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| Name | Class |
|---|---|
| Gateshead Health NHS Foundation Trust | OTHER |
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To determine the clinical efficacy of auditory cueing using a cross over design to investigate whether increasing auditory cueing frequency by 20% above self paced cadence affects gait parameters in children with Cerebral Palsy when performing a functional task.
Introduction: Cerebral Palsy is a non progressive disorder occurring in early brain development, resulting in inefficient ambulatory pattern. The use of sensory cues to facilitate loco-motor activity has been suggested as providing the necessary trigger to synchronise movement with greater beneficial outcomes observed at higher frequency intensities within the adult population. Thus auditory cueing could have the potential to alter gait parameters during a functional task.
Aim: To explore if increasing auditory cueing frequency (AC20) affects gait during a functional task compared to auditory cueing at self-paced cadence (ACSC).
Method: Nineteen children with CP levels 1 and 2 on the Gross Motor Function Classification Scale participated using paired analysis. Outcomes were compared to the mean values for temporal spatial gait data within the conditions using a cross over design. TS data was obtained by using the GAITRite® walkway system whilst walking holding a cup.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Auditory cueing at self paced cadence | Active Comparator | Participants performed a functional task with auditory cueing set at self paced cadence. |
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| Cueing at 20% above self paced cadence | Experimental | Participants performed a functional task with auditory cueing set at 20% above self paced cadence whilst performing a functional task. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Auditory Cueing | Device | Auditory cueing set at different frequency rates |
|
| Measure | Description | Time Frame |
|---|---|---|
| Step Length as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of length was recorded in centimetres. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
| Measure | Description | Time Frame |
|---|---|---|
| Velocity as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of velocity was recorded in cm's per second. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Melissa Walk-ley | University College, London | Principal Investigator |
| Ann Lyons, PHD | Northumberia University | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12234229 | Background | Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, Wood E, Bartlett DJ, Galuppi BE. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. JAMA. 2002 Sep 18;288(11):1357-63. doi: 10.1001/jama.288.11.1357. | |
| Background | Kwak, E. (2007) Effect of rhythmic auditory stimulation on controlling stepping cadence of individuals with mental retardation and cerebral palsy. International journal of special education, vol 27, no 3, pp. 1-8. | ||
| 22142756 |
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Recruitment occurred at an NHS FoundationTrust between March to April 2015. Twenty-six children with Cerebral Palsy who were currently on the paediatric physiotherapy caseload met the inclusion criteria, so were invited to participate. A total of nineteen children chose to participate in this research project.
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| ID | Title | Description |
|---|---|---|
| FG000 | Cueing Self Paced Then Cueing 20% Above Self Paced Cadence | Participants performed a functional task with auditory cueing set at self paced cadence. Five days following participants performed a functional task with auditory cueing set at 20% above self paced cadence. Auditory Cueing: This was was delivered by a metronome, which was set at a beat frequency rate that matched the participant's baseline cadence or 20% above baseline cadence. |
| FG001 | Cueing at 20% Above Self Paced Cadence Then Self Based Cadence | Participants performed a functional task with auditory cueing set at 20% above self paced cadence. Five days following participants performed a functional task with auditory cueing set at self paced cadence. Auditory Cueing: This was delivered by a metronome, which was set at a beat frequency rate 20% above baseline cadence or that matched the participant's baseline cadence. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Condition 1 (1 Day) |
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| Condition 2 (1 Day) |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Participants performed a functional task with auditory cueing set at self paced cadence and 20% above self paced cadence. Auditory Cueing: This was delivered by a metronome producing a beat which was set at the participant's baseline cadence or 20% above baseline cadence. This was a crossover design where participants completed both arms in the trial. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Step Length as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of length was recorded in centimetres. | Posted | Mean | Standard Deviation | cm | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
|
Two months on completion of the study
All the participants were followed up during the routine physiotherapy review appointments upon completion of the study. No adverse events were reported.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Auditory Cueing at Self Paced Cadence | Participants performed a functional task with auditory cueing set at self paced cadence. Auditory Cueing: Auditory cueing set at different frequency rates |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Joanne Lindop | University College London | 07909116145 | joanne.lindop.12@ucl.ac.uk |
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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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| Step Time as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of step time was recorded in seconds. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
| Cadence as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of cadence was recorded in steps per minute. | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
| Time Spent in Double Support as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. This was record in percentage of time spent in double support (%). | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
| Time Spent in Single Support as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. This was record in percentage of time spent in double support (%). | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
| Background |
| Kim SJ, Kwak EE, Park ES, Lee DS, Kim KJ, Song JE, Cho SR. Changes in gait patterns with rhythmic auditory stimulation in adults with cerebral palsy. NeuroRehabilitation. 2011;29(3):233-41. doi: 10.3233/NRE-2011-0698. |
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| Participants |
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| Age, Continuous | Mean | Standard Deviation | months |
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| Sex: Female, Male | Count of Participants | Participants |
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| Units | Counts |
|---|---|
| Participants |
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| Secondary | Velocity as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of velocity was recorded in cm's per second. | Posted | Mean | Standard Deviation | cm/s | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
|
|
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| Secondary | Step Time as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of step time was recorded in seconds. | Posted | Mean | Standard Deviation | seconds | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
|
|
|
| Secondary | Cadence as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. The temprospatial measure of cadence was recorded in steps per minute. | Posted | Mean | Standard Deviation | steps per minute | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
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| Secondary | Time Spent in Double Support as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. This was record in percentage of time spent in double support (%). | Posted | Mean | Standard Deviation | percentage of time | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
|
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| Secondary | Time Spent in Single Support as Measured by the Gaitrite Walk-way System. | The Gaitrite is a portable gait analysis walk-way system that enables the temprospatial measures of gait to be recorded. This was record in percentage of time spent in double support (%). | Posted | Mean | Standard Deviation | percentage of time | Data was collected at a single time point for each condition. Conditions occurred within a two week time period. |
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| 0 |
| 19 |
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| 19 |
| EG001 | Cueing at 20% Above Self Paced Cadence | Participants performed a functional task with auditory cueing set at 20% above self paced cadence whilst performing a functional task. Auditory Cueing: Auditory cueing set at different frequency rates | 0 | 19 | 0 | 19 |
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