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Trial registered on ANZCTR
Registration number
ACTRN12614000314628
Ethics application status
Approved
Date submitted
5/03/2014
Date registered
25/03/2014
Date last updated
6/03/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Discovering the sense of touch- sensory discrimination training for children with cerebral palsy
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Scientific title
The effect of sensory discrimination training compared to no treatment on sensory discrimination in children with cerebral palsy.
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Secondary ID [1]
283631
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cerebral palsy
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Impaired somatosensory discrimination
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Condition category
Condition code
Physical Medicine / Rehabilitation
290964
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0
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Occupational therapy
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Neurological
290965
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group will receive sensory discrimination training- one hour three times a week for six weeks. Sensory discrimination training is administered one to one with an occupational therapist and involves the progression through graded stimuli from the greatest differences to finer differences in texture discrimination, object recognition and body position sense. These sub- components of training are also integrated into a client selected goal.
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Intervention code [1]
288329
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Rehabilitation
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Comparator / control treatment
A control group of children with hemiplegic cerebral palsy receive no treatment.
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Control group
Active
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Outcomes
Primary outcome [1]
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sense_assess for kids- sensory discrimination measure
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Assessment method [1]
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Timepoint [1]
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Baseline, post treatment, 6 weeks follow-up and 6 months follow-up
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Primary outcome [2]
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Changes in occupational performance are being measured using the COPM and GAS
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Assessment method [2]
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Timepoint [2]
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Baseline, Post treatment, 6 weeks follow-up and 6 months follow-up
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Secondary outcome [1]
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Changes in aspects of activity performance will be measured using the AHA and the box and blocks test.
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Assessment method [1]
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Timepoint [1]
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Baseline, post treatment, 6 weeks follow-up and 6 months follow-up
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Eligibility
Key inclusion criteria
Diagnosis of Cerebral palsy
Hemiplegia
Reduced sensation as measured by the sense_assess
Aged 5-15yrs
Sufficient concentration to complete assessment
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Minimum age
5
Years
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Maximum age
15
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Absence of sensory deficit
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The CI contacts families to conduct initial assessment, once sensory capacity is known children are randomised to treatment or control group using central randomisation (computer) by a person not involved with this trial. The assessor determining eligibility of participants is not informed of group allocation at any point in time.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Children in this study are matched on age and MACS level.
The first child to enter the study without an existing match is randomised, the first child who is a match for age and MACS is automatically allocated to the other group.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Multiple time-point ANOVA using intention to treat analysis.
Data from Carey et al., (2011) intervention study with adults post-stroke was used to determine sample size and effect size. This data was used because this study is trialling the same treatment outlined in Carey's work but with children. Means and standard deviations for the experimental and control groups at baseline and the end of phase one were used. Experimental group baseline: -41.14 (35.79) and end of phase one: -18.78 (40.92); the control group baseline: -31.24 (27.07) and end of phase one: -26.61 (33.54). The calculated power is .95 with an effect size of 1.213 and a sample size of 32 participants.
Carey, L., Macdonell, R., & Matyas, T. A. (2011). SENSe: Study of the Effectiveness of Neurorehabilitation on Sensation: A Randomized Controlled Trial. Neurorehabilitation and Neural Repair, 25(4), 304-313. doi: 10.1177/1545968310397705
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/06/2013
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Actual
3/06/2013
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Date of last participant enrolment
Anticipated
30/11/2018
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Actual
28/01/2015
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Date of last data collection
Anticipated
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Actual
15/10/2015
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Sample size
Target
40
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Accrual to date
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Final
28
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Princess Margaret Hospital - Subiaco
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Recruitment hospital [2]
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Perth Children's Hospital - Nedlands
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Recruitment postcode(s) [1]
14049
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Western Australia
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Address [1]
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35 Stirling Hwy
Crawley, WA 6009
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Princess Margaret Hospital
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Address
Roberts Road
Subiaco WA 6008
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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School of Paediatrics and Child Health
University of Western Australia
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Address [1]
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Roberts Road
Subiaco WA 6008
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Country [1]
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Australia
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Other collaborator category [1]
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University
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Name [1]
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Florey Neuroscience Institute
Melbourne Brain Centre
University of Melbourne
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Address [1]
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Melbourne Brain Centre
University of Melbourne
Austin Campus
245 Burgundy Street
Heidlberg VIC 3084
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Country [1]
277709
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Australia
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Other collaborator category [2]
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University
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Name [2]
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Curtin University of Technology
School of Occupational Therapy and Social Work
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Address [2]
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Kent Street,
Bentley WA 6102
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Princess Margaret Hospital HREC
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Ethics committee address [1]
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Roberts Rd Subiaco WA 6008
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/11/2012
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Approval date [1]
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29/07/2016
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Ethics approval number [1]
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2052
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Ethics committee name [2]
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Princess Margaret Hospital HREC
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Ethics committee address [2]
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Roberts Road, Subiaco WA 6008
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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17/04/2014
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Ethics approval number [2]
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2014034
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Summary
Brief summary
This study aims to find out if a sensory discrimination training method that is effective in reducing sensory impairment in adults who have had a stroke is also effective in reducing impairments in sensation for children with cerebral palsy. We hypothesise that sensory discrimination training will improve sensory discrimination for children with hemiplegic cerebral palsy and result in improvements in function, activity and quality of life. Additionally we hypothesis that central changes will be evident on fMRI following intervention. We hypothesise that changes will be sustained at 6 months post intervention.
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Trial website
N/A
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Trial related presentations / publications
McLean, B., Taylor, S., Blair, E., Valentine, J., Carey, L., Elliott, C. (2017). Somatosensory discrimination intervention improves body position sense and motor performance in children with hemiplegic cerebral palsy. The American Journal of Occupational Therapy, 71(3), 7103190060p1-7103190060p9.
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Public notes
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Contacts
Principal investigator
Name
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Ms Belinda McLean
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Address
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Department of Paediatric Rehabilitation
Princess Margaret Hospital
37-39 Hay Street
Subiaco WA 6008
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Country
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Australia
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Phone
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+61403961217
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Fax
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+61 8 9380 2119
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Email
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[email protected]
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Contact person for public queries
Name
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Ashleigh Thornton
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Address
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Department of Paediatric Rehabilitation
Princess Margaret Hospital
37-39 Hay Street
Subiaco WA 6008
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Country
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Australia
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Phone
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+61 8 9380 2119
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Fax
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+61 8 9381 2990
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Email
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[email protected]
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Contact person for scientific queries
Name
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Belinda McLean
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Address
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Department of Paediatric Rehabilitation
Princess Margaret Hospital
37-39 Hay Street
Subiaco WA 6008
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Country
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Australia
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Phone
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+61 8 9380 2119
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Fax
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+61 8 9380 2119
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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