Effects of Associated Impairments on Activity and Participation in Children With Cerebral Palsy

NCT ID: NCT06944171

Last Updated: 2025-04-25

Basic Information

• Recruitment Status: RECRUITING
• Total Enrollment: 107 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-10-01
• Study Completion Date: 2025-06-27

Brief Summary

This study will investigate the effects of associated impairments on the activity levels and social participation of school-aged children with Cerebral Palsy (aged 6-12) and their impact on their families' quality of life and caregiving burden.

Detailed Description

Cerebral Palsy (CP) defines a group of permanent disorders in movement and posture development, which are expressed as non-progressive disorders that occur in the developing baby brain during life in the womb or the first 3 years after birth, causing restrictions in activity and participation.

Hearing, speech, vision, cognitive, eating and swallowing problems and epilepsy primarily accompany the motor and postural control problems seen in CP. It is reported that cognitive disabilities or learning difficulties are seen in 50-75%, speech problems in 25%, hearing problems in 25%, seizures in 25-35% and visual disorders in 40-50% of individuals with CP. These primary problems, which accompany from the beginning, vary according to the clinical type and functional effect of CP and affect the severity of the existing CP clinical picture.

The International Classification of Functioning, Disability and Health (ICF) is a framework that guides the comprehensive assessment and treatment of children with CP by considering the wide range of health-related problems they face. The ICF includes four interrelated components: body structure and functions, activity and participation, and personal and environmental factors. According to the ICF, impairments are defined as significant deviations or losses in body structure and functions, while activity limitations, difficulties in activities, and participation restrictions are defined as problems in the form or scope of participation in life.

With these impairments added to the clinical picture, children with CP face significant limitations in their activity and participation levels. Therefore, it is important to define the relationship between comorbid impairments and activity and participation limitations in order to create holistic treatment goals and interventions that improve the activity and participation levels of children with CP.

According to the World Health Organization, quality of life, especially the health-related quality of life of parents of children with special needs, is a complex and comprehensive concept related to the physical health status, psychological status, independence level, social relationships, personal beliefs and environmental characteristics of the parents.

The care of children with CP is long-term and difficult. It has been reported that frequent hospital visits from the moment of diagnosis, the need for multidisciplinary therapy and the difficulty of the care process can lead to the parents not being able to spare time for themselves and their surroundings, economic difficulties and deterioration in their quality of life.

When the literature is examined, no study has been found that examines the multidimensional problems accompanying CP, especially with a sample from our country.

Conditions

Cerebral Palsy

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

School-aged children with Cerebral Palsy

Children with cerebral palsy between the ages of 6 and 12 volunteered for the study

No interventions assigned to this group

Families with children with cerebral palsy

Parents of children with cerebral palsy between the ages of 6 and 12 volunteered for the study.

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Having a diagnosis of cerebral palsy
• Being between the ages of 6-12

• Having a child between the ages of 6-12 diagnosed with cerebral palsy

Exclusion Criteria

• Being under the age of 6 and over the age of 12
• Parents and children who do not volunteer to participate in the study
• Not knowing Turkish

For families:

• Not being willing to participate in the study
• Not knowing Turkish
• Not being able to read and write

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hacettepe University

OTHER

Sponsor Role: lead

Responsible Party

Esra Erdinler

Graduate Student

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mintaze Kerem-Gunel, Professor

Role: STUDY_DIRECTOR

Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Locations

Hacettepe University Faculty of Physical Therapy and Rehabilitation Cerebral Palsy and Pediatric Rehabilitation Unit

Ankara, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Esra Erdinler

Role: CONTACT

eserdinler@gmail.com

905318536594

Facility Contacts

Faculty Dean's Office

Role: primary

ftr@hacettepe.edu.tr

903123051577

Other Identifiers

HU-FTR-EE-01

Identifier Type: -

Identifier Source: org_study_id