10 Participants Needed

Tele-Video CIMT for Cerebral Palsy

Recruiting at 1 trial location
PS
Overseen ByPetra Sternberg, PhD, CCRP
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

The CHAMP-T2 study is a pilot test of the efficacy of constraint induced movement therapy (CIMT) when delivered by tele-video in the child's home or home-like environment. This study will examine the pre-, post-intervention function a hemiparetic limb in children who have hemiplegic cerebral palsy. The purpose is to provide an effect size estimate that will inform the design of a future study that will compare tele-delivered CIMT with usual and customary care.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

Is Constraint-Induced Movement Therapy (CIMT) safe for children with cerebral palsy?

Research on Constraint-Induced Movement Therapy (CIMT) for children with cerebral palsy suggests it is generally safe, though concerns about the potentially intrusive nature of restraining a child's unimpaired limb have been noted. Studies have shown that CIMT can be feasible and effective, with improvements in motor skills, but the approach should be gentle and adapted to individual needs.12345

How is the treatment for cerebral palsy using Constraint Induced Movement Therapy (CIMT) unique?

Constraint Induced Movement Therapy (CIMT) is unique because it focuses on improving the use of the affected arm by restricting the use of the less-affected arm, encouraging children with cerebral palsy to use their weaker side more actively, which is different from other therapies that may not involve such targeted practice.26789

What data supports the effectiveness of the treatment Constraint Induced Movement Therapy (CIMT) for children with cerebral palsy?

Research shows that Constraint-Induced Movement Therapy (CIMT) is effective for children with cerebral palsy, improving hand function and independence. Studies, including a systematic review and a multicenter trial, have demonstrated significant improvements in the use of the affected limb and overall motor skills.1891011

Who Is on the Research Team?

WL

Warren Lo, MD

Principal Investigator

Nationwide Children's Hospital

Are You a Good Fit for This Trial?

This trial is for children with hemiplegic cerebral palsy, which affects one side of their body. They should be able to participate in therapy sessions via tele-video from home or a similar setting. Specific inclusion and exclusion criteria details are not provided.

Inclusion Criteria

My child, aged 5-10, has hemiplegic cerebral palsy with some hand use limitations and lives close to the specified locations.

Exclusion Criteria

I have undergone intensive therapy for 2 hours daily over 10 days.
My child cannot participate in the treatment due to behavioral or cognitive issues.
My child's caregiver at the treatment site cannot talk to the therapist.
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Parents are trained in the principles of CIMT and use of tele-video equipment

2 days
2 visits (in-person) or virtual training

Treatment

Tele-delivered CIMT for 60 hours over 4 weeks, with daily sessions involving therapist and parent

4 weeks
5 sessions per week (virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Constraint Induced Movement Therapy
Trial Overview The CHAMP T2 study is testing the effectiveness of constraint induced movement therapy (CIMT) delivered through tele-video to improve the use of a limb affected by cerebral palsy.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Intervention armExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Warren Lo

Lead Sponsor

Trials
1
Recruited
10+

Virginia Polytechnic Institute and State University

Collaborator

Trials
162
Recruited
26,900+

Ohio State University

Collaborator

Trials
891
Recruited
2,659,000+

Published Research Related to This Trial

Constraint-induced movement therapy (CIMT) shows potential benefits for children with hemiplegic cerebral palsy, with one study indicating positive effects on upper limb skills and another showing significant improvements in hand function with modified CIMT.
However, the overall evidence is limited and considered experimental, highlighting the need for more rigorous and adequately powered randomized controlled trials to confirm the effectiveness of CIMT and its variations.
Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review.Hoare, B., Imms, C., Carey, L., et al.[2018]
Constraint-Induced Movement Therapy (CIMT) has been shown to effectively improve hand function in children with hemiplegic cerebral palsy, enhancing their independence.
This systematic review included 15 relevant studies, indicating that while CIMT is beneficial compared to no intervention, there are inconsistencies in its effectiveness regarding muscle tone and protective extension.
The Effects of Constraint-Induced Movement Therapy on Functions of Cerebral Palsy Children.Jamali, AR., Amini, M.[2022]
Group-based constraint-induced movement therapy (CIMT) for children with hemiplegic cerebral palsy showed significant improvements in motor skills after 4 weeks of therapy, with effects maintained at a 3-month follow-up.
The study involved 7 children participating in 2.5 hours of therapy per day, 5 days a week, indicating that this approach may be a feasible and effective alternative to individual therapy sessions.
Group constraint-induced movement therapy for children with hemiplegic cerebral palsy: a pilot study.Wu, WC., Hung, JW., Tseng, CY., et al.[2013]

Citations

Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: a Cochrane systematic review. [2018]
The Effects of Constraint-Induced Movement Therapy on Functions of Cerebral Palsy Children. [2022]
Group constraint-induced movement therapy for children with hemiplegic cerebral palsy: a pilot study. [2013]
Multicenter randomized controlled trial of pediatric constraint-induced movement therapy: 6-month follow-up. [2019]
Practice-based evidence from a clinical cohort that received pediatric constraint- induced movement therapy. [2017]
Guidelines for future research in constraint-induced movement therapy for children with unilateral cerebral palsy: an expert consensus. [2022]
Efficacy and acceptability of reduced intensity constraint-induced movement therapy for children aged 9-11 years with hemiplegic cerebral palsy: a pilot study. [2014]
Pilot study of the efficacy of constraint-induced movement therapy for infants and toddlers with cerebral palsy. [2021]
Preliminary Efficacy of a Friendly Constraint-Induced Therapy (Friendly-CIT) Program on Motor and Psychosocial Outcomes in Children with Cerebral Palsy. [2019]
10.United Statespubmed.ncbi.nlm.nih.gov
Bimanual training and constraint-induced movement therapy in children with hemiplegic cerebral palsy: a randomized trial. [2022]
11.United Statespubmed.ncbi.nlm.nih.gov
Bound for success: a systematic review of constraint-induced movement therapy in children with cerebral palsy supports improved arm and hand use. [2018]
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