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Gait Disorders, NeurologicNCT06461923

Home-based Gait Rehabilitation Service Using the Insole-type Gait Analysis Device for Children With Cerebral Palsy

A study testing Insole wearing in people with Gait Disorders, Neurologic and Cerebral Palsy, run by Yonsei University at 1 site in South Korea.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Walking is a crucial daily activity that requires complex coordination of muscular systems. It is essential for bone and muscle health, cardiovascular fitness, and activities of daily living, making it an important indicator of prognosis and patient function. Read more about this study

Who is it for?
Ages 7 to 18 years
Conditions the study is for
Gait Disorders, Neurologic, Cerebral Palsy
What is being tested?
Insole wearing
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteSouth Korea
Study dates
1 Aug 2024to Jun 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 7 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Patients diagnosed with cerebral palsy aged 7 to 18 years old
  • Patients classified as Gross Motor Function Classification System level 1 or 2
  • Individuals who visited Severance Hospital, comprehended the study, agreed to participate, and submitted the informed consent form

Who cannot join

  • Individuals with complications such as severe foot deformities where the sensors of the insole gait analysis device cannot be recognized
  • In addition to above, individuals with clinically significant findings deemed inappropriate for this study by the study director or person in charge based on medical judgment

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

South Korea1 site, 1 recruiting
  • Severance Hospital

    Seoul, Seodaemun-gu, 03722

    Juntaek Hong, +82 010 6517 7526, GHDWNSXOR@yuhs.ac

    Yerim Do, +82 010 7154 6011, doyr62@gmail.com

    Recruiting

Other trials in South Korea

About this study

Official title: Development and Feasibility Study of the Home-based Gait Rehabilitation Service by Using the Insole-type Gait Analysis Device for Children With Cerebral Palsy

Walking is a crucial daily activity that requires complex coordination of muscular systems. It is essential for bone and muscle health, cardiovascular fitness, and activities of daily living, making it an important indicator of prognosis and patient function. Insole gait analysis devices are affordable and easy to use, and they align well with standardized 3D gait analysis. However, their use outside of hospital settings is limited.

This study aims to assess the usability and satisfaction of utilizing insole gait analysis devices for monitoring and providing feedback on the walking status of children with cerebral palsy exhibiting walking impairments in a home environment. Additionally, adherence to a home-based exercise program developed in this study will be evaluated.

Read the detailed description

The screening test is conducted after obtaining consent, and it involves assessing whether the subject can independently walk more than 10 meters, regardless of the use of assistive devices, following an evaluation of their baseline symptoms and signs.

Subjects who pass the screening test are provided with information about their current walking status and what constitutes normal walking. Following the initial evaluation, they are instructed to participate in the 6-week home exercise program and how to record an exercise log. Additionally, researchers provide participants with an insole gait analysis device and instruct them on its operation, encouraging prolonged usage to ensure that usage time and walking patterns are recorded.

Based on the collected measurement data, feedback is provided over the phone at weeks 3 to 4. After completing the 6-week home exercise program, a final evaluation is conducted in the same manner as the initial evaluation. Satisfaction with the insole gait analysis device is assessed only at the time of the final evaluation.

Usage and satisfaction with the insole gait analysis device will be analyzed, and evaluation indicators will be compared before and after the home exercise program. Additionally, adherence to the home exercise program will be evaluated through exercise logs.

Being tested
Insole wearing
Keywords
gait parameters, smart insole, home-based exercise, monitoring system, rehabilitation
Medical subject headings
Gait Disorders, Neurologic, Cerebral Palsy

What participants receive

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

  • Insole wearingDevice

    The insole-wearing group is instructed to wear the insole gait analysis device as frequently and for as long as possible during outdoor activities. Participants receive feedback during 3rd to 4th week via telephone. Following a period of 6 weeks, an evaluation of the usability and satisfaction of the insole gait analysis device will be conducted.

Study groups in NCT06461923
Study groupRoleWhat they receive
Insole wearingExperimentalNot described
Receives: Device: Insole wearing

What is being measured

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

  1. 6-minute Walking Test

    Measured: This test results will be assessed two times: baseline and after 6 weeks

Secondary outcomes (18)
  1. Appendicular muscle mass (kg)

    This outcome will be measured using bioelectrical impedance.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  2. Height (cm)

    This outcome will be measured using bioelectrical impedance.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  3. Weight (kg)

    This outcome will be measured using bioelectrical impedance.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  4. Grip Strength Test (kg)

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  5. The number of steps (n)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  6. Calories burned (kcal)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  7. Activity time (min)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  8. Activity distance (km)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  9. Walking speed (m/s)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  10. Stride length (cm)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  11. Left-right gait balance (%)

    This outcome will be collected using an insole-type gait analyzer.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  12. 10-meter Walking Test (m/s)

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  13. Pediatric Balance Scale (scores)

    The minimum score is 0 points, and the maximum score is 56 points. A higher score indicates better balance ability in children and a greater capacity to perform daily activities independently.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  14. Gross Motor Function Classification System (levels)

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  15. Korean version of Cerebral Palsy Quality of Life (scores)

    If the participant is aged 8 or younger, the relevant questionnaire will be administered; otherwise, the Korean version of KIDSCREEN-52 will be used.

    The minimum score is 0 points, and the maximum score is 100 points. A higher score indicates a higher quality of life.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  16. Korean version of KIDSCREEN-52 (Children & Adolescents) (scores)

    If the participant is aged over 8, the relevant questionnaire will be administered.

    The minimum score is 52 points, and the maximum score is 260 points. A higher score indicates a higher quality of life.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  17. Korean version of KIDSCREEN-52 (Parents) (scores)

    The minimum score is 52 points, and the maximum score is 260 points. A higher score indicates a higher quality of life.

    Measured: This test results will be assessed two times: baseline and after 6 weeks

  18. Satisfaction Survey for the Device (scores)

    The minimum score is 12, and the maximum score is 84 points. A higher score indicates lower satisfaction.

    Measured: This test results will be assessed once: after 6 weeks

Timeline

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

  1. First posted17 Jun 2024
  2. Study start1 Aug 2024
  3. Primary completionMay 2025 (estimated)
  4. Study completionJun 2025 (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
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06461923
Sponsor's protocol ID
4-2023-1407
Status last verified
Feb 2025
First submitted
28 May 2024
Last updated
10 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Salzman B. Gait and balance disorders in older adults. Am Fam Physician. 2010 Jul 1;82(1):61-8.

    PubMed 20590073
  • Fritz S, Lusardi M. White paper: "walking speed: the sixth vital sign". J Geriatr Phys Ther. 2009;32(2):46-9. No abstract available.

    PubMed 20039582
  • Middleton A, Fritz SL, Lusardi M. Walking speed: the functional vital sign. J Aging Phys Act. 2015 Apr;23(2):314-22. doi: 10.1123/japa.2013-0236. Epub 2014 May 2.

    PubMed 24812254
  • Stolze H, Klebe S, Baecker C, Zechlin C, Friege L, Pohle S, Deuschl G. Prevalence of gait disorders in hospitalized neurological patients. Mov Disord. 2005 Jan;20(1):89-94. doi: 10.1002/mds.20266.

    PubMed 15390043
  • Giladi N, Horak FB, Hausdorff JM. Classification of gait disturbances: distinguishing between continuous and episodic changes. Mov Disord. 2013 Sep 15;28(11):1469-73. doi: 10.1002/mds.25672.

    PubMed 24132835
  • Carlon SL, Taylor NF, Dodd KJ, Shields N. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disabil Rehabil. 2013 Apr;35(8):647-55. doi: 10.3109/09638288.2012.715721. Epub 2012 Oct 17.

    PubMed 23072296
  • Waltersson L, Rodby-Bousquet E. Physical Activity in Adolescents and Young Adults with Cerebral Palsy. Biomed Res Int. 2017;2017:8080473. doi: 10.1155/2017/8080473. Epub 2017 Dec 20.

    PubMed 29423412
  • O'Connell NE, Smith KJ, Peterson MD, Ryan N, Liverani S, Anokye N, Victor C, Ryan JM. Incidence of osteoarthritis, osteoporosis and inflammatory musculoskeletal diseases in adults with cerebral palsy: A population-based cohort study. Bone. 2019 Aug;125:30-35. doi: 10.1016/j.bone.2019.05.007. Epub 2019 May 8.

    PubMed 31075418
  • Mcphee PG, Claridge EA, Noorduyn SG, Gorter JW. Cardiovascular disease and related risk factors in adults with cerebral palsy: a systematic review. Dev Med Child Neurol. 2019 Aug;61(8):915-923. doi: 10.1111/dmcn.14028. Epub 2018 Sep 17.

    PubMed 30221763
  • Bulekbayeva S, Daribayev Z, Ospanova S, Vento S. Cerebral palsy: a multidisciplinary, integrated approach is essential. Lancet Glob Health. 2017 Apr;5(4):e401. doi: 10.1016/S2214-109X(17)30082-7. No abstract available.

    PubMed 28288745
  • Muro-de-la-Herran A, Garcia-Zapirain B, Mendez-Zorrilla A. Gait analysis methods: an overview of wearable and non-wearable systems, highlighting clinical applications. Sensors (Basel). 2014 Feb 19;14(2):3362-94. doi: 10.3390/s140203362.

    PubMed 24556672
  • Ngueleu AM, Blanchette AK, Maltais D, Moffet H, McFadyen BJ, Bouyer L, Batcho CS. Validity of Instrumented Insoles for Step Counting, Posture and Activity Recognition: A Systematic Review. Sensors (Basel). 2019 May 28;19(11):2438. doi: 10.3390/s19112438.

    PubMed 31141973
  • Andreoli A, Garaci F, Cafarelli FP, Guglielmi G. Body composition in clinical practice. Eur J Radiol. 2016 Aug;85(8):1461-8. doi: 10.1016/j.ejrad.2016.02.005. Epub 2016 Feb 15.

    PubMed 26971404
  • Lee SY. Handgrip Strength: An Irreplaceable Indicator of Muscle Function. Ann Rehabil Med. 2021 Jun;45(3):167-169. doi: 10.5535/arm.21106. Epub 2021 Jun 30. No abstract available.

    PubMed 34233405
  • Chrysagis N, Skordilis EK, Koutsouki D. Validity and clinical utility of functional assessments in children with cerebral palsy. Arch Phys Med Rehabil. 2014 Feb;95(2):369-74. doi: 10.1016/j.apmr.2013.10.025. Epub 2013 Nov 12.

    PubMed 24239880

Questions about this trial

What is this clinical trial studying?

A study testing Insole wearing in people with Gait Disorders, Neurologic and Cerebral Palsy, run by Yonsei University at 1 site in South Korea.

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 3 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 10 Feb 2025. 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 South Korea. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Juntaek Hong (+82 010 6517 7526, GHDWNSXOR@yuhs.ac), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

6-minute Walking Test (time frame: This test results will be assessed two times: baseline and after 6 weeks). 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 NCT06461923, which also lists 15 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 Feb 2025.

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