Adaptive Rock Climbing for Limb Malformation

Overseen By Abigail Padilla

Age: < 18

Sex: Any

Trial Phase: Academic

Sponsor: Children's Hospital Los Angeles

Disqualifiers: Age, Language, Parental age

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 12 weeks

20 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this clinical trial is to assess changes in functional and psychosocial outcomes following a 12-week adaptive rock-climbing program for children with congenital upper limb differences. The main questions it aims to answer are * Assess functional outcomes following a 12-week adaptive rock-climbing program. * Assess psychosocial outcomes following a 12-week adaptive rock climbing program. * Assess barriers to participation in adaptive sports. Participants will complete 12-week adaptive rock climbing program.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

How is the Adaptive Rock Climbing Program different from other treatments for limb malformation?

The Adaptive Rock Climbing Program is unique because it focuses on physical activity and sports participation, which can provide both physical and psychological benefits for individuals with limb malformations. Unlike traditional treatments that may focus on surgery or rehabilitation, this program emphasizes the importance of engaging in recreational activities to improve overall well-being and function. ^{1 2 3 4 5}

Research Team

Nina Lightdale, MD

Principal Investigator

Children's Hospital Los Angeles

Eligibility Criteria

This trial is for children with congenital upper limb differences who are interested in participating in a 12-week adaptive rock climbing program. The eligibility criteria details are not provided, so it's unclear who exactly can or cannot participate.

Inclusion Criteria

I am between 6-16 years old with a congenital arm disorder.

I am a parent and I am 18 years old or older.

Exclusion Criteria

I am either younger than 6 or older than 16 years old.

My parents are under 18 years old.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants complete a 12-week adaptive rock climbing program to assess functional and psychosocial outcomes

12 weeks

Follow-up

Participants are monitored for changes in muscle testing, range of motion, and psychosocial outcomes

4 weeks

Treatment Details

Interventions

• Adaptive Rock Climbing Program

Trial Overview The study is testing the effects of a 12-week adaptive rock climbing program on children with limb malformations. It aims to measure how this activity affects their physical abilities and mental well-being.

Participant Groups

Group I: Adaptive Rock Climbing Experimental Treatment 1 Intervention

Who Is Running the Clinical Trial?

Children's Hospital Los Angeles

Lead Sponsor

Trials

257

Recruited

5,075,000+

Findings from Research

The article emphasizes the importance of achieving optimal upper limb function in children with congenital hand malformations, highlighting the need for professionals to guide families on surgical and rehabilitative options.

It critically evaluates existing literature on functional outcomes for these children, addressing the challenges in defining and measuring what optimal function means in this specific patient population.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Functional evaluation in children with congenital upper extremity malformations. Ho, ES., Clarke, HM.[2005]

Upper limb malformations are the most common skeletal abnormalities found in patients with congenital heart disease, indicating a significant association between these two conditions.

Recognizing these limb malformations can help healthcare providers identify potential cardiac issues, guiding diagnostic and treatment decisions, as well as informing genetic counseling for affected families.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Upper limb malformations associated with congenital heart disease. Lin, AE., Perloff, JK.[2019]

A study of 175 individuals with upper limb deficiency (ULD) found that 57% participated in sports for at least 60 minutes per week, indicating a significant level of engagement in physical activity among this group.

Factors influencing sports participation included the presence of additional health problems, which negatively impacted participation, while prior sports involvement and education level positively influenced engagement in sports.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Sports participation of individuals with major upper limb deficiency. Bragaru, M., Dekker, R., Dijkstra, PU., et al.[2015]

Advancements in prosthetic design and technology, along with increased opportunities, provide significant facilitators for children with lower-limb absence to participate in sports and physical activities.

However, barriers such as prosthesis failure, stigma, and high costs continue to hinder many children from engaging in these activities, highlighting the need for ongoing support and solutions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Facilitators and barriers for participation in sports and physical activity for children with lower-limb absence: A systematic review. Batley, A., Sewell, P., Dyer, B.[2023]

Young adults with upper limb reduction deficiency feel that current rehabilitation care does not adequately address their needs related to education, employment, and obtaining a driver's license, as they often lack awareness of available resources.

Participants suggested that rehabilitation care should include more relevant information, peer support, and dedicated training programs to help them prepare for job-related tasks and boost their confidence, as periodic appointments alone are not sufficient.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Opinions on rehabilitation care of young adults with transversal upper limb reduction deficiency in their transition to adulthood. Huurneman, KAM., Lankhorst, IMF., Baars, ECT., et al.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

Functional evaluation in children with congenital upper extremity malformations. [2005]

2. United States pubmed.ncbi.nlm.nih.gov

Upper limb malformations associated with congenital heart disease. [2019]

3. England pubmed.ncbi.nlm.nih.gov

Sports participation of individuals with major upper limb deficiency. [2015]

4. France pubmed.ncbi.nlm.nih.gov

Facilitators and barriers for participation in sports and physical activity for children with lower-limb absence: A systematic review. [2023]

5. Netherlands pubmed.ncbi.nlm.nih.gov

Opinions on rehabilitation care of young adults with transversal upper limb reduction deficiency in their transition to adulthood. [2021]