Effect of a Humanoid Robot With Virtual Reality Games to Train Arm Function in Children With Cerebral Palsy - THRIVE Trial

NCT ID: NCT06881407

Last Updated: 2025-03-18

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-25

Study Completion Date

2027-08-31

Brief Summary

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About 60% of children with cerebral palsy (CP) have impaired arm function. Improving arm function requires hundreds of repetitions per day, which is impossible in a single clinical visit. Thus, therapeutic exercises should be sustained in the home environment; however, the compliance in performing home exercise is low due to poor motivation, boredom, and forgetfulness. A better home program is needed. The objective of this project is to examine the effect of our developed "THRIVE" system (Therapeutic Humanoid Robot In Virtual Environment: the combination of robot with virtual reality games), which can provide a motivating and tailored upper-extremity intervention program with instant feedback, to improve arm function in children with CP at their home. The investigators believe the newly developed "THRIVE" system can increase children's engagement and motivation in home exercises as the robot is their playmate to demonstrate and correct their movements. The investigators will also interview parents and children with CP to understand their impression of using technology at home to shape the intervention. The expected outcome is that children with CP receiving "THRIVE" will improve their arm function more and have better engagement than those who receive VR alone immediately after intervention and at follow-up. The long-term goal is to have the "THRIVE" system be the optimal home exercise platform as it can provide challenging but motivating exercises to improve children's arm function while assisting parents in supervising their children with CP to complete home exercises.

Detailed Description

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Conditions

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Cerebral Palsy (CP)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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THRIVE (Combination of Virtual Reality and Humanoid Robot)

Participants will receive the home-based intervention using the combination of virtual reality and a humanoid robot, "who" serves as a cheerleader and coach, for 8 weeks. During each week, participants will need to exercise 3 sessions per week, for around 60 minutes per session.

Group Type EXPERIMENTAL

Robot

Intervention Type DEVICE

This robot will serve as a cheerleader and coach to provide encouragement and feedback.

Virtual Reality

Intervention Type DEVICE

Our developed Super Pop VR system will be used to provide virtual reality intervention.

Virtual Reality Alone

Participants will receive the home-based virtual reality intervention for 8 weeks. During each week, participants will need to exercise 3 sessions per week, for around 60 minutes per session.

Group Type ACTIVE_COMPARATOR

Virtual Reality

Intervention Type DEVICE

Our developed Super Pop VR system will be used to provide virtual reality intervention.

Interventions

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Robot

This robot will serve as a cheerleader and coach to provide encouragement and feedback.

Intervention Type DEVICE

Virtual Reality

Our developed Super Pop VR system will be used to provide virtual reality intervention.

Intervention Type DEVICE

Other Intervention Names

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Humanoid Robot VR

Eligibility Criteria

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Inclusion Criteria

1. Participants are between the ages of 5 and 21 years;
2. diagnosed with spastic CP;
3. have a manual ability classification system (MACs) level I-III;
4. able to sit with trunk supported;
5. are able to reach forward for more than half of their arm length;
6. are able to comprehend and complete a three-steps commands;
7. are able to see a TV screen (with or without corrected vision); and
8. their primary caregiver is willing to follow the desired intervention dosing and all evaluation measurements.

Exclusion Criteria

1. they have received surgery or botulinum toxin type A injection in the training arm within the preceding 4 months or are scheduled to receive it during the planned intervention period, or
2. if they have a severe attention deficit or uncontrolled epilepsy, which may possibly be triggered by the light or sound of the video games.
Minimum Eligible Age

5 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ohio State University

OTHER

Sponsor Role collaborator

Georgia State University

OTHER

Sponsor Role lead

Responsible Party

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Yuping Chen

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Department of Physical Therapy, Georgia State University

Atlanta, Georgia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Yuping Chen, ScD, PT

Role: CONTACT

404-413-1256

Bruna de Souza da Silva, BS, PT

Role: CONTACT

Facility Contacts

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Yuping Chen, ScD, PT

Role: primary

404-413-1256

Bruna de Souza da Silva, BS, PT

Role: backup

References

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Chen Y, Garcia-Vergara S, Howard AM. Effect of feedback from a socially interactive humanoid robot on reaching kinematics in children with and without cerebral palsy: A pilot study. Dev Neurorehabil. 2018 Nov;21(8):490-496. doi: 10.1080/17518423.2017.1360962. Epub 2017 Aug 17.

Reference Type BACKGROUND
PMID: 28816558 (View on PubMed)

Howard A, Chen Y, Park CH. From Autism Spectrum Disorder to Cerebral Palsy: State-of-the-Art in Pediatric Therapy Robots. In Encyclopedia of Medical Robotics, J. P. Desai (Ed.), World Scientific Publishing Company, 2018, pp241-261

Reference Type BACKGROUND

Chen YP, Howard AM. Effects of robotic therapy on upper-extremity function in children with cerebral palsy: A systematic review. Dev Neurorehabil. 2016;19(1):64-71. doi: 10.3109/17518423.2014.899648. Epub 2014 Apr 11.

Reference Type BACKGROUND
PMID: 24724587 (View on PubMed)

Chen Y, Fanchiang HD, Howard A. Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Phys Ther. 2018 Jan 1;98(1):63-77. doi: 10.1093/ptj/pzx107.

Reference Type BACKGROUND
PMID: 29088476 (View on PubMed)

Other Identifiers

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90IFST0009

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

H23116

Identifier Type: -

Identifier Source: org_study_id

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