the participant. One of the participant's arms will be will be placed on the robot arm support. Magnetic finger tips will then be attached to fingers and thumb. After this, fingers and thumb will be connected to the robot finger sliders. To use Amadeo, the movement range and maximal force of each finger will be configured according to the finger's capability. The following four types of function assessments will be performed with Amadeo: Force, range of motion, tone, and spasticity. Each session will last approximately one hour.

Control Group I

Participants in this group will be between the ages of 7 and 18 years old and have a diagnosis of cerebral palsy.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental Group II

Participants in this group will be between the ages of 7 and 18 years old and have no history of neurological disorder or brain injury. Amadeo will be used to train the non-dominant hand of participants in this group. The training will last approximately 1 hour per day for 14 successive days. Participants will be asked to first do active finger and passive finger moving, then receive haptic vibration, and finally play interactive games.

Group Type EXPERIMENTAL

Robot (Amadeo)-assisted Training

Intervention Type DEVICE

Amadeo® is an FDA Class I Exempt hand/finger robot that has the capacity to precisely measure hand/finger functions.

To use Amadeo, a participant will be seated in a chair. The height of the robot arm support will be adjusted to achieve a comfortable position for the participant. One of the participant's arms will be will be placed on the robot arm support. Magnetic finger tips will then be attached to fingers and thumb. After this, fingers and thumb will be connected to the robot finger sliders. To use Amadeo, the movement range and maximal force of each finger will be configured according to the finger's capability. The following four types of function assessments will be performed with Amadeo: Force, range of motion, tone, and spasticity. Each session will last approximately one hour.

Control Group II

Participants in this group will be between the ages of 7 and 18 years old and have no history of neurological disorder or brain injury.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Robot (Amadeo)-assisted Training

Amadeo® is an FDA Class I Exempt hand/finger robot that has the capacity to precisely measure hand/finger functions.

To use Amadeo, a participant will be seated in a chair. The height of the robot arm support will be adjusted to achieve a comfortable position for the participant. One of the participant's arms will be will be placed on the robot arm support. Magnetic finger tips will then be attached to fingers and thumb. After this, fingers and thumb will be connected to the robot finger sliders. To use Amadeo, the movement range and maximal force of each finger will be configured according to the finger's capability. The following four types of function assessments will be performed with Amadeo: Force, range of motion, tone, and spasticity. Each session will last approximately one hour.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* An evaluation by a pediatric neurologist, Physical Medicine and Rehabilitation (PMNR) physicians (physiatrists), neonatal developmental specialist, or neonatologist with a diagnosis of CP.
* Classified as high-functioning (I or II) at the Gross Motor Function Classification System (GMFCS)
* Participants in the control group should have no history of neurological disorder or brain injury

Exclusion Criteria

* Psychoactive or myorelaxant medication during study procedures
* Genetic syndrome diagnosis
* History of trauma or brain operation
* Inability to sit still
* Metal implants
* Baclofen pump
* Inability or unwillingness of patient or parent/legally authorized representative to give written informed consent
Minimum Eligible Age

7 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cook Children's Health Care System

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christos Papadelis, PhD

Role: PRINCIPAL_INVESTIGATOR

Cook Children's Health Care System

Locations

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Cook Children's Medical Center

Fort Worth, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Laurie J Bailey, PhD

Role: CONTACT

682-885-2488

Facility Contacts

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Sadra Shahdadian, PhD

Role: primary

682-885-3236

Laurie Bailey, PhD

Role: backup

(682) 885-2488

References

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Other Identifiers

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1R218D090549-02

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2021-012

Identifier Type: -

Identifier Source: org_study_id

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