Rehabilitation for trunk control in young children with cerebral palsy
Trunk Activity Rehabilitation in Young Children With Cerebral Palsy
This study is testing a special rehabilitation program to help young children with cerebral palsy improve their trunk control and walking stability.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 32 (estimated) |
| Ages | 18 Months to 6 Years |
| Sex | All |
| Sponsor | Union de Gestion des Etablissements des Caisses d'Assurance Maladie - Nord Est Academic / other |
| Locations | 1 site (Nancy) |
| Trial ID | NCT06438432 on ClinicalTrials.gov |
What this trial studies
This study focuses on improving trunk control in young children with cerebral palsy (CP) through a specific rehabilitation program called Rehabilitation by Activities Involving the Trunk (RAIT). The main goal is to reduce the peak anterior deceleration of the sternum during walking, which is crucial for better balance and gait. Secondary objectives include enhancing overall postural control and reducing gait variability. Children aged 18 months to 5 years with specific types of CP will participate in this intervention, which aims to provide measurable improvements in their mobility and stability.
Who should consider this trial
Good fit: Ideal candidates are children aged 18 months to 5 years with spastic paraparesis or spastic hemiparesis and a GMFCS level of I to II.
Not a fit: Patients who have had lower limb surgery within the past year or have received botulinum toxin A injections may not benefit from this study.
Why it matters
Potential benefit: If successful, this rehabilitation approach could significantly enhance walking stability and overall motor function in children with cerebral palsy.
How similar studies have performed: Previous studies have shown that trunk-targeted rehabilitation can lead to significant improvements in postural control and gait in similar populations.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: For children with CP * Age between 18 months and 5 years 6 months * CP type: spastic paraparesis or spastic hemiparesis, GMFCS I to II * No or moderate retraction of the sural triceps (ankle dorsiflexion: \> 5° on clinical examination, knee straight) * Sufficient level of understanding to carry out activities involving the trunk in the form of self-exercises (rehabilitation protocol), as well as clinical assessments and functional explorations. * Acceptance by the physiotherapist in charge of the child's follow-up to collaborate in carrying out the RAIT. * Affiliated with a social security scheme For children with DT * Age between 18 months and 5 years 6 months * Walking acquired before age 18 months * Sufficient level of understanding to perform clinical assessments and functional explorations * Affiliated with a social security scheme Exclusion Criteria: For children with CP * Previous surgery on lower limbs less than 1 year ago * Botulinum toxin A injection less than 6 months ago * Any change in rehabilitative and/or orthopedic management in the last 2 months * Hip flessum \> 20 * Presence of subacute or chronic pain on standing or walking For children with DT \- Neurological and/or orthopedic disorders that may influence gait
Where this trial is running
Nancy
- Institut Régional de Médecine Physique et de Réadaptation — Nancy, France (Recruiting)
Study contacts
- Study coordinator: Jonathan Pierret, PhD
- Email: jonathan.pierret@ugecam.assurance-maladie.fr
- Phone: +33 3 83 52 6761
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.