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Trial registered on ANZCTR
Registration number
ACTRN12611000083998
Ethics application status
Not yet submitted
Date submitted
6/01/2011
Date registered
24/01/2011
Date last updated
24/01/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
A study of below knee serial casting for calf contracture in ambulant boys with Duchenne muscular dystrophy.
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Scientific title
A study of below knee serial casting for calf contracture in ambulant boys with Duchenne muscular dystrophy.
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Secondary ID [1]
253281
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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:
Duchenne muscular dystrophy
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tendoachilles contracture
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Condition category
Condition code
Neurological
258957
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0
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Other neurological disorders
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Human Genetics and Inherited Disorders
259033
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0
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Bilateral below knee serial casting using soft cast maximum of four sets of casts applied for up to two weeks total.
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Intervention code [1]
257736
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Treatment: Other
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Reduce calf contracture and achieve a passive range of ankle dorsiflexion (DF) of at least plantigrade (90 degrees) assesed using goniometry.
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Assessment method [1]
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Timepoint [1]
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baseline, 1month, 3months, 6months, 9months, 12months
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Secondary outcome [1]
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Improve gait parameters including heel contact assessed with GAITRite electronic walkway, 6 minute walk test and timed functional tests.
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Assessment method [1]
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Timepoint [1]
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baseline, 1month, 3months, 6months, 9months, 12months
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Secondary outcome [2]
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Maintain or improve level of motor function assesed with North Star Ambulatory Assessment and timed functional tests.
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Assessment method [2]
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Timepoint [2]
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baseline, 1month, 3months, 6months, 9months, 12months
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Eligibility
Key inclusion criteria
- Aged 4 years or greater
- Independently ambulant over a distance of at least 75 metres and able to complete a 6 minute walk test
- With a measurable calf contracture (ie maximum PROM ankle dorsiflexion less than or equal to 0 degrees with the knee fully extended)
- With full passive knee extension or a knee flexion contracture less than 10 degrees
- With quadriceps lag less than 5 degrees
- With hip and knee flexor and extensor strength of at least grade 4 plus on manual muscle testing (Mendell and Florence 1990).
- Who are cognitively and emotionally able to cope with the treatment
- Whose family supports the treatment and undertakes to complete the protocol
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Minimum age
4
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Aged under 4 years
- unable to ambulant 75 metres and unble to complete a 6 minute walk test
- passive knee extension or a knee flexion contracture greater than or equal to 10 degrees
- With quadriceps lag greater than 5 degrees
- With hip and knee flexor and extensor strength of less than grade 4 plus on manual muscle testing (Mendell and Florence 1990).
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/02/2011
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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
10
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Royal Children's Hospital Foundation
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Address [1]
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Flemington Rd
Parkville 3052
Victoria
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Children's Hospital
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Address
Flemington Rd
Parkville 3052
Victoria
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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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Address [1]
257517
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
260185
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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22/12/2010
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Approval date [1]
260185
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Ethics approval number [1]
260185
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Summary
Brief summary
Duchenne muscular dystrophy is a progressive disorder which affects muscle strength in boys and results in the loss of the ability to walk between 9 and 13 years of age. Along with muscle weakness the boys often also experience muscle tightness, particularly in their calf muscles. This in turn causes them to walk on their toes, which makes standing and walking balance more precarious. Boys with DMD undertake physiotherapy prescribed stretching programs and use night splinting to address this muscle tightness but commonly these are not sufficient to overcome the muscle shortening. Surgical lengthening has been shown to have a beneficial effect on ankle contracture in boys with DMD. This is very invasive and has not been shown to be associated with any improvement in strength or function. Below knee serial casting is used in some overseas centres as a treatment option for calf shortening. This project aims to assess the effectiveness of below knee serial casting on the length of calf muscles and walking ability in boys with DMD. We hope to assess whether short periods of serial casting will maintain calf muscle length, improve gait, and maintain or improve motor function. The boy’s gait, muscle length and motor function will be assessed before and after serial casting and then at 3 monthly intervals for a twelve month period.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Kate Carroll
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Address
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Royal Children's Hospital
Neurosciences Centre
Flemington Rd
Parkville 3052
Victoria
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Country
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Australia
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Phone
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+61 3 9345 4287
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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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Dr Monique Ryan
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Address
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Royal Children's Hospital
Neurosciences Centre
Flemington Rd
Parkville 3052
Victoria
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Country
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Australia
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Phone
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+61 3 9345 5641
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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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