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Children With Cerebral Palsy Who Are AmbulantHOME-EXNCT07025694

Exercise Training Among Children With Cerebral Palsy to Increase Health and Well-being - A Feasibility Study

A study testing A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions., A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions and Moderate Intensity Continues Training in people with Children With Cerebral Palsy Who Are Ambulant and Cerebral Palsy GMFCS-ER I-II, run by Lund University at 1 site in Sweden.

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

The use of eHealth in children with cerebral palsy (CP) holds promise to increase participation in exercise. eHealth, has shown to increase accessibility to appropriate healthcare professionals as well as reduces time- and energy consuming transportation to/from physical appointments[5]. Read more about this study

Who is it for?
Ages 10 to 16 yearsHealthy volunteers can take part
What is being tested?
A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions., A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions and Moderate Intensity Continues Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteSweden
Study dates
1 May 2025to 31 Dec 2027
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 10 to 16 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • children with CP-A defined as GMFCS-E\&R I-II
  • children who are TD and not participating in any regular and planned leisure time physical exercise will be included in the study.

Who cannot join

  • Ambulant children with CP walking with a walking aid (GMFCS-E\&R III);
  • ambulant children who are TD with other neurological diagnoses, metabolic diagnoses, orthopaedic disabilities, asthma, heart diseases, cognitive impairment, or indigestion of regular medication.

Trial locations and contacts

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

Åsa B Tornberg, Associate Professor contact

+46-46-222 97 66

asa.tornberg@med.lu.se

Sweden1 site, 1 recruiting
  • Medical Faculty, Lund University

    Lund, Skåne County, 223 62

    Åsa B Tornberg, Associate Professor, +46-46222 97 66, asa.tornberg@med.lu.se

    Recruiting

Other trials in Sweden

About this study

Official title: Feasibility Testing of a Homebased Exercise Intervention in Children With Cerebral Palsy Who Are Ambulant - The HOME-EX Study

The use of eHealth in children with cerebral palsy (CP) holds promise to increase participation in exercise. eHealth, has shown to increase accessibility to appropriate healthcare professionals as well as reduces time- and energy consuming transportation to/from physical appointments[5]. In children with CP reduced transportation to and from appointments, increased access to appropriate healthcare s professionals have shown to increase exercise.

However, the knowledge on how eHealth can support children with CP to participate in exercise is scarce and to the best of our knowledge there are no studies studying eHealth to increase exercise in children with CP. If HOME-EX research project is successful, we will unravel knowledge that will facilitate implementation of prescription of targeted, personalized exercise regimes to children with CP to enhance health and wellbeing and furthermore set a healthy lifestyle.

Read more

PURPOSE AND AIMS

The overall goal of the HOME-EX project is to develop, feasibility test, pilot the efficacy and map the conditions for future implement an eHealth application to support participation in exercise at home in children with CP who are ambulant (CP-A). The specific aims are:

Aim 1: From a pre-exciting eHealth-solution develop an application for Android-based tablet supporting exercise in the home of the children with CP-A in co-creation with children, family caregivers, professional caregivers, sports professionals and researchers.

Aim 2: Develop exercise sessions, as online supervised session and pre-video recorded sessions in co-creation with children, family caregivers, professional caregivers, sports professionals and researchers, to be delivered by the eHealth-solution.

Aim 3: To study the feasibility of the delivery of the exercise sessions from the eHealth-solution.

PROJECT DESCRIPTION Cerebral palsy (CP) is the most common physical disability in childhood, approximately 1.6/1000 children have CP with affected muscle tone, movement and motor skills, often accompanied by pain, epilepsy and intellectual, communicational and behavioural impairment.

The degree of motor impairment in CP is extremely variable and classified with the 5-level Gross Motor Function Classification System Expanded \& Revised (GMFCS-E\&R). Children with CP-A (GMFCS-E\&R level I-II) can either walk and/ stand independently.

Project management Since children are non-autonomous, the common point of departure for our research is the family; lifestyle changes as well as interventions must be implemented through the family. Feasibility testing aims to analyse clinical, procedural, and methodological uncertainties of the exercise testing and the exercise training interventions designed in co-creation with stakeholders. If no major changes are made to the study design and/or the intervention these children will be included into the piloting phase.

Recruitment In total, 20 children - 10 children with CP-A and 10 who are TD as healthy controls - aged between 10 to 16 years old will be recruited. The children in the two groups will be matched for age, BMI, and physical activity level.

Study 1: Addressing aim 1-2 - Development of an exercise-application Methodology: Workshops to further develop the eHealth app: Four separate workshops will then be conducted to discuss the functions and the setup of communication of the initial prototype, as well as how to deliver the exercise sessions and what they preferably may contain. Workshop 1 will consist of 4-6 children children with CP-A and TD. Workshop 2 will consist of family caregivers. Workshop 3 of professional caregivers as physiotherapists and workshop 4 of sport professionals as personal trainers. The workshops will employ a participatory approach, enabling active contributions from participants and be facilitated by researchers from the research group. After the workshops, the eHealth app will be updated by a technician based on the feedback received.

Study 2: Addressing aim 3 - Feasibility testing of an exercise-application Methodology: Four children in each group, in total eight children, will take part in the feasibility analysis. During the first three weeks will the children be supervised at schedule timepoints through an eHealth solution and during the last three weeks the children follows pre-recorded exercise sessions at a suitable time for the family.

After the first 6 weeks of exercise training procedural, clinical and methodological uncreates will be analysed. Feedback from the participants and their family-caregivers, will be collected through semi-structured interviews to evaluate the feasibility of the exercise training intervention. Depending on the findings during the feasibility testing, the exercise training intervention may change.

DATA ANALYS AND STATISTIC A mixed method approach will be used to meet the aims of the project and collect both quantitative and qualitative data.

Being tested
A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions., A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions, Moderate Intensity Continues Training, High intensity interval training
Keywords
Children, Cerebral Palsy, Exercise, Feasibility, MICT, HIIT, eHealth, Home based exercise
Medical subject headings
Cerebral Palsy, Motor Activity

What participants receive

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

  • A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions.Device

    Also called Vidoecall exercise

    Feasibility, acceptability and usability testing of delivering home-based exercise MICT and HIIT via a Vidoe-call at fixed time-points. Tuesday, Thursday, Saturday during the 3 week-period of supervision via zoom.

  • A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventionsDevice

    Also called Pre-recorded exercise

    Feasibility, acceptability and usability testing of delivering home-based exercise MICT and HIIT via a pre-recorded videos at convenient time-point with at least one day in between during the periods of video-supervision

  • Moderate Intensity Continues TrainingOther

    Also called MICT

    The MICT exercise training on a spinning-bike will consist of moderate intensity-longer (60%Wpeak) duration exercise carried out 3 times per week. Tuesday, Thursday, Saturday during the 3 week-period of supervision via zoom, and at time-point with at least one day in between during the periods of video-supervision. Exercise will consist of continuous biking at an individualized workload based on pre-exercise testing, for a total time of 30 minutes.

  • High intensity interval trainingOther

    Also called HIIT

    The HIIT exercise training on a spinning-bike will begin by using a protocol consisting of bouts of high-intensity (95%Wpeak) exercise lasting for 60 seconds. These bouts will be interspersed by 4 minutes of low intensity exercising (40%Wpeak). There will be 5 bouts per session. Exercise will consist of continuous biking at individualized workloads based on pre-exercise testing. The exercise will be carried out 3 times per week. Tuesday, Thursday, Saturday during the 3 week-period of supervision via zoom, and at time-point with at least one day in between during the periods of video-supervision.

Study groups in NCT07025694
Study groupRoleWhat they receive
Children with Cerebral Plasy who are Ambulant (CP-A)OtherChildren with CP-A defined classified with the 5-level Gross Motor Function Classification System Expanded \& Revised (as GMFCS-E\&R) as GMFCS-E\&R I-II.
Receives: Device: A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions.; Device: A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions; Other: Moderate Intensity Continues Training; Other: High intensity interval training
Children who are Typically Developted (TD)OtherAmbulant children who are TD with no other neurological diagnoses, metabolic diagnoses, orthopaedic disabilities, asthma, heart diseases, cognitive impairment, or indigestion of regular medication.
Receives: Device: A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions.; Device: A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions; Other: Moderate Intensity Continues Training; Other: High intensity interval training

What is being measured

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

  1. Complaiance to the exercise regim

    Number of exercise sessions performed

    Measured: From the start of exercise period 1 to the end of exercise period 2 in total 20 weeks.

Secondary outcomes (4)
  1. Variance in the predefinde workload

    Coefficient of variance during each exercise session assessed by the spinning bike.

    Measured: From the start of exercise period 1 to the end of exercise period 2 in total 20 weeks.

  2. Number of adversed events due to illness

    Number registered in the ehealth app

    Measured: From the start of exercise period 1 to the end of exercise period 2 in total 20 weeks.

  3. Number of adverse avents due to technical issues

    Number registered in the ehealth app

    Measured: From the start of exercise period 1 to the end of exercise period 2 in total 20 weeks.

  4. Maximal exercise capacity

    Indirect calorimetry will be used during a maximal incremental exercise test. The exercise test will be initiated by cycling on a cycle ergometer for 6 minutes at 30 W, followed by an increase of 10W/minute until exhaustion. The test will performed before and after each exercise period.

    Exercise tests will be performed on a cycle ergometer (Monark 936, Monark Exercise AB, Vansbro, Sweden). An airtight mask covering the mouth and nose will be worn to measure breath-by-breath of VO2 and VCO2, for determination of maximal oxygen consumption (VO2peak), maximal workload (WRpeak), oxygen kinetics and Respiratory Exchange Ratio (RER) (Oxycon Mobile, Jaeger, Germany). Heart rate will be recorded continuously throughout the test (Polar, Finland).

    Measured: From inclusion in the study undtil the last exercise test in total 20 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 2025
  2. Study start1 May 2025
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (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
Crossover
Masking
None (open label)
Enrolment
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07025694
Sponsor's protocol ID
LU_HOME-EX2025
Acronym
HOME-EX
Status last verified
Jun 2025
First submitted
23 Apr 2025
Last updated
17 Jun 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: A small study group with risk of identification of individuals

Publications

  • Jakobsson T, Lauruschkus K, Johnsson BA, Andersson A, Hansson O, Holmberg R, Tornberg AB. Feasibility testing of a home-based exercise intervention in children with cerebral palsy who are ambulant-a study protocol of the HOME-EX study. Front Digit Health. 2026 May 12;8:1811789. doi: 10.3389/fdgth.2026.1811789. eCollection 2026.

    PubMed 42206075

Questions about this trial

What is this clinical trial studying?

A study testing A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions., A eHealth application on a computer tablet contected to a secure severer with an interface on a computer to deliver exercise interventions and Moderate Intensity Continues Training in people with Children With Cerebral Palsy Who Are Ambulant and Cerebral Palsy GMFCS-ER I-II, run by Lund University at 1 site in Sweden.

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 2 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 17 Jun 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 Sweden. 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 Åsa B Tornberg, Associate Professor (+46-46-222 97 66, asa.tornberg@med.lu.se), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Complaiance to the exercise regim (time frame: From the start of exercise period 1 to the end of exercise period 2 in total 20 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 NCT07025694, which also lists 1 linked publication.

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 17 Jun 2025; AzTrials last refreshed its copy on 7 Nov 2026.

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