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Trial registered on ANZCTR
Registration number
ACTRN12610000963022
Ethics application status
Approved
Date submitted
5/11/2010
Date registered
9/11/2010
Date last updated
9/11/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of treadmill inclination on the gait of children with Down's syndrome: a quasi-experimental study
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Scientific title
Effect of treadmill inclination on angular alterations, amplitude of hip and knee movement, and stance time of gait in individuals with Down's syndrome
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Secondary ID [1]
253031
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Nil
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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:
Down's syndrome
258590
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Gait
258596
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Condition category
Condition code
Neurological
258729
258729
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0
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Other neurological disorders
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Human Genetics and Inherited Disorders
258740
258740
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0
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Down's syndrome
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The overall duration of study was 6 months.The subjects were assessed for motor function and classified at level 1 of the Gross Motor Function Classification System (GMFCS), were evaluated. A subjective assessment of balance was performed using a questionnaire (Berg`s Balance Scale-BBS). Spatial-temporal variables of the lower limbs were observed as well as the angular variation of the hip, knee and ankle in the sagittal plane while the individuals walked on the treadmill at two different inclinations (0% and 10%) during 2 minutes in each condition. The treadmill was then turned on and the participants walked at a comfortable speed. After two minutes, a 30-second capture was made (dynamic collection). All the individuals were submitted to collections on the treadmill with inclinations of 0% and 10%. A one-minute rest period was given between the different conditions. The overall duration of the treadmill session was of approximately 6 minutes.
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Intervention code [1]
257557
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Not applicable
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Comparator / control treatment
Spatial-temporal variables were observed as well as the angular variation of the hip, knee and ankle in the sagittal plane while the individuals walked on the treadmill at two different inclinations (0% and 10%).
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Control group
Active
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Outcomes
Primary outcome [1]
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Comparing of variables between 0% and 10% of inclination as measured by digitised video analysis showed that the stance time increased 4,8%.
In the hip, flexion at initial contact increased 13%, flexion at swing increased 10,2%, there was a decrease of 13% in maximum extension during terminal stance.
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Assessment method [1]
259596
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Timepoint [1]
259596
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After two minutes in 0% of inclination
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Secondary outcome [1]
266229
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Comparing of variables between 0% and 10% of inclination as measured by digitised video analysis showed that the stance time increased 6%.
In the hip, flexion at initial contact increased 29,7%, flexion at swing increased 25,2%. There was a decrease of 25,2% in maximum extension during terminal stance. An increase of 8,7% was also observed in range of motion in the hip.
In the knee, flexion at initial contact increased 30%, maximum stance flexion increased 21,4%, range of motion increased 5,8%. In the ankle, there was decrease of 67,7% in the plantar flexed.
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Assessment method [1]
266229
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Timepoint [1]
266229
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After two minutes in 10% of inclination
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Eligibility
Key inclusion criteria
Children classified at level 1 of the Gross Motor Function Classification System – GMFCS; able to perform all the activities contained on the Berg Balance Scale (BBS); did not exhibit any other neurological alterations, or associated respiratory or osteomyoarticular pathologies; and exhibited good cognition that would allow completion of all the assessment procedures.
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Minimum age
5
Years
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Maximum age
11
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
Individuals whose not understanding the instructions or for not collaborating during data collection.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
13/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
23
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3018
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Brazil
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State/province [1]
3018
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Rio Grande do Norte
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Funding & Sponsors
Funding source category [1]
258008
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Government body
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Name [1]
258008
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Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior
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Address [1]
258008
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Setor Bancario Norte, Quadra 2, Bloco L, Lote 06,
CEP 70040-020
Brasilia, DF
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Country [1]
258008
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Brazil
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Primary sponsor type
University
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Name
Universidade Federal do Rio Grande do Norte
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Address
Av. Senador Salgado Filho, 3000
Caixa Postal 1524
Natal - RN
CEP 59072-970
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Country
Brazil
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Secondary sponsor category [1]
257201
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None
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Name [1]
257201
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Address [1]
257201
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Country [1]
257201
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260003
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Comite de Etica em Pesquisa do Hospital Universitario Onofre Lopes
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Ethics committee address [1]
260003
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Av. Nilo Pecanha, 620 Petropolis Natal - RN CEP 59012-300
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Ethics committee country [1]
260003
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Brazil
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Date submitted for ethics approval [1]
260003
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Approval date [1]
260003
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12/08/2009
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Ethics approval number [1]
260003
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194/2009
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Summary
Brief summary
The aim of this study was to Analyze the effects of treadmill inclination on the gait of children with DS. Methodology: Twenty-three subjects (9 girls and 14 boys), mean age 8.43 ±2.25 years, classified at level 1 of the Gross Motor Function Classification System (GMFCS), were evaluated. A subjective assessment of balance was performed using a questionnaire (Berg`s Balance Scale-BBS). Next, a kinematic analysis of gait was carried out on a 0% and 10% electric incline treadmill, using a Qualisys motion capture system. Data were analyzed using Bioestat 5.0 software at a significance level of 5%. Normality of data was checked by D`Agostino`s test and the paired t-test was applied to compare variables under the two experimental conditions. Results: A statistically significant difference was observed in the following spatiotemporal variables: reduced gait (from 108.92 (39.07) to 99.11(27.51), p< 0.04), increased cycle time (from 1.24 (0.27) to 1.36 (0.34), p=0.03) and increased swing time (from 0.77 (0.15) to 0.82 (0.18), p< 0.001). A statistically significant increase was found in the following angular variables: hip at initial contact (from 12.23 (4.63) to 18.49 (5.17) , p<0.0001) and maximum flexion in the swing phase (from 12.96 (4.32) to 19.50 (4.51), p<0.0001); knee at initial contact (from 15.59 (6.71) to 21.63 (6.48), p< 0.0001); and ankle at first contact (from –2.79 (9.8) to 2.25 (8.79) , p<0.0001), maximum dorsiflexion in stance (from 4.41 (10.07) to 7.13(11.58), p<0.0009), and maximum plantar flexion in preswing (from –6.33(8.77) to –2.69 (8.62), p<0.0004). Conclusions: Inclination acts positively on the angular and spatiotemporal characteristics of gait in children with Down syndrome, demonstrating a possible benefit from the use of this type of surface in the gait rehabilitation of this population.
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Trial website
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Trial related presentations / publications
Not published yet. Will be submitted to Physical Therapy.
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Public notes
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Contacts
Principal investigator
Name
31875
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Address
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Country
31875
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Phone
31875
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Fax
31875
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Email
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Contact person for public queries
Name
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Ana Raquel Rodrigues Lindquist
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Address
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Universidade Federal do Rio Grande do Norte
Centro de Ciencias da Saude
Departamento de Fisioterapia
Av. Senador Salgado Filho, 3000
Caixa Postal 1524
Natal - RN
CEP 59072-970
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Country
15122
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Brazil
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Phone
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55 84 3342 2010
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Fax
15122
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55 84 3342 2000
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Email
15122
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[email protected]
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Contact person for scientific queries
Name
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Thayse de Lucena Moura Rodenbusch
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Address
6050
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Rua Fernando Barbosa de Melo, 400- Edifício Villa Real- APTO 102.
Catole
Campina Grande - PB
CEP 58410-440
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Country
6050
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Brazil
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Phone
6050
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55 83 3332 0000
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Fax
6050
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Email
6050
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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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