About this trial
The goal of this study is to see if gentle electrical stimulation can help children with cerebral palsy (CP) walk more easily. This stimulation, called neuromuscular electrical stimulation (NMES), sends small pulses to muscles to help them activate. Researchers will test different ways of using NMES to find out which method works best.
Participants will walk on a treadmill at a comfortable speed while NMES is applied to leg muscles. The study will compare different stimulation settings to see which one helps the most.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age 7-18
Diagnosis of spastic diplegic cerebral palsy (CP)
GMFCS level I-III (be able to walk with or without assistive devices)
MIGR < 40% femoral head covering in acetabulum
Disqualifiers
Diagnosis of athetoid or ataxic cerebral palsy (CP)
Scoliosis with primary curve > 49%
Spinal fusions extending into the pelvis
Lower Extremity (LE) joint instability or dislocation
Trial design
Sequential
Treatments tested in this trial
Neuromuscular Electrical Stimulation (NMES)
DeviceChildren with CP can have trouble with daily tasks such as walking. This raises their risk of disability as they age into their teens. Current treatments are not very effective. In this study, children with CP will walk on a treadmill while receiving NMES on their lower limb muscles, using surface electrodes, while their gait dynamics are assessed. Our proposed study aims to gather preliminary evidence to support the potential efficacy of NMES assistance to muscles across all lower limb joints during walking, i.e., multi-joint NMES assistance. Additionally, the investigators aim to investigate the optimal level of intensity.
Treatment groups
Trial outcomes
Primary outcomes
Gait Variable Index (GDI)
Gait Variable Index (GDI) is an index of gait pathology based on 15 different kinematic measures (bilaterally) or nine unilaterally. The GDI score ranges from 0 to 100 where 100 represents atypically developing's (TD) normal GDI score.
Sponsors and contacts
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University of Nebraska
Lead sponsor
National Institute of General Medical Sciences (NIGMS)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: