Observing the development of infants with cerebral palsy
Official title: Understanding the Early Natural History of Cerebral Palsy - A Prospective Cohort Study
Run by Children's Hospital Medical Center, Cincinnati · NCT05576948 · Data updated 2026-11-12
This study looks at how infants with or at risk for cerebral palsy grow and develop in their first two years to help doctors and therapists better support them.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 3 Months to 24 Months |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Children's Hospital Medical Center, Cincinnati Academic / other |
| Locations | 1 site (Cincinnati, Ohio) |
| Status | Recruiting |
| Started | September 8, 2022 |
| Main results expected | September 8, 2026 |
| Study ends | September 8, 2027 |
| Registry record updated | September 25, 2025 |
| Trial ID | NCT05576948 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are infants under 12 months with a diagnosis of cerebral palsy or those identified as at high risk for developing CP.
✕Probably not a fit
Patients who do not meet the eligibility criteria, such as those over 12 months or without a diagnosis or risk factors for CP, may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to describe the early natural history of cerebral palsy (CP) by mapping the development of infants diagnosed with or at high risk for CP over their first two years of life. Infants will be assessed at regular intervals up to 24 months, focusing on various aspects of childhood development to create comprehensive developmental trajectories. The findings will enhance the understanding of CP development, aiding clinicians and therapists in providing accurate prognostic information and targeted early interventions. This study is part of a larger multi-site international initiative.
Why it matters
Potential benefit: If successful, this study could lead to improved early interventions and better outcomes for infants with cerebral palsy.
How similar studies have gone: Other studies have shown success in understanding the natural history of cerebral palsy, making this approach both relevant and valuable.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* Infants will be included if they have a diagnosis of CP or "at high risk of CP" and under the age of 12 months.
* Infants at high risk of CP as defined by any two (any combination) of the following:
1. Neuroimaging predictive of a motor disability including the involvement of 1 or more of the following structures: sensori-motor cortex, Basal Ganglia, Posterior Limb of the Internal Capsule, pyramids.
2. Trajectory of cramped synchronized general movements (GMs) on General Movement Assessment (GMA) OR absent fidgety GMs at fidgety age
3. Hammersmith Infant Neurological Exam (HINE) scores \<57 @ 3months or \<60 @ 6months or \<63 @9 months
Infants will also be included if they meet BOTH of the following criteria (even if infants have a HINE score greater than the cut off scores stated above:
i. Unilateral brain injury on neuroimaging (magnetic resonance imaging (MRI) or cranial ultrasound (CUS)) predictive of CP ii. Clinical signs of asymmetry
Exclusion Criteria:
* Infants with progressive or neurodegenerative disorders or genetic disorders not associated with CP
* Infants with other disability diagnoses e.g. Down Syndrome
Where it's running
-
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting
Study contacts
- Study coordinator: Karen L Harpster, PhD
- Email: karen.harpster@cchmc.org
- Phone: 513-803-3604
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Sensory Integration Therapy vs Conventional Physical Therapy in Children With Mixed Cerebral Palsy
This study tests whether Sensory Integration Therapy helps improve gross motor function more than standard physical therapy in children aged 4–10 with mixed cerebral palsy.
-
Turkish version of ABILHAND-Kids Young CP: translation, adaptation, and reliability
A Turkish version of the ABILHAND-Kids Young CP questionnaire is being created and tested to see if it reliably measures manual ability in 2-to-7-year-olds with cerebral palsy, based on parent reports.
-
Multisite upper limb surgery in children with unilateral cerebral palsy
This study looks at whether individualized multisite upper limb surgery helps improve hand function in kids with hemiplegic cerebral palsy, using each child as their own control before and after surgery.
-
Spinal Stimulation During Walking to See If Spasticity Lessens in Cerebral Palsy
This study tests whether walking with non-invasive spinal stimulation reduces leg muscle tightness and improves walking in children and young adults with cerebral palsy.
-
Combined leg nerve blocks for kids with cerebral palsy after surgery
This study tests whether adding two nerve blocks to standard anesthesia helps control pain in children with cerebral palsy after lower limb surgery.
-
Smartphone gait checks for kids with unilateral spastic CP
This study tests whether a phone’s accelerometer can reliably measure walking in children with unilateral spastic cerebral palsy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.