An interventional study of Rehabilitation involving strongly the trunk in Cerebral Palsy, Spastic, sponsored by Union de Gestion des Etablissements des Caisses d'Assurance Maladie - Nord Est. Completed at 1 site in France. Open to participants aged 5 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-07-03.
Sponsored by Union de Gestion des Etablissements des Caisses d'Assurance Maladie - Nord Est · Not applicable, Interventional, and Treatment
Gait abnormalities, which occur in Cerebral Palsy (CP), are characterized usually by a toe-to-floor or a plantar-to-floor initial contact (equinus gait), followed by an early braking of the tibia's forward progression (during ankle dorsiflexion). This causes consequently a trunk deceleration. Moreover, children with CP have difficulties to stabilize the trunk and the head in the space, and that could have impact on gait. If equinus gait is often attributed to the triceps surae spasticity, recent works suggest rather that this early braking of the dorsiflexion could be a motor adaptation to axial postural control difficulties. This thesis project aims firstly to attest that locomotor disorders are related to these difficulties in the stabilization of the axial body segments in children with CP and, secondly, to show that improving the trunk and head postural control with a specific rehabilitation protocol could reduce the early braking of the dorsiflexion and, consequently, the gait abnormalities observed in CP.
750 studies on the registry are indexed under Paralysis; 134 are open to participants now.
This study's enrollment of 17 is below the median of 30 across 538 interventional studies indexed under Paralysis.
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Exclusion Criteria:
Group having performed the rehabilitation involving strongly the trunk for the first 3 months and then having performed its usual rehabilitation for the last 3 months. Before and after each 3-months period, an evaluation of the postural control of the trunk (using the Trunk Control Measurement Scale and a dynamic posturography on an unstable sitting device) and a clinical gait analysis were performed.
Other: Rehabilitation involving strongly the trunk
Group having performed its usual rehabilitation for the first 3 months and then having performed the rehabilitation involving strongly the trunk for the last 3 months. Before and after each 3-months period, an evaluation of the postural control of the trunk (using the Trunk Control Measurement Scale and a dynamic posturography on an unstable sitting device) and a clinical gait analysis were performed.
Other: Rehabilitation involving strongly the trunk
Typically developing children who served as a control group in the first assessment (Trunk Control Measurement Scale, dynamic posturography on an unstable sitting device, clinical gait analysis)
The Rehabilitation involving strongly the trunk (RIST) leaded by a physiotherapist was based on exercises in different postures performed by the child each day that strongly involve the trunk to cope with balance.
Change of the peak of ankle negative power during the weight acceptance phase of gait
In watts per kg.
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the peak of trunk's anterior deceleration during the weight acceptance phase of gait
In m/s²
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the peak of the center of mass downward deceleration during the weight acceptance phase of gait
In m/s²
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the score of the Trunk Control Measurement Scale (TCMS)
Score from 0 to 58. The higher the score, the better the trunk control.
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the center of pressure velicoty during unstable sitting posturography
In mm²/s
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the center of pressure sway area during unstable sitting posturography
In mm²
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the Dimensionless walking speed
Walking speed normalized to the length of the lower limb
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the dimensionless step width
Step width during walking normalized to the width of the pelvis
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the center of pressure velicoty during quiet standing
In mm²/s
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
Change of the center of pressure sway area during quiet standing
In mm²
Time frame: Change from baseline to the end of the first 3-months period of rehabilitation and from this latter to the end of the second 3-months period of rehabilitation
This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.
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Union de Gestion des Etablissements des Caisses d'Assurance Maladie - Nord Est