Analysis of Trunk and Center of Mass Control Development During Gait in Children With Cerebral Palsy (VERTEBRAL)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Children With Cerebral Palsy. Basic parameters: 18 months — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Analysis of Trunk and Center of Mass Control Development During Gait in Children With Cerebral Palsy
Overview
During the acquisition of posturokinetic abilities such as walking, postural control of the trunk is of paramount importance. Indeed, its development is strongly linked to the overall motor function of children. In cerebral palsy (CP), a term that refers to a set of motor disorders following a perinatal lesion, deficits in axial control are present from early childhood. These deficits are strongly correlated with the functional deficits observed in this population. In particular, during walking, deviations of the trunk (amplitudes, accelerations) are observed in the three planes of space. While recent literature increasingly questions the impact of trunk control deficit on the walking of children with CP, elements are still missing for a holistic understanding of the interaction between locomotor and postural disorders in children with CP. In particular, no study has focused on the deviations of trunk control and the center of mass (which is a global indicator of balance strategies) during the development and maturation of walking in children with CP. Therefore, the primary objective of this cross-sectional observational study will be to characterize the development of trunk control and center of mass during walking in children with CP.
Primary outcome measures
- Trunk and center-of-mass accelerations and acceleration variability [Time frame: At the end of the one-day experimental]
Secondary outcome measures (3)
- Gait Variability Index [Time frame: At the beginning of the one-day experimental]
- Trunk Control Measurement Scale score (TCMS) [Time frame: At the beginning of the one-day experimental]
- Early Clinical Assessment of Balance score [Time frame: At the beginning of the one-day experimental]
Eligibility criteria
Inclusion criteria
- Children (< 18 years) with cerebral palsy
- GMFCS I to III
- Independent walking with or without technical walking aids (walker, crutches, etc.)
- Able to understand the instructions of various clinical assessments and functional explorations
- Affiliated with a social security scheme
Exclusion criteria
Children with cerebral palsy
- Neuro-orthopaedic surgery of the lower limbs or trunk within the last 12 months
- Botulinum toxin A injections within the last 6 months
- Therapeutic intervention targeting trunk control last 6 months
Typically developing children
- Surgery on lower limbs or trunk last 12 months
- Neurological and/or orthopedic pathology that may influence gait
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Case-control
Study locations
France · 1 center
- Institut Régional de Médecine Physique et de Réadaptation — Nancy
Identifiers
NCT: NCT06320288 · 2023-A00505-40