What side effects are associated with this type of intervention?

The most common treatments for cerebral palsy, such as physical therapy, occupational therapy, and exercise-based interventions, generally have minimal side effects. However, some individuals may experience muscle soreness, fatigue, or temporary increases in pain due to the physical exertion involved. In rare cases, overexertion or improper technique can lead to muscle strains or joint injuries. It is important for these therapies to be guided by professionals to minimize risks and ensure exercises are performed correctly.

What prior FDA approvals exist?

FDA-approved treatments for Cerebral Palsy primarily focus on managing spasticity and improving motor function. These include oral antispasticity medications such as baclofen and benzodiazepines, botulinum toxin injections for localized spasticity, and intrathecal baclofen pumps for severe cases. Additionally, physical and occupational therapies are crucial, with emerging interest in home-based telerehabilitation programs that provide remote exercise guidance and monitoring to enhance adherence and improve fitness and functional mobility. These programs align with the goals of traditional therapies but leverage technology to increase accessibility and consistency in treatment.

What other types of research exist?

Promising alternatives to Tele-rehabilitation Home Exercise Programs for Cerebral Palsy patients include: 1) App-based exercise programs with remote support, which have shown better adherence compared to traditional methods. 2) Virtual reality (VR) therapy, which can provide engaging and immersive environments for physical therapy. 3) Wearable technology that tracks physical activity and provides real-time feedback to patients and therapists. 4) Constraint-induced movement therapy (CIMT) delivered through telehealth platforms, which can improve motor function by encouraging the use of the affected limb. 5) Context-focused therapy, which adapts tasks and environments to promote successful task performance, potentially delivered via telehealth.

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Tele-Rehabilitation Exercise for Cerebral Palsy

N/A

Waitlist Available

Led By Joel Stein, MD

Research Sponsored by Columbia University

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Able to stand independently up to 1 minute with or without an assistive device

No orthopedic surgery in past year

Must not have

Medical contraindications to participate in an Exercise Program (e.g., uncontrolled hypertension, diabetes, syncope, uncontrolled seizures)

Visual, cognitive or attentional deficit that makes it too difficult to participate

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 8 weeks (post-test)

Awards & highlights

Summary

This trial tests if a home exercise program with virtual coaching can help adults with cerebral palsy improve their fitness and mobility. Participants will exercise at home regularly and have frequent online coaching sessions.

Who is the study for?

This trial is for adults aged 21-60 with spastic cerebral palsy (GMFCS I-III) who can stand and walk independently for short periods, follow directions, and have not had recent orthopedic surgery or Botox. Participants need a device to access Zoom sessions but cannot join if they have certain medical conditions like uncontrolled hypertension or seizures.

What is being tested?

The study tests whether a tele-rehabilitation home exercise program delivered via technology like laptops or smartphones helps improve fitness and mobility in ambulatory adults with cerebral palsy. It checks if this method encourages participants to stick to their exercise routines.

What are the potential side effects?

Since the intervention involves an exercise program, potential side effects may include typical post-exercise symptoms such as muscle soreness, fatigue, or mild discomfort. However, specific side effects will depend on individual health conditions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I can stand by myself for at least a minute, with or without help from a device.

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I have not had any bone surgery in the last year.

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I have been diagnosed with Spastic Cerebral Palsy.

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I can walk with or without limitations.

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I can walk by myself for 2 minutes, with or without help from a device.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

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I don't have health issues like uncontrolled high blood pressure or seizures that would stop me from exercising.

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I do not have severe visual, cognitive, or attention problems that would prevent me from participating.

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I don't have the means to join Zoom meetings.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 8 weeks (post-test)

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~8 weeks (post-test)

This trial's timeline: 3 weeks for screening, Varies for treatment, and 8 weeks (post-test) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Canadian Occupational Performance Measure (COPM)

Secondary study objectives

2 Minute Step Test

30 Second Sit to Stand Test

PROMIS SF v1.0 - Fatigue 8a

+5 more

Trial Design

1Treatment groups

Experimental Treatment

Group I: Tele-Rehabilitation Home Exercise ProgramExperimental Treatment1 Intervention

Subjects will participate in an 8-week customized home exercise program with weekly virtual exercise coaching sessions.

0 / 8Eligibility criteria met

Research Highlights

Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.

Mechanism Of Action

Side Effect Profile

Prior Approvals

Other Research

Common treatments for Cerebral Palsy, such as tele-rehabilitation home exercise programs, work by enhancing muscle strength, coordination, and range of motion through guided physical activities. These programs are delivered remotely, allowing for consistent monitoring and adherence, which is crucial for maintaining and improving physical capabilities in CP patients. This approach provides continuous support and personalized adjustments to the exercise regimen, ensuring effective management of the condition.

Tele-rehabilitation of upper-extremity hemiparesis after stroke: Proof-of-concept randomized controlled trial of in-home Constraint-Induced Movement therapy.Tele-Rehabilitation for Postural Control by Means of Virtual Reality Rehabilitation System in an Adolescent With Motor Disorder: A Case Study.Video-guided exercise after stroke: a feasibility randomised controlled trial.