Intensive Rehabilitation Program for Upper Limb in Children and Adolescents With Cerebral Palsy

NCT ID: NCT07285837

Last Updated: 2025-12-22

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-21

Study Completion Date

2030-12-31

Brief Summary

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Cerebral palsy is the most common motor disability in children. Individuals with CP often experience significant difficulties in the use of their upper limbs, which affects their autonomy and quality of life. Conventional rehabilitation, although essential, is often insufficient to compensate for these deficits in a meaningful way.

The French National Authority for Health has issued recommendations for intensifying rehabilitation in order to maximize functional gains in children with CP. Among the intensive approaches that have been studied, two techniques have demonstrated efficacy: Constraint-Induced Movement Therapy (CIMT) and Bimanual Intensive Therapy (BIT).

CIMT focuses on restricting the use of the unaffected limb to encourage the use of the affected limb, thereby promoting neuroplasticity and functional improvement. In contrast, BIT emphasizes intensive training of both hands simultaneously to enhance coordination and overall upper limb functionality.

At the Ellen Poidatz Foundation, an intensive rehabilitation program has been developed that combines these two complementary approaches. This program, which is already in place, is based on the principles of neuromotor rehabilitation and motor learning. It integrates several methods recommended by the HAS, including Bimanual Intensive Therapy (BIT) such as HABIT (Grade A) or HABIT-ILE (Grade B), Modified Constraint-Induced Movement Therapy (mCIMT) (Grade B), and Adapted Physical Activity (APA) (Grade A).

The aim of this intensive program is to enhance the functional use of the upper limb by improving bimanual coordination, grasping, manipulation, and overall motor function. The program lasts 10 days over a 2-week period and is tailored to the child's age and care setting. It includes approximately 60 hours of rehabilitation for children aged 4 to 8 years and 80 hours for those aged 9 to 17 years, in line with current international recommendations.

The aim of this study is to evaluate the effectiveness of this existing intensive rehabilitation program in improving manual abilities in children with CP. Specifically, the study seeks to objectively assess the benefits of the Habil'Hand+ program and to contribute to the optimization of rehabilitation protocols for this population.

Detailed Description

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Conditions

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Cerebral Palsy (CP)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CP children and adolescents

The program is tailored to the child's age and care setting. Children aged 4 to 8 years : 2 weeks program over 10 days with a total of 60 hours of CIMT+ BIT in a day-hospital setting.

Adolescents aged 9 to 17 years in day-hospital care : 2 weeks program over 10 days with a total of 80 hours of CIMT+ BIT in a day-hospital setting.

Adolescents aged 9 to 17 years in inpatient care : 2 weeks program over 10 days with a total of 80 hours of CIMT+ BIT in inpatient care.

Group Type EXPERIMENTAL

Intensive Rehabilitation

Intervention Type OTHER

Children aged 4 to 8 years : 2 weeks program over 10 days including two individual sessions and three group sessions per participant per day combining CIMT and BIT.

Adolescents aged 9 to 17 years in day-hospital care/ in inpatient care: 2 weeks program over 10 days including two individual sessions and three group sessions per participant per day combining CIMT and BIT.

Daily routines, and activities involve functional and playful motor tasks of progressively increasing difficulty.

Interventions

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Intensive Rehabilitation

Children aged 4 to 8 years : 2 weeks program over 10 days including two individual sessions and three group sessions per participant per day combining CIMT and BIT.

Adolescents aged 9 to 17 years in day-hospital care/ in inpatient care: 2 weeks program over 10 days including two individual sessions and three group sessions per participant per day combining CIMT and BIT.

Daily routines, and activities involve functional and playful motor tasks of progressively increasing difficulty.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A clinical diagnosis of CP mentioned in the medical record
* Aged between 4 and 17 years inclusive (\<18 years)
* Global Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) levels I to IV
* Ability to cooperate, understand and follow simple instructions
* Patient affiliated to the French social security system
* Voluntary patient whose parents have given their consent for their child to participate in the study.

Exclusion Criteria

* Presence of injuries incompatible with participation in the program, or pain rated \>3 on the Visual Analogue Scale (VAS)
* Presence of behavioral disorders
* History of botulinum toxin injections or surgical intervention within six months prior to study enrollment.
Minimum Eligible Age

4 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation Ellen Poidatz

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Fondation Ellen Poidatz

Saint-Fargeau-Ponthierry, Île-de-France Region, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Éric Desailly, PhD

Role: CONTACT

Phone: +33160652765

Email: [email protected]

Related Links

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https://www.fondationpoidatz.com/arrow-cp/

Fondation Ellen Poidatz Habil'Hand+

Other Identifiers

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Habil'Hand+

Identifier Type: -

Identifier Source: org_study_id