Balance training for Hemiplegic Cerebral Palsy
Remote Ischemic Conditioning, Bimanual Skill Learning, and Corticospinal Excitability
See full descriptionAbout the trial for Hemiplegic Cerebral Palsy
Treatment Groups
This trial involves 2 different treatments. Balance Training is the primary treatment being studied. Participants will all receive the same treatment. Some patients will receive a placebo treatment. The treatments being tested are in Phase 2 and have already been tested with other people.
About The Treatment
Eligibility
This trial is for patients born any sex aged 18 and younger. There are 4 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Balance training will improve 5 primary outcomes and 8 secondary outcomes in patients with Hemiplegic Cerebral Palsy. Measurement will happen over the course of Baseline and 1 week.
Who is running the study
Principal InvestigatorPatient Q & A Section
What causes hemiplegic cerebral palsy?
At a higher level, hemiplegic cerebral palsy results from the brain being starved and not getting enough blood to develop properly; therefore, the brain cell can no longer do its job, so the effect of the brain is reduced.
What is hemiplegic cerebral palsy?
The diagnosis of hemiplegic cerebral palsy is often delayed, possibly because it is difficult to identify, and to define its severity. It usually follows an insidious course leading to severe deterioration of function and disability.
What are the signs of hemiplegic cerebral palsy?
Motor and sensory impairments are main features of hemiplegic cerebral palsy. Sensory impairment can give rise to a loss in function affecting the use of bodily functions. For this reason, an impairment in sensory abilities and the ability to control the extremities are indicative of hemiplegic cerebral palsy.
How many people get hemiplegic cerebral palsy a year in the United States?
In 2009, there are an estimated 2.07 million Americans aged 18 years and over who have hemiplegic cerebral palsy. Approximately 1.4 million of these have no mobility of the upper limbs. Thus, the 1 in 50 lifetime incidence of the disease suggests approximately 1.6 percent of each year. Approximately 1 in 380 infants born in the United States will develop the disorder. Children from low-income families and African Americans are most likely to be afflicted.
Can hemiplegic cerebral palsy be cured?
HCP is difficult to cure. Treatment that focuses on addressing the physical and social aspects of the disease only is not sufficient. The importance of multidisciplinary approach can allow many patients to live normal and active lives while having a moderate disability.
What are common treatments for hemiplegic cerebral palsy?
Cerebral palsy children and adolescents can benefit from a range of interventions including physical, occupational, speech, music and sensory therapy, as well as occupational therapy to promote functional independence and participation. Other interventions often used with children with cerebral palsy and adolescents include walking aids and splints, crutches and mobility aids, orthopaedic and non-surgical treatments for deformities. Children and young adolescents with mild to moderate cerebral palsy often do not develop adequate use of their trunk musculature, resulting in low mobility and functional limitation. Children with moderate to severe cerebral palsy may have problems with endurance walking and may have problems with gait.
Who should consider clinical trials for hemiplegic cerebral palsy?
Clinical trials for hemiplegic cerebral palsy of children should focus on children with an IQ above 50%; children with hemiplegic cerebral palsy with both lower extremities in a downward orientation need to be the center of attention. The authors recommend that a neurologist, pediatric neurologist, or neuroprotective approach should be offered to patients with hemiplegic cerebral palsy.
Is bimanual cup stacking training typically used in combination with any other treatments?
Bimanual cup stacking training is typically used in conjunction with other treatment modalities for patients who have hemiplegia and upper extremity function. This treatment tends to be effective for both spasticity and passive range of motion.
How does bimanual cup stacking training work?
Findings from a recent study of this study indicate that this protocol may be useful in developing bimanual training and bimanual coordination for use with hemiplegic CP children.
Does hemiplegic cerebral palsy run in families?
In a recent study, findings was not able to detect any significant differences from the expected level in the level of siblingship among families with hemiplegic CP. However, parents were found to be more anxious and anxious and to have a lower level of acceptance on their children's disability due to hemiplegic CP.
How serious can hemiplegic cerebral palsy be?
Hemiplegic cerebral palsy can lead to long-term impairments. These impairments can affect the physical functioning, occupational performance and social interaction of patients with hemiplegic cerebral palsy. It’s important to educate people on the impact hemiplegic cerebral palsy can have, and help to prevent these impairments from developing.
What is the latest research for hemiplegic cerebral palsy?
The most recent research was written by a group of pediatric neurologists, nurses, and physical therapists. It has been shown that for children with hemiplegic cerebral palsy, the use of the FIM to assess activity can be used to measure the daily activities of their caretaker.