Enhancing Sensorimotor Processing in Children With Dystonia
NCT05612464 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 90
Last updated 2022-11-10
Summary
Dystonia is a severely disabling movement disorder with no cure, in which people suffer painful muscle spasms causing twisting movements and abnormal postures. There are many causes, including genetic conditions and brain injury. The most common cause in childhood is dystonic cerebral palsy (CP) which often affects the whole body.
The underlying mechanisms are unknown, but there is growing evidence to implicate abnormal brain processing by the brain of incoming "sensory" information (e.g., signals to the brain from our senses of touch and body position): the distorted perception of these signals disrupts the way the brain produces instructions for planning and performing movements.
The investigator's previous studies have shown that the way the brain processes sensory information related to movement is abnormal in children with dystonia and dystonic CP, by using methods that record the EEG (electroencephalogram - brain wave signals) and/or EMG (electromyogram - electrical signal from muscles). A specific brain rhythm (called mu) typically shows well-defined changes in response to movement, and reflects processing of sensory information. The investigator's work shows these rhythm changes are abnormal in children with dystonia/dystonic CP.
This study will explore if these findings can improve treatment. In particular the study team will investigate whether children and young people with dystonia/dystonic CP can enhance these mu rhythm responses during a movement task by using feedback of their brain rhythms displayed as a cartoon/game on a computer. The investigators will also assess whether enhanced mu activity is associated with improved movement control. This would open future possibilities to use such devices for therapy/rehabilitation.
Children and young people with dystonia/dystonic CP aged 5-25 years will be recruited, along with age-matched controls. Studies will last 2-3 hours with time for breaks and will be conducted at Evelina London Children's Hospital and Barts Health Trust, with the option for home visits if preferable for families.
Conditions
- Dystonia
- Dystonic Cerebral Palsy
- Dystonia, Secondary
- Dystonia, Primary
- Dystonia; Idiopathic
Interventions
- OTHER
-
No intervention
No intervention
Sponsors & Collaborators
-
Guy's and St Thomas' NHS Foundation Trust
collaborator OTHER -
Barts & The London NHS Trust
collaborator OTHER -
Imperial College London
collaborator OTHER -
University of Bristol
collaborator OTHER -
University of Calgary
collaborator OTHER - lead OTHER
Eligibility
- Min Age
- 5 Years
- Max Age
- 25 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-02-01
- Primary Completion
- 2028-02-01
- Completion
- 2028-02-01
More Related Trials
-
Prospective Studies of the Use of Self Hypnosis, Acupuncture and Osteopathic Manipulation on Muscle Tension in Children With Spastic Cerebral Palsy
NCT00011024 ·Status: COMPLETED ·Phase: PHASE2
-
Investigating New Methods to Study Movement in Children and Young Adults With Movement Disorders.
NCT06498596 ·Status: RECRUITING
-
Muscle Synergies During Gait in Children With Cerebral Palsy Undergoing Robot-assisted Gait Therapy
NCT06156969 ·Status: COMPLETED ·Phase: NA
-
Study of the Effect of Peripheral Somatosensory Stimulation on the Functionality of Patients With Cerebral Palsy and Reduced Mobility
NCT06951568 ·Status: RECRUITING ·Phase: NA
-
Effect of DBS on Quality of Life in Dyskinetic Cerebral Palsy
NCT02097693 ·Status: COMPLETED
-
Use of EMG to Assess Clinical Hypertonia
NCT00472914 ·Status: COMPLETED
-
Focused Ultrasound Pallidotomy for Dyskinetic Cerebral Palsy in Pediatric and Young Adult Subjects
NCT06036199 ·Status: RECRUITING ·Phase: NA
-
Functional Benefits of Multisite Surgery for the Upper Limb of Children With Cerebral Palsy
NCT04395729 ·Status: COMPLETED
-
Static and Dynamic Postural Stability in Cerebral Palsy Children
NCT01799304 ·Status: COMPLETED ·Phase: PHASE3
-
The Muscle in Children With Cerebral Palsy - Longitudinal Exploration of Microscopic Muscle Structure.
NCT05497609 ·Status: RECRUITING
-
Shock Wave Therapy for Management of Spasticity in Patients With Cerebral Palsy
NCT05702606 ·Status: COMPLETED ·Phase: NA
-
The Effect of Dystonia Severity on Participation in Daily Living Activities and Caregivers in Children of Cerebral Palsy With Secondary Dystonia
NCT06307561 ·Status: COMPLETED
-
Physical, Functional and Neural Effects of Two Lower Extremity Exercise Protocols in Children With Cerebral Palsy
NCT01086670 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Non-Invasive Neuromodulation in Children With Neurodevelopmental Disorders
NCT05265702 ·Status: COMPLETED ·Phase: NA
-
The Effects of Intensive Therapy on Trunk and Lower Limbs in Children With Spastic Cerebral Palsy.
NCT03449498 ·Status: COMPLETED ·Phase: NA
-
Homebased (6-week) Stretching Intervention in Children With Spastic Cerebral Palsy
NCT04904094 ·Status: COMPLETED ·Phase: NA
-
Effects of Intensive Upper and Lower Limbs Motor Control Therapy in Cerebral Palsy Children
NCT03521427 ·Status: COMPLETED ·Phase: NA
-
Antispastic Effect of Transcranial Magnetic Stimulation in Patients With Cerebral and Spinal Spasticity
NCT01786005 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Botulinum Toxin Type A on Motor Function in Children With Cerebral Palsy
NCT07034547 ·Status: RECRUITING ·Phase: NA
-
Does Increasing Auditory Cueing Affect Gait Parameters in Children With Cerebral Palsy During a Functional Task?
NCT02666560 ·Status: COMPLETED ·Phase: NA
-
Muscle Activity With the Use of Ankle Foot Orthoses in Cerebral Palsy
NCT00462085 ·Status: COMPLETED
-
Transcranial Direct-Current Stimulation in Childhood Dystonia
NCT01460771 ·Status: UNKNOWN ·Phase: PHASE2
-
A Comparative Study of the Effectiveness of Treatment of Contractures With Mechanically Applied Stretch and Heat.
NCT00281359 ·Status: COMPLETED ·Phase: NA
-
The Effect of Selective Dorsal Rhizotomy on a Multidimensional Outcome Set in Children With Spastic Cerebral Palsy: a Retrospective Study
NCT06340425 ·Status: COMPLETED
-
Role of Rebound Therapy in the Rehabilitation of Children With Spastic Cerebral Palsy
NCT04712708 ·Status: UNKNOWN ·Phase: NA