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Pediatric ALLNCT04321200

PANDA Gym: Automated Assessment of Neurodevelopment in Infants at Risk for Motor Disability

An observational study of Pediatric ALL and Infant Development, run by University of Pennsylvania at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Early childhood detection of motor delays or impairments provides the opportunity for early treatment which improves health outcomes. This study will use state of the art sensors combined with machine learning algorithms to develop objective, accurate, easy-to-use tools for the early scoring of deficits and lays the… Read more about this study

Who is it for?
Ages 0 to 6 monthsHealthy volunteers can take part
What is being tested?
PANDA Gym and Mobile App
How many people
166 participants
Where
1 siteUnited States
Study dates
1 Nov 2020to 27 Oct 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 to 6 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Study population: Study 1: 150 infants (75 with early brain injury, 75 Control). Age 1-6 months. Study 2: 50 infants (25 with early brain injury, 25 Control). Age 1 month. Study 3: 1200 infants (400 with EBI, 400 preterm without EBI/risk for future disability, 400 controls) from video data. Age 1-6 months. Infants without EBI/risk for future disability: Infants without known brain injuries, but with a history of preterm birth less than 32 week gestation, significant medical problems, difficulty eating, or who lack head control at 4 months of age or later will be classified as moderate risk.

Infants, male and female, between 0-6 months (Infants older than 6 months before initial enrollment will be excluded).

  • Infants with early brain injury (EBI):
  • Hydrocephalus
  • Hypoxic-ischemic encephalopathy (HIE)
  • Periventricular leukomalacia (PVL)
  • Intraventricular hemorrhage (IVH)
  • Stroke
  • Healthy infants (controls):
  • No history of early brain injury (EBI)
  • Infants without EBI/risk for future disability:
  • Infants without known brain injuries, but with a history of preterm birth less than 32-week gestation with significant medical problems, difficulty eating, or who lack head control at 4 months of age or later will be classified as moderate risk.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Childrens Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

Official title: Automated Assessment of Neurodevelopment in Infants at Risk for Motor Disability

Early childhood detection of motor delays or impairments provides the opportunity for early treatment which improves health outcomes. This study will use state of the art sensors combined with machine learning algorithms to develop objective, accurate, easy-to-use tools for the early scoring of deficits and lays the foundation for the early prediction of physical disability.

Read the detailed description

For children with neurodevelopmental disabilities, early treatment in the first year of life improves long-term outcomes. However, the investigators are currently held back by inadequacies of available clinical tests to measure and predict impairment. Existing tests are hard to administer, require specialized training, and have limited long-term predictive value. There is a critical need to develop an objective, accurate, easy-to-use tool for the early prediction of long-term physical disability. The field of pediatrics and infant development would greatly benefit from a quantitative score that would correlate with existing clinical measures used today to detect movement impairments in very young infants. To realize a new generation of tests that will be easy to administer, the investigators will obtain large datasets of infants playing in an instrumented gym or simply being recorded while moving in a supine posture. Video and sensor data analyses will convert movement into feature vectors based on our knowledge of the problem domain. Our approach will use machine learning to relate these feature vectors to currently recommended clinical tests or other ground truth information. The power of this design is that algorithms can utilize many aspects of movement to produce the relevant scores.

Being tested
PANDA Gym, Mobile App
Keywords
Infants, Neurodevelopment, Developmental Delays, Electronics, Early Intervention, Sensory and Motor, NICU, Natural Play
Medical subject headings
Precursor Cell Lymphoblastic Leukemia-Lymphoma, Neurodevelopmental Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PANDA GymDiagnostic test

    Infants will lie supine on a flat surface and will be placed in the PANDA gym where they either move by themselves or will interact with an instrumented toy. We will collect video, mat, and toy data from PANDA gym under two conditions: 1) infants playing supine without a toy and 2) infants reach, grasp and kick of the new PANDA toy. A test session will proceed as follows: The infant will be placed on his or her back at a predetermined position on the gym mat for the 2-minute no toy condition. Next, the toy will be given to the baby and adjusted for the infant to reach or kick. A caregiver will be seated at the head of the baby (out of a baby's sight) to provide comfort if needed. Testing will be done in NICU or at daycare or the rehabilitation robotics lab at University of Pennsylvania.

  • Mobile AppOther

    The parent or legal guardian will be consented first via the virtual rounding mobile app. They will also be asked to fill out general surveys including, a demographic survey, and a case report form, and a user feedback survey that provides relevant information, on both the family's and infant's medical history and experience. (see the flow-chart for the app). Within the caregiver survey, we will request the pediatrician (or primary care physician) name. We believe that with the baby name, caregiver name, zip code, and physician name, we will be able to locate the physician if needed.

    Parents or legal guardians or the research will be asked to collect video via the MOBILE app. They will be instructed to ensure that the infant lies supine in no more than one-layer of tight-fitting clothing (i.e. infant onesie) while calm and awake. In all cases, we will have video recordings of the baby. They will be asked to upload the video to the app.

Study groups in NCT04321200
Study groupRoleWhat they receive
Cross-sectional-150 infants (atypical vs typical)Arm (Study)1: To assess the concurrent validity of a multimodal instrumented gym with existing clinical tools. Here, using 150 infants, we will focus on converting data from an instrumented gym into estimates of the standard clinical tests.
Receives: Diagnostic Test: PANDA Gym
Longitudinal cohort - 50 infants (atypical vs typical)Arm (Study) 2: To discover the features related to long-term motor development. Here we will convert data collected longitudinally from 50 infants, using both instrumented gym and video recordings, into estimates standard clinical tests change over time and track features over developmental timescales.
Receives: Diagnostic Test: PANDA Gym
Cross-sectional-1500 infants (atypical vs typical)Arm (Study) 3: To develop a computer vision-based algorithm to quantify infant motor performance from a single-camera video. Here using video data from 1200 infants, plus those gathered from Arm 1 and Arm 2, we will extract pose data from single-camera video recordings and convert these into kinematic features and relevant scores needed to classify infant movement.
Receives: Other: Mobile App

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prechtl's General Movements Assessment (GMA) score

    The spontaneous movements of infants aged 1 to 5 months will be classified with the GMA. The GMA is a qualitative observational scale of infant movement. Normal infant movement is described as a writhing movement at earlier ages, characterized by small, circular and elegant movements, and fidgety movements at older ages.

    Measured: 1 months

  2. Prechtl's General Movements Assessment (GMA) score

    The spontaneous movements of infants aged 1 to 5 months will be classified with the GMA. The GMA is a qualitative observational scale of infant movement. Normal infant movement is described as a writhing movement at earlier ages, characterized by small, circular and elegant movements, and fidgety movements at older ages.

    Measured: 2 months

  3. Prechtl's General Movements Assessment (GMA) score

    The spontaneous movements of infants aged 1 to 5 months will be classified with the GMA. The GMA is a qualitative observational scale of infant movement. Normal infant movement is described as a writhing movement at earlier ages, characterized by small, circular and elegant movements, and fidgety movements at older ages.

    Measured: 3 months

  4. Prechtl's General Movements Assessment (GMA) score

    The spontaneous movements of infants aged 1 to 5 months will be classified with the GMA. The GMA is a qualitative observational scale of infant movement. Normal infant movement is described as a writhing movement at earlier ages, characterized by small, circular and elegant movements, and fidgety movements at older ages.

    Measured: 4 months

  5. Prechtl's General Movements Assessment (GMA) score

    The spontaneous movements of infants aged 1 to 5 months will be classified with the GMA. The GMA is a qualitative observational scale of infant movement. Normal infant movement is described as a writhing movement at earlier ages, characterized by small, circular and elegant movements, and fidgety movements at older ages.

    Measured: 5 months

  6. The Test of Infant Motor Performance (TIMP) score

    The TIMP, a test of infant movement designed to be used at term age and up to 16 weeks after, will be used to assess infants between 0 and 4 months.

    Measured: 1 month

  7. The Test of Infant Motor Performance (TIMP) score

    The TIMP, a test of infant movement designed to be used at term age and up to 16 weeks after, will be used to assess infants between 0 and 4 months.

    Measured: 2 months

  8. The Test of Infant Motor Performance (TIMP) score

    The TIMP, a test of infant movement designed to be used at term age and up to 16 weeks after, will be used to assess infants between 0 and 4 months.

    Measured: 3 months

  9. The Test of Infant Motor Performance (TIMP) score

    The TIMP, a test of infant movement designed to be used at term age and up to 16 weeks after, will be used to assess infants between 0 and 4 months.

    Measured: 4 months

  10. Alberta Infant Motor Scale (AIMS) score

    The AIMS is a quick motor screen that will be administered with infants 3,6 months of age.

    Measured: 3 months

  11. Alberta Infant Motor Scale (AIMS) score

    The AIMS is a quick motor screen that will be administered with infants 3,6 months of age.

    Measured: 4 months

  12. Alberta Infant Motor Scale (AIMS) score

    The AIMS is a quick motor screen that will be administered with infants 3,6 months of age.

    Measured: 5 months

  13. Alberta Infant Motor Scale (AIMS) score

    The AIMS is a quick motor screen that will be administered with infants 3,6 months of age.

    Measured: 6 months

  14. Hammersmith Infant Neurological Examination (HINE) score

    The HINE, an examination of general infant neurological function and movement, will be administered with infants at all ages.

    Measured: 1 months

  15. Hammersmith Infant Neurological Examination (HINE) score

    The HINE, an examination of general infant neurological function and movement, will be administered with infants at all ages.

    Measured: 2 months

  16. Hammersmith Infant Neurological Examination (HINE) score

    The HINE, an examination of general infant neurological function and movement, will be administered with infants at all ages.

    Measured: 3 months

  17. Hammersmith Infant Neurological Examination (HINE) score

    The HINE, an examination of general infant neurological function and movement, will be administered with infants at all ages.

    Measured: 4 months

  18. Hammersmith Infant Neurological Examination (HINE) score

    The HINE, an examination of general infant neurological function and movement, will be administered with infants at all ages.

    Measured: 5 months

  19. Ability to predict The Hammersmith Infant Neurological Examination (HINE) score

    The regression R-squared resulting from regression algorithm to predict the Test of Infant Motor Performance (TIMP)

    Measured: 6 months

  20. Ability to predict The Test of Infant Motor Performance (TIMP) score

    The regression R-squared resulting from regression algorithm to predict the Test of Infant Motor Performance (TIMP)

    Measured: 6 months

  21. Ability to predict the Alberta Infant Motor Scale (AIMS) score

    The regression R-squared resulting from a regression algorithm to predict the Alberta Infant Motor Scale (AIMS) score

    Measured: 6 months

Secondary outcomes (6)
  1. Average Path Length

    The average path length of the center of pressure during a 2 minute session on the mat

    Measured: 1 month

  2. Average Path Length

    The average path length of the center of pressure during a 2 minute session on the mat

    Measured: 6 months

  3. Toy contact time

    Average voluntary contact time with the Toy - including sum of contact time with each arm and each leg

    Measured: 1 month

  4. Toy contact time

    Average voluntary contact time with the Toy - including sum of contact time with each arm and each leg

    Measured: 6 months

  5. Toy contact frequency

    Average # of voluntary contacts with the Toy - mean of with each arm and each leg

    Measured: 1 month

  6. Toy contact frequency

    Average # of voluntary contacts with the Toy - mean of with each arm and each leg

    Measured: 6 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2020
  2. Study start1 Nov 2020
  3. Primary completion27 Oct 2025
  4. Study completion27 Oct 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
166 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04321200
Sponsor's protocol ID
833180
Other IDs
R01HD097686
Status last verified
Aug 2026
First submitted
17 Dec 2019
Last updated
10 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Novak I, McIntyre S, Morgan C, Campbell L, Dark L, Morton N, Stumbles E, Wilson SA, Goldsmith S. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013 Oct;55(10):885-910. doi: 10.1111/dmcn.12246. Epub 2013 Aug 21.

    PubMed 23962350
  • Noble Y, Boyd R. Neonatal assessments for the preterm infant up to 4 months corrected age: a systematic review. Dev Med Child Neurol. 2012 Feb;54(2):129-39. doi: 10.1111/j.1469-8749.2010.03903.x. Epub 2011 Dec 5.

    PubMed 22142216
  • Einspieler C, Bos AF, Libertus ME, Marschik PB. The General Movement Assessment Helps Us to Identify Preterm Infants at Risk for Cognitive Dysfunction. Front Psychol. 2016 Mar 22;7:406. doi: 10.3389/fpsyg.2016.00406. eCollection 2016.

    PubMed 27047429
  • Rydz D, Shevell MI, Majnemer A, Oskoui M. Developmental screening. J Child Neurol. 2005 Jan;20(1):4-21. doi: 10.1177/08830738050200010201.

    PubMed 15791916

Questions about this trial

What is this clinical trial studying?

An observational study of Pediatric ALL and Infant Development, run by University of Pennsylvania at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prechtl's General Movements Assessment (GMA) score (time frame: 1 months). The study lists 21 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04321200, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Aug 2026.

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Clinical Trial NCT04321200 | AzTrials