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Cerebral PalsyNCT04403490

Effect of HABIT-ILE on the Body Function and Structures of Children With Cerebral Palsy

A study testing HABIT-ILE and Conventional intervention in people with Cerebral Palsy, run by Université Catholique de Louvain at 1 site in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

There is strong evidence that recent intensive interventions based on motor skill learning principles are efficient on functional and neuroplastic changes of children with cerebral palsy (CP). Read more about this study

Who is it for?
Ages 5 to 18 years
Conditions the study is for
Cerebral Palsy
What is being tested?
HABIT-ILE and Conventional intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteBelgium
Study dates
26 May 2020to 20 Dec 2022
Phase
Interventional
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 5 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Diagnosed bilateral and unilateral cerebral palsy,
  • MACS levels from I to IV,
  • GMFCS levels from I to IV,
  • Ability to follow instructions and complete testing.

Who cannot join

  • Orthopedic surgery, botulinum toxin injections or another unusual intervention less than 6 months before or within the study period.
  • Unstable seizure
  • Severe visual or cognitive impairments likely to interfere with intervention or testing session completion

Trial locations and contacts

1 site in 1 country.

Yannick Bleyenheuft, Professor contact

+32 2 764 93 49

yannick.bleyenheuft@uclouvain.be

Seyma Kilcioglu, PhD Student contact

seyma.kilcioglu@student.uclouvain.be

Belgium1 site, 1 recruiting
  • Institute of Neuroscience, UCLouvain

    Brussels, 1200

    Yannick Bleyenheuft, Pr, yannick.bleyenheuft@uclouvain.be

    Seyma Kilcioglu, PhD Student, seyma.kilcioglu@student.uclouvain.be

    Recruiting

Other trials in Belgium

About this study

Official title: Effect of Hand and Arm Bimanual Intensive Therapy Including Lower Extremities on the Body Function and Structures of Children With Bilateral and Unilateral Cerebral Palsy, Including Selective Voluntary Motor Control and Brain Structure

There is strong evidence that recent intensive interventions based on motor skill learning principles are efficient on functional and neuroplastic changes of children with cerebral palsy (CP).

Besides, impaired selective voluntary motor control (SVMC) is one of four interrelated neuromuscular deficits in children with CP and is listed in the ICF-CY (International Classification of Functioning, Disability and Health for Children and Youth) under body functions. Additionally, impaired SVMC has been shown to negatively affect the motor and functional abilities of children with CP. However, there have been little scientific investigations on the trainability of SVMC according to therapeutic interventions.

Therefore, the study aims to evaluate the effect of Hand and Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) on the body function and structures of children with bilateral and unilateral cerebral palsy, including SVMC and brain structure.

Conditions
Cerebral Palsy
Being tested
HABIT-ILE, Conventional intervention
Keywords
motor skill learning, body function, body structure, selective voluntary motor control, brain structure, neuroplasticity, intensive therapy, cerebral palsy
Medical subject headings
Cerebral Palsy

What participants receive

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

  • HABIT-ILEBehavioural

    2 weeks HABIT-ILE

  • Conventional interventionBehavioural

    2 weeks usual intervention (waitlist group)

Study groups in NCT04403490
Study groupRoleWhat they receive
HABIT-ILEExperimentalHand and arm bimanual intensive therapy including lower extremities
Receives: Behavioral: HABIT-ILE
Conventional interventionActive comparatorConventional physical and occupational therapy
Receives: Behavioral: Conventional intervention

What is being measured

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

  1. Changes in Diffusion Tensor Imaging (DTI)

    This sequence allows to measure changes in the fractional anisotropy (FA) on the white matter tracts. FA is a scalar value (no unit) between zero and one that describes the degree of anisotropy of white matter water molecules.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  2. Changes in Test of Arm Selective Control (TASC)

    The TASC is an upper limb selective motor control evaluation tool including eight motions in each arm and up to three attempts are allowed for each motion. This assessment tool was developed in 2010 and Sukal-Moulton et al. have proved its validity and reliability for children with CP in 2017. After completion of the best attempt, points ranging from 0 (absent), 1 (impaired) to 2 (normal) are recorded for each joint depending on the movement properties and descriptors of the test.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  3. Changes in Selective Control Assessment of the Lower Extremity (SCALE):

    The SCALE was designed to evaluate lower limb selective motor control of children with cerebral palsy. The SCALE includes testing of five reciprocal lower extremity movements. SVMC is graded at each joint as 'Normal' (2 points), 'Impaired' (1 point), or 'Unable' (0 points).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  4. Changes in Strength

    The strength will be measured for main muscle groups using a Microfet.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  5. Changes in Stiffness

    The stiffness will be measured using a device developed and already validated at UCLouvain.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

Secondary outcomes (25)
  1. Changes in Assisting Hand Assessment (AHA or BoHA)

    The AHA is a videotaped tool measuring how effectively children with unilateral CP use the affected hand in bimanual activities. The BoHA is a videotaped tool measuring how effectively children with bilateral CP use both hands in bimanual activities.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  2. Changes in ABILHAND-Kids Questionnaire

    The ABILHAND-Kids Questionnaire has been developed to assess a child's unimanual and bimanual upper limb activities. It ranges from - 6 to +6 logits (higher score means better performance).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  3. Changes in ACTIVLIM-CP Questionnaire

    The ACTIVLIM-CP Questionnaire measures a patient's ability to perform daily activities requiring the use of the upper and/or the lower limbs through 42 items specific to patients with cerebral palsy. It ranges from - 5 to +5 logits (higher score means better performance).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  4. Changes in Gross Motor Function Measurement (GMFM 66)

    The GMFM has been developed to measure the change in gross motor function over time in children with cerebral palsy.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  5. Changes in 6 Minutes Walking Test (6MWT)

    The 6 Minutes Walking Test measures the distance that the patient walk as much as possible within a period of 6-minutes in a 30 meters long corridor.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  6. Changes in Box and Blocks test

    The BBT is a test of gross manual dexterity. Each hand is tested individually and the BBT is scored through the number of blocks carried over the partition from one part to another part of a box during the one-minute trial period.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  7. Changes in Jebsen-Taylor Test

    The Jebsen-Taylor Test assesses uni-manual hand function, through 7 subtests simulating daily life activities. The test assesses speed, not quality of performance and time to complete each activity is reported using a stopwatch.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  8. Changes in Modified Cooper test

    The Modified Cooper test is a modified version of The Manual Form Perception Test, which evaluates stereognosis through 16 objects. Both hands are tested separately and time to recognise the objects is reported using a stopwatch.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  9. Changes in ABILOCO-Kids Questionnaire

    The ABILOCO-Kids Questionnaire measures a patient's ability to perform daily activities requiring the use of the lower limbs through 10 items specific to patients with cerebral palsy. It ranges from - 4 to +4 logits (higher score means better performance).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  10. Changes in Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT)

    The PEDI-CAT is the new version of the Pediatric Evaluation of Disability Inventory (PEDI). The PEDI-CAT is comprised of 276 functional activities acquired throughout infancy, childhood and young adulthood. Based on the nternational Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) model, the PEDI-CAT contents provide information about the activities and participation component. It ranges from 0 to 100% (higher score means better performance).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  11. Changes in Canadian Occupational Performance Measure (COPM)

    The COPM measures the patient's self-perception of occupational performance and satisfaction of it in daily activities over time. It ranges from 1 to 10, a higher score means a better performance.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  12. Changes in Double Inversion Recovery (DIR)

    This sequence allows to identify an inflamatory lesion.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  13. Changes in Functional resting state (RS)

    This sequence allows to evaluate the regional interactions that occur in a resting or task-negative state.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  14. Changes in T1-weighted and T2-weighted structural imaging

    The difference between these sequences allows to evaluated changes in the cortical myelin.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  15. Changes in Executive Functions

    Cognitive functions of the children will be assessed by Stroop task and Flanker task.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  16. Changes in spatial parameters of the gait (Kinematics assessments)

    Through a 3D motion system, we measure the stride length (meters), step length (meters) and step width (meters).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  17. Changes in temporal parameters of the gait (Cycle time)

    Through a 3D motion system, we measure the cycle of gait time (seconds).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  18. Changes in temporal parameters of the gait (Stance time)

    Through a 3D motion system, we measure the stance time (percentage of the total gait cycle).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  19. Changes in temporal parameters of the gait (Swing time)

    Through a 3D motion system, we measure the swing time (percentage of the total gait cycle).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  20. Changes in temporal parameters of the gait (Stride)

    Through a 3D motion system, we measure the gait cadence (stride per minute).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  21. Changes in temporal parameters of the gait (Velocity)

    Through a 3D motion system, we measure the gait velocity (meter/second).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  22. Changes in temporal parameters of the gait (Acceleration)

    Through a 3D motion system, we measure the gait acceleration (meters/second^2)

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  23. Changes in spatial parameters of the upper extremity (Straightness)

    Through a 3D motion system, we measure the straightness (percentage of upper extremity trajectory during a reaching task).

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  24. Changes in spatial parameters of the upper extremity (Smoothness)

    Through a 3D motion system, we measure the smoothness (variability of the movement during a reaching task)

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

  25. Changes in temporal parameters of the upper extremity (Kinematics assessments)

    Through a 3D motion system, we measure the time from onset to end of the task (seconds). the task consists in a bimanual reaching task.

    Measured: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up

Timeline

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

  1. First posted27 May 2020
  2. Study start26 May 2020
  3. Primary completion20 Nov 2022 (estimated)
  4. Study completion20 Dec 2022 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04403490
Sponsor's protocol ID
B403201316810f
Status last verified
Jun 2022
First submitted
20 May 2020
Last updated
15 Jun 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing HABIT-ILE and Conventional intervention in people with Cerebral Palsy, run by Université Catholique de Louvain at 1 site in Belgium.

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

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. 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: status not confirmed, as of the sponsor's last update on 15 Jun 2022. 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 Belgium. 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?

Results are not available in the source record.

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

Contact Yannick Bleyenheuft, Professor (+32 2 764 93 49, yannick.bleyenheuft@uclouvain.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Diffusion Tensor Imaging (DTI) (time frame: pre-camp (1 week before), post-camp (1 week after), 3 months follow-up). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Jun 2022.

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