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两种踝足矫形器对脑瘫儿童活动能力、参与度与依从性的比较 (DynamicPC) 38 随机化 交叉设计

尚未招募
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临床试验NCT07301593 (DynamicPC)是一项针对脑瘫干预性研究试验,当前状态为尚未招募试验尚未开始,计划于2026年3月1日开始,预计招募38名患者。该研究由大巴黎大学医院主导,计划于2030年2月1日完成。试验数据来源于ClinicalTrials.gov,最后更新时间为2025年12月24日
简要概括
Children with cerebral palsy (CP) present a variety of motor impairments and activity limitations. Plastic ankle-foot orthoses (pl-AFO) are frequently prescribed to improve their gait. However, their use limit forward propulsion generation, which explains why children tend to remove their pl-AFO during recreational activities,including running and jumping. While the benefits of physical activity are proven for these ...显示更多
详细描述

This study is a randomized controlled trial with a crossover design. A total of 38 patients will be recruited from three different centers.

Each participant will be randomly assigned to one of two groups (Group c/pl or Group pl/c). Depending on the group allocation, each subject will test both types of ankle-foot orthoses (AFOs) in a different order.

  • Group c/pl: Participants in Group A will first use the carbon A...
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官方标题

Comparison of Two Ankle Foot Orthosis on Mobility, Participation and Adhesion in Childrend With Cerebral Palsy

疾病
脑瘫
其他研究标识符
  • DynamicPC
  • 2025-A00301-48 (注册标识符) (IDRCB)
NCT编号
实际开始日期
2026-03
最近更新发布
2025-12-24
预计完成日期
2030-02
计划入组人数
38
研究类型
干预性研究
试验分期 (阶段)
不适用
试验状态
尚未招募
关键词
orthosis-propulsion-running-children
主要目的
治疗方法
分配方式
随机
干预模型
交叉设计
盲法
无(开放性试验)
试验组/干预措施
参与者组/试验组干预措施/治疗方法
阳性对照Group carbon/plastic
crossover
orthosis use
Participants assigned to this group will wear the c-AFO for a 4-week intervention period. Outcome assessments will be conducted at baseline and at the end of the 4-week period. Following a 2-week washout phase, participants will then wear the pl- AFO for an additional 4 weeks, with identical outcome assessments performed at the corresponding baseline and endpointPlastic ankle foot orthosis or carbon ankle foot orthos...显示更多
阳性对照Group A
crossover
orthosis use
Participants assigned to this group will wear the c-AFO for a 4-week intervention period. Outcome assessments will be conducted at baseline and at the end of the 4-week period. Following a 2-week washout phase, participants will then wear the pl- AFO for an additional 4 weeks, with identical outcome assessments performed at the corresponding baseline and endpointPlastic ankle foot orthosis or carbon ankle foot orthos...显示更多
主要终点
结果指标度量标准描述时间框架
Propulsion force during running
Anteroposterior component of the ground reaction force (GRF), recorded during running, using force plates
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period.
次要终点
结果指标度量标准描述时间框架
force plates
Propulsion forcesduring jumping and walking (force plates)
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period.
Quantitative gait analysis
Kinematics parameters during running, jumping and walking
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period.
Quantitative Gait analysis
Spatiotemporal parameters during running, jumping and walking: Step length, foot clearance, single and double support time, flight phase duration during running and jump height.
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period
Running endurance
Running endurance (using the 10 Meters Shuttle Run Test)
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period.
Functional mobility
Items D and E of the Gross Motor Function Measure, with a total score ranging from 0 to 111.
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period
Participation in physical activities
Participation in physical activities, using the Children and Adolescent Physical Activity and Sedentary Questionnaire. The questionnaire includes two subscales: physical activity, scored from 1 to 4, and sedentary behavior, scored from 1 to 6
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period
Adhesion toward the AFOs
By a Follow up booklet
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period
Tolerance toward the AFOs
By a follow up booklet
At baseline and at the end of the intervention (4 weeks) for the 2 interventions period
参与助手
资格标准

适龄参与研究
儿童
最低年龄要求
8 Years
适龄性别
全部
  • Children from 8 to 15 years old
  • Spastic, hemiparetic cerebral palsy
  • Level I or II on the Gross Motor Function Classification System
  • Ability to walk and run 10 meters without assistance
  • Ability to jump (simultaneous lift of both feet)
  • Daily use of a plastic ankle foot orthosis allowing ankle mobility
  • Affiliated to a social security scheme

  • Children with ataxic, dyskinetic, or mixed-type cerebral palsy
  • Children with cognitive, intellectual, or behavioral disorders that may impair their understanding of instructions, the proper conduct of evaluations, or the use of assessment scales, as judged by the investigator.
  • Children who have received botulinum toxin injections within 4 months prior to the inclusion visit
  • Children or adolescents who have undergone surgical intervention:

within the past 6 months prior to inclusion if no bony procedure was performed, or within the past 12 months prior to inclusion if a bony procedure was performed, or who have a planned surgical procedure during the study period.

  • Children who have participated in an intensive rehabilitation program within 4 months prior to the inclusion visit
  • Children or adolescents participating in another interventional study that could interfere with the outcomes of the present study by altering the subject's physical abilities.
研究中心联系人
联系人: Isabelle MEDERER, +33 1 47 10 79 18, [email protected]
联系人: Julie BARRADAS, +33 1 47 10 79 18, [email protected]
1 位于 1 个国家/地区的研究中心
Hôpital Raymond Poincaré - Service Neurologie Pédiatrique Médecine Physique et Réadaptation, Garches, 92380, France