The Feasibility of Telehealth HEP for CP (HEP: Home Exercise Program), (CP: Cerebral Palsy)

The Feasibility and Trend of Functional Changes by Using Home-based Exercise Program Delivered Through Telehealth With Coaching for Adolescents With Spastic Cerebral Palsy

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).

Inclusion Criteria:

• Must be diagnosed with spastic CP diagnosis, Gross Motor Functional Classification System (GMFCS) levels I-III) which will be confirmed by GMFCS-Extended Revised.
• Between the ages of 11 and 18 years old.
• Having a stable health status for 6 weeks prior to screening.
• Having the cognitive ability to follow an exercise instruction in either written or electronic format, with or without support from their parents.
• With an approval from parents/guardians for participating in this study.
• Having access to the internet at home and access to the exercise's website/app via Personal computer (PC), laptop, or mobile app.
• Being able to understand and follow verbal commands in English. The intervention and the questionnaires are available in English only.

Exclusion Criteria:

Subjects will be excluded if they have:

• unstable medical condition during past 6 weeks,
• had other neurological disorders that may cause further decline in balance and walking abilities (head injury, vestibular dysfunction, or Spinal cord injury),
• or any musculoskeletal condition that would interfere with the safe performance of the exercise intervention or testing protocol,
• scheduled surgical operations or castings during study period,
• scheduled for intensive rehabilitation during 8 weeks of intervention.