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CompletedNCT07310550Updated Jan 9, 2026

A Physical Therapy Program Targeting Lower Extremity Selective Motor Control in Children With Spastic Cerebral Palsy

An interventional study of Selective movement of individual lower limb joints and Knee joint strengthening at high velocities in Spastic Cerebral Palsy, sponsored by University of California, Los Angeles. Completed at 1 site in United States. Open to participants aged 5 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-01-09.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 11 years 7 months after the study started (first participant enrolled May 2014, registered Dec 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
23
Allocation
Not applicable
Ages
5 Years to 18 Years
Sex
All
01

Study summary

The goal of this intervention study is to learn whether a physical therapy exercise camp called will improve leg movement (motor control) and functional ability in children with spastic CP who are between 5 and 18 years. The main questions the study aims to answer are:

  • Does the ability to move the knee at high velocities improve?
  • Does function such as walking, running, hopping, climbing stairs improve?
  • Will the brain tracts that control movement change?
  • Will children who have better independent control of joint motion improve more?

All participants will:

  • Attend 15 sessions of an exercise camp for 3 hours per day
  • Perform a home exercise program after the camp ends

Measurements:

  • Lower extremity selective motor control
  • Knee muscle strength at high speeds using an exercise machine
  • Gross motor function
  • Gait analysis (walking patterns)
  • Parent's perception of their child's ability and their satisfaction with that ability
  • Change in brain motor tracts using a scanner (MRI) for participants that meet the inclusion criteria for MRI

MRI measurements will be taken twice (before and immediately after the treatment). All other measurements and will be taken 3 times (before, immediately after the treatment and approximately 4 months after the treatment).

02

Conditions studied

  • Spastic Cerebral Palsy

Keywords

  • cerebral palsy
  • spastic
  • physical therapy
  • selective motor control
  • intervention
  • corticospinal tracts
03

In context

Cerebral Palsy

1,853 studies on the registry are indexed under Cerebral Palsy; 435 are open to participants now.

This study's enrollment of 23 is below the median of 33 across 1,368 interventional studies indexed under Cerebral Palsy.

Browse Cerebral Palsy studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,142 studies on the registry; 192 are open to participants now.

Of its 91 completed or terminated interventional studies of FDA-regulated products, 66 (73%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
5 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • spastic cerebral palsy
  • age between 5-18 years
  • ability to walk at least 10 meters
  • ability to follow simple verbal directions

Exclusion criteria

Exclusion Criteria:

All participants

  • botulinum toxin or serial casting within the preceding 3 months
  • recent orthopedic or neurological surgery within the preceding 12 months
  • uncontrolled seizures

For participants undergoing MRI

  • inability to lie still
  • incompatible metal implants
  • baclofen pumps or shunts
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
Single (Outcomes assessor)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    Participants who have the intervention

    physical therapy exercise intervention

    Other: Selective movement of individual lower limb joints · Other: Knee joint strengthening at high velocities · Other: Ankle controlled gaming · Other: Functional activities based on child and parental goals · Other: Sensori-motor exercises

Interventions

  • OtherSelective movement of individual lower limb joints

    Children practices moving the joints of each lower leg independently.

  • OtherKnee joint strengthening at high velocities

    In sitting, the thigh and trunk are secured to a seat and the lower leg to a moving arm that provides resistance at exercise velocities progressing up to a maximum of 300 deg/s.

  • OtherAnkle controlled gaming

    With the child in sitting, the ankle is secured to a moving segment. The child can control games such as tennis by dorsiflexing and plantar flexing their ankle at increasing velocities to meet the demands of the game.

  • OtherFunctional activities based on child and parental goals

    The Canadian Occupational Performance Measure is used to identify functional goals. Activities to address these goals are designed by physical therapists and practiced during camp.

  • OtherSensori-motor exercises

    Walking barefoot over sand and grass. Foot and ankle sensory exploration using materials with various textures.

06

What researchers measure

Primary outcomes

  1. Gross Motor Function Measure

    Children are asked to perform functional activities including standing, walking, running, balancing and stair climbing. The data are entered into a computer program to create a score ranging from 0-100. A higher score indicates better function.

    Time frame: nine months

Secondary outcomes

  1. Knee joint torque

    Three repetitions of maximum effort knee extension and flexion torque are collected at 0-300 deg/s for the affected lower limbs. Outcomes are the percent of knee joints that can produce measurable torque at each velocity and the peak joint torque that is produced.

    Time frame: nine months

  2. Canadian Occupational Performance Measure

    Parents/caregivers and children choose 5 activities that they would like to see improve as a result of this intervention. The parent or caregiver rates how well their child currently performs that task and how satisfied they are with the performance of the task on a scale of 1-10 with 10 being the highest score.

    Time frame: nine months

  3. Brain MRI - Diffusion tensor imaging

    A brain MRI scan is obtained. Tract based spatial statistics are performed from the scan to look for changes in individual voxels. Higher values for fractional anisotropy are associated with improved tract integrity. Lower values for radial and median diffusivity are associated with improved myelination.

    Time frame: nine months

07

Study locations

1 site
  • Center for Cerebral Palsy at UCLA/Orthopaedic Institute for Children
    Los Angeles, California 90095, United States
08

References and documents

Publications

  • Vuong A, Joshi SH, Staudt LA, Matsumoto JH, Fowler EG. Improved Myelination following Camp Leg Power, a Selective Motor Control Intervention for Children with Spastic Bilateral Cerebral Palsy: A Diffusion Tensor MRI Study. AJNR Am J Neuroradiol. 2023 Jun;44(6):700-706. doi: 10.3174/ajnr.A7860. Epub 2023 May 4. PubMed 37142433 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07310550
Lead sponsor
University of California, Los Angeles
Responsible party
Eileen Fowler (Professor, University of California, Los Angeles) — Principal investigator
First posted
Dec 30, 2025
Start date
May 1, 2014
Primary completion
Jan 7, 2019
Completion
Jan 7, 2019
Last update
Jan 9, 2026

Study contacts

Eileen G Fowler, PhD, PT
principal investigator · University of California, Los Angeles

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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