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This study will provide exercise videos and live consultation sessions for adolescents with spastic cerebral palsy. We will recruit 20 participants with 10-18 years old and will be randomized into an experimental or control group. The experimental group will receive exercises videos 2 times a week and one time live consultation session for 8 weeks.
The Control group will receive exercise videos 3 times a week for 8 weeks. Both groups will use HIPAA compliant telehealth provider (Physitrack website/ app).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tele-coaching group | Experimental | This group will receive exercises videos, 2 sessions a week to be done on participant's own and the 3rd session will be live video conference session for training, supervision, and consultation purposes. |
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| Self-monitored group | Active Comparator | This group will receive exercises videos, 3 sessions a week to be done on participant's own with out any supervision. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telehealth home exercise program | Behavioral | The intervention will include videos of exercises and also live coaching using telehealth system. |
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| Measure | Description | Time Frame |
|---|---|---|
| Recruitment Rate | Recruitment rate will be calculated as the total number of patients recruited, divided by the maximum number of sites and then divided by the average number of months recruiting | post-intervention (after end of 8-weeks) |
| Adherence Rate | Adherence will be calculated as numbers: practice days, sessions, exercises, and repetitions. | post-intervention (after end of 8-weeks) |
| Compliance Rate | Compliance rate will be calculated by number of participants who will complete the whole intervention duration and be examined post-intervention. | post-intervention (after end of 8-weeks) |
| Canadian occupational performance measure score change | Achievements of individualized goals will be measured using the adapted version of COPM. For our study, 1-3 individualized goals are determined together by the parents/guardians, physical therapist, and investigators during the 2nd baseline visit. Children/parents will rate the current level of performance of each goal on scale 1-10 and satisfaction level of performance on scale 1-10, during the videoconferencing session along with physical therapist and investigators. The change in scores will be calculated (post-intervention score - Baseline score) | Baseline, Post-intervention (after end of 8-weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| The physical activity questionnaire for children (PAQ-C) and for Adolescents (PAQ-A) | The physical activity questionnaire for children (PAQ-C) and for Adolescents (PAQ-A) versions will be used to evaluate Physical activity level. The PAQ is self-administered, 7-day recall instrument. It is to assess general levels of physical activity in school students between 8-19. PAQ-C has 9 items while PAQ-A has 8 items, and each item is ranked on a 5-point scale. Both versions showed validity and reliability. |
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Inclusion Criteria:
Exclusion Criteria:
Subjects will be excluded if they have:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sakher Obaidat, Bsc | Contact | 9132035178 | obaidatsakher@gmail.com | |
| Wen Liu, PhD | Contact | wliu@kumc.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kansas Medical Center | Kansas City | Kansas | 66160 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19841838 | Background | Buffart LM, Westendorp T, van den Berg-Emons RJ, Stam HJ, Roebroeck ME. Perceived barriers to and facilitators of physical activity in young adults with childhood-onset physical disabilities. J Rehabil Med. 2009 Nov;41(11):881-5. doi: 10.2340/16501977-0420. | |
| 28398967 | Background | Lai B, Young HJ, Bickel CS, Motl RW, Rimmer JH. Current Trends in Exercise Intervention Research, Technology, and Behavioral Change Strategies for People With Disabilities: A Scoping Review. Am J Phys Med Rehabil. 2017 Oct;96(10):748-761. doi: 10.1097/PHM.0000000000000743. |
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Will share only aggregate and overall project results through poster and/or oral presentations at local, regional and national meetings.
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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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| Baseline, Post-intervention (after end of 8-weeks) |
| The Physical Activity and Enjoyment Scale (PACES) | This questionnaire consists of 16 statements that are scored on a five-point rating scale (1 = disagree a lot, 5 = agree a lot). | Baseline, Post-intervention (after end of 8-weeks) |
| The Cerebral Palsy Quality of Life Questionnaire (CP-QOL) | The Cerebral Palsy Quality of Life Questionnaire for Children (CP QOL-Child) and Cerebral Palsy Quality of Life Questionnaire for Adolescents (CP QOL-Teen) will be utilized to evaluate the QOL either using the self-reported version or proxy-parent report. The CP QOL-Child is to assess the quality of life of children with cerebral palsy aged 4-12 years. An adolescent version, the CP QOL-Teen, has recently been developed for adolescents aged 13-18 years. It assesses different domains including social wellbeing & acceptance, Feelings about functioning, Participation & physical health, Emotional wellbeing & self-esteem, Access to services, Pain & impact of disability, Family health. | Baseline, Post-intervention (after end of 8-weeks) |
| The Correctness of Exercise Performance (COEP) | (COEP) scale will be used to grade the quality of performance based on three criteria: 1) the performance has been carried out so well that the goal of the exercise is reached, 2) the exercise is not performed correctly and the goal is not reached, although no negative effect is to be expected, and 3) the exercise is carried out incorrectly, the goal is not reached and there is reason to assume that the exercise causes harm. Participants will be videotaped while they are performing the prescribed exercises at home, by parents and videos will be shared with investigator. | Baseline, halfway of intervention (after end of 4-weeks), Post-intervention (after end of 8-weeks) |
| Telehealth Usability Questionnaire (TUQ) | TUQ is 21 questions with a score ranging from 1 to 7 for each question. | Post-intervention (after end of 8-weeks) |
| pediatric pain questionnaire (PPQ) | To assess pain intensity and location and the sensory, affective, and evaluative qualities of pain, appropriate for children and adolescents. Visual Analogue scale (VAS) describing pain intensity, body outline to describe location of pain, and words describing pain to assess qualities of pain. | Baseline, Post-intervention (after end of 8-weeks) |
| Children Sleep Habits Questionnaire(CSHQ) | is a 45-item, parent-rated questionnaire that assesses the frequency of behaviors associated with common pediatric sleep difficulties. | Baseline, Post-intervention (after end of 8-weeks) |
| 31227664 | Background | Fauzi AA, Khayat MM, Sabirin S, Haron N, Mohamed MNA, Davis GM. Structured home-based exercise program for improving walking ability in ambulant children with cerebral palsy. J Pediatr Rehabil Med. 2019;12(2):161-169. doi: 10.3233/PRM-180538. |
| 25317927 | Background | Novak I, Berry J. Home program intervention effectiveness evidence. Phys Occup Ther Pediatr. 2014 Nov;34(4):384-9. doi: 10.3109/01942638.2014.964020. Epub 2014 Oct 15. No abstract available. |
| 21831927 | Background | Novak I. Effective home programme intervention for adults: a systematic review. Clin Rehabil. 2011 Dec;25(12):1066-85. doi: 10.1177/0269215511410727. Epub 2011 Aug 10. |