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The project aims to test the effectiveness and explore the possibility of performing a novel therapeutic approach, targeting to increase strength and coordination around the trunk, giving a more active and functional seating and head control in those children with cerebral palsy (CP) who are wheelchair users. The project will also try to determine the muscle physiological effect of treatment using indirect measures of strength in the spinal musculature.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Targeted Training | Experimental |
| |
| Control | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Regular physiotherapy | Other | The child's regular physiotherapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Gross Motor Function Measure at 6 months | Baseline, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 6 months | Baseline, 6 months | |
| Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 6 months | Baseline, 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Derek J Curtis, PT MSc | Hvidovre University Hospital | Principal Investigator |
| Stig Sonne-Holm, Dr Med | Hvidovre University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hvidovre University Hospital | Hvidovre | Copenhagen | DK-2650 | Denmark |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Targeted Training | Other | Targeted training, 5 days a week for 6 months, up to 30 minutes a day |
|
|
| Change from baseline in seated sway at 6 months | Baseline, 6 months |
| Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS) | 6 months |
| Change from baseline in Pediatric Evaluation of Disability Inventory (PEDI)at 12 months | Baseline, 12 months |
| Change from baseline in thickness of the erector spinae muscles measured with ultrasound at 12 months | Baseline, 12 months |
| Change from baseline in seated sway at 12 months | Baseline, 12 months |
| Degree of achievement of a goal set at baseline using a modified Goal Attainment Scale (GAS) | 12 months |
| Change from baseline in Gross Motor Function Measure at 12 months | Baseline, 12 months |