An interventional study of customized posture support in Cerebral Palsy, Traumatic Brain Injury and Metabolic Disease, sponsored by University of Hartford. Completed at 3 sites in United States. Open to participants aged 3 Months to 21 Years. Per ClinicalTrials.gov, last updated 2022-05-26.
Sponsored by University of Hartford · Not applicable, Interventional, and Treatment
This study evaluates the effect of optimizing trunk support based on segmental principles of trunk control, on academic engagement of children in academic settings.
Head and trunk posture control are foundational skills, impacting vision, communication, swallowing, eating, reaching, and gait. Vision, communication and upper extremity skills are critical for participation in educational settings. From an academic point of view, participants with poor trunk stability have difficulties staying erect and keeping their head and trunk steady. This interferes with concentration, reduces ability and aptitude for learning and can lead to fatigue and reduced time on task. Examination of the effect of optimal trunk support may yield critical information regarding academic engagement in children with moderate to severe disability.
The investigators propose to facilitate use of a segmental approach by physical and occupational therapists in educational settings. Activities will include identifying level of trunk control and applying segmental principles to adapt participant's positioning devices for optimal function.
2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.
This study's enrollment of 10 is below the median of 48 across 1,331 interventional studies indexed under Brain Injuries.
Browse Brain Injuries studies →University of Hartford is the lead sponsor of 16 studies on the registry; 4 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
The investigators will use a longitudinal design with baseline, immediate and post-intervention data collections. The intervention will include customized posture support in seated, standing or walking devices that will be used in the child's educational setting or home (for early intervention) to facilitate specific educational activities.
Device: customized posture support
We will provide customized modifications for seated or standing or walking devices based on the child's segmental level of control
Change in Video Behavior Coding of time "on task" for selected IEP or IFSP goals.
Frequency and duration of 'on task' behavior will be coded for 2 or 3 of the child's existing education goals under two conditions, when child is in usual positioning equipment and in segmentally optimized equipment. Goals of interest reflect motor behaviors that promote task performance or interaction. These include 1) eye gaze (at people or objects), 2) reaching, 3) object manipulation, 4) head turning and 5) making choices (using eye gaze or reach).
Time frame: On day 1 and one additional date at least 3 weeks later.
Change in vertical alignment of head
frequency and duration of upright 'head position' will be coded for 2 or 3 of the child's existing education goals under two conditions, when child is in usual positioning equipment and in segmentally optimized equipment.
Time frame: On the day 1 and one additional date at least 3 weeks later.
parent, teacher or aide device use record
frequency and duration of device use and comments about child and teachers response to using the device.
Time frame: from day 1 to second session at least 3 weeks later)
This study is completed, as verified in May 2022. You cannot join it, but the record below documents what was studied.
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