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Trial registered on ANZCTR
Registration number
ACTRN12607000119493
Ethics application status
Approved
Date submitted
20/10/2006
Date registered
9/02/2007
Date last updated
22/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Therapy Intensity after BOTOX®
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Scientific title
Comparing of Three Different Physiotherapy and Occupational Therapy Intensities Post Botulinum Toxin Injections for Children with Cerebral Palsy for Achieving Family Goal Outcomes
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Secondary ID [1]
289067
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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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Condition category
Condition code
Neurological
1716
1716
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0
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Other neurological disorders
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Physical Medicine / Rehabilitation
1717
1717
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0
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Physiotherapy
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Physical Medicine / Rehabilitation
1718
1718
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0
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Occupational therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Physiotherapy and Occupational Therapy. Group 1 will receive intense hands-on therapy 3 times per week for 4 weeks, then take a 4 week break with no therapy then repeat the 4 weeks intense therapy 3 times per week (12 weeks duration). Group 2 will receive regular therapy, 1 times per week for 4 weeks, then fortnightly for 4 weeks, then monthly (12 weeks duration). Group 3 will receive a individualised home program with 2 support appointments to be carried out for 12 weeks duration.
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Intervention code [1]
1417
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Rehabilitation
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Comparator / control treatment
As above
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Control group
Active
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Outcomes
Primary outcome [1]
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Performance and Satisfaction scores as measured on the Canadian Occupational Performance Measure.
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Assessment method [1]
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Timepoint [1]
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Baseline, 4, 8, 12, 16 weeks
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Secondary outcome [1]
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Goal achievement T-Score as measured on the Goal Attainment Scale.
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Assessment method [1]
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Timepoint [1]
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Baseline, 4, 8, 12, 16 weeks
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Eligibility
Key inclusion criteria
1. Diagnosis of cerebral palsy 2. Have received BOTOX® in the last 4 weeks from one of the children’s hospitals 3. Eligible for services from The Spastic Centre 4. Functional ability to use the affected limb/s for at least assisted ambulation, or attempts to grip a palm sized toy on request OR of BOTOX® was given for reduction of caregiver burden 5. Informed consent is given.
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Minimum age
2
Years
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Maximum age
18
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
1. Diagnosis is not cerebral palsy2. Botulinum toxin is injected greater than 4 weeks prior to enrollment3. Consent is not given4. Client is not eligible for standard therapy services from The Spastic Centre of NSW.
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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)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random order generation (sequence generation) using block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
The participants and evaluators are blinded
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
15/05/2006
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Actual
16/05/2006
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Date of last participant enrolment
Anticipated
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Actual
18/02/2008
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
72
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Accrual to date
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Final
22
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Cerebral Palsy Institute
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Address [1]
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PO Box 184
Brookvale NSW 2100
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Country [1]
1866
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
The Spastic Centre of NSW, Sydney
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Address
PO Box 6427
Frenchs Forest
NSW 2086
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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N/A
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Address [1]
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Country [1]
1683
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Spastic Centre HREC
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Ethics committee address [1]
3475
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Ethics committee country [1]
3475
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Australia
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Date submitted for ethics approval [1]
3475
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Approval date [1]
3475
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15/03/2006
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Ethics approval number [1]
3475
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EC00402
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Summary
Brief summary
Cerebral palsy is the most common physical disability in childhood, with a significant lifelong impact on the person, their family and the community. It is estimated that 1:400 children are born with cerebral palsy (Stanley et al, 2000), with over 600 new cases diagnosed in Australia each year. At present there is no known cure for this condition (Stanley et al, 2000) however the methods for the treatment of its symptoms, such as muscle spasticity, are well documented. It is known that the combination of occupational therapy along with botulinum toxin (BOTOX) injections (Lowe, Novak & Cusick, 2005; Wallen, O’Flaherty & Waugh 2004) and best-practice home programs (Novak, Cusick & Lowe, 2005) can produce positive outcomes for improving function and manage the symptoms of spasticity in children with cerebral palsy (Corry & Graham, 1994; Delago, 2002; Leach, 1997; Russman, Tilton & Gromley, 1997). It is therefore worth investigating the nature and extent of parental input and determine whether or not intensive provider delivered therapy intervention following upper limb botulinum toxin injections will lead to greater desirable outcome in the daily functioning of a child with cerebral palsy. The results of this research project will provide valuable data for determining therapy intensity and the conditions and processes that affect the treatment process. This will help inform decisions by health professionals and families regarding the type, amount, model and method of therapy to be used following BOTOX® injections, thus guiding best practice, use of time, resources and funding in the treatment of spasticity in children with cerebral palsy. There is thus a clear gap in research literature regarding provider-based intense therapy effectiveness that needs to be filled.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Iona Novak
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Address
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Cerebral Palsy Alliance
PO Box 6427
Frenchs Forest 2086
NSW
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Country
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Australia
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Phone
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+61409078917
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Fax
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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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Iona Novak
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Address
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Cerebral Palsy Alliance
PO Box 6427
Frenchs Forest 2086
NSW
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Country
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Australia
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Phone
10606
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+61409078917
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Fax
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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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Iona Novak
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Address
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Cerebral Palsy Alliance
PO Box 6427
Frenchs Forest 2086
NSW
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Country
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Australia
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Phone
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+61409078917
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Fax
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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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