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Trial registered on ANZCTR
Registration number
ACTRN12616001362482
Ethics application status
Approved
Date submitted
16/09/2016
Date registered
30/09/2016
Date last updated
26/09/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Balance and mobility training at home using Wii Fit in children with cerebral palsy: a feasibility study
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Scientific title
Balance and mobility training at home using Wii Fit in children with cerebral palsy: a feasibility study
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Secondary ID [1]
289582
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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:
Cerebral Palsy
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Classified Level I, II or III of the Gross Motor Function Classification System
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Children with cerebral palsy able to understand simple instructions
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Condition category
Condition code
Physical Medicine / Rehabilitation
299319
299319
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0
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Physiotherapy
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Neurological
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299320
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0
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Other neurological disorders
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Musculoskeletal
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will undertake mobility training using a Wii Fit U for 25 min per session, three times a week for 8 weeks in their home or school. After screening all games in the Wii Fit U, eight have been selected for mobility training (Ski jump, Table tilt, Perfect 10, Obstacle course, Ultimate obstacle course, Balance bubble, Hula hoop challenge, Step dance). These games consist of a wide range of activities related to mobility, such as squatting, standing, leaning, stepping, or trunk control, as well as being of varying levels of difficulty, and have progression built into the game. Each session will consist of 4 randomly selected games. Random permuted blocks will be used so that after every block (of 4 sessions), all activities will have been practiced the same amount. The score from each game will be used as feedback and motivation. Each participant will be assigned a therapist with at least one year of work-related experience in rehabilitation. This therapist will monitor adherence to the intervention through the Wii software which will record the frequency of use. Before the beginning of training, the therapist will ensure that the participant and parents understand the eight games. They will then supervise one session a week and will also be available to be contacted should the participant or parents require assistance. Participants will continue with usual care (such as physical or occupational therapy) and the amount (total length of time) will be recorded.
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Intervention code [1]
295185
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Rehabilitation
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Intervention code [2]
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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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Distance walked during the 6-min Walk Test in m
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Assessment method [1]
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Timepoint [1]
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Week 0, 8
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Secondary outcome [1]
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Walking speed during the 10-m Walk Test in m/s
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Assessment method [1]
325246
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Timepoint [1]
325246
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Week 0, 8
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Secondary outcome [2]
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Strength of dorsiflexors measured using dynamometry in N
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Assessment method [2]
325247
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Timepoint [2]
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Week 0, 8
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Secondary outcome [3]
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Strength of plantarflexors measured using dynamometry in N
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Assessment method [3]
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Timepoint [3]
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Week 0, 8
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Secondary outcome [4]
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Strength of quadriceps measured using dynamometry in N
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Assessment method [4]
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Timepoint [4]
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Week 0, 8
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Secondary outcome [5]
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Balance measured as the time able to stand on one leg in s
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Assessment method [5]
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Timepoint [5]
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Week 0, 8
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Secondary outcome [6]
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Participation measured using the Assistance to Participation Scale scored from 8 to 40 where 40 is maximum participation
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Assessment method [6]
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Timepoint [6]
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Week 0, 8
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Eligibility
Key inclusion criteria
Children with cerebral palsy will be eligible if they:
1. were diagnosed as cerebral palsy before 5 years of age
2. are between 5 to 13 years old
3. are classified Level I, II or III on the Gross Motor Function Classification System
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Minimum age
5
Years
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Maximum age
13
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
Children with cerebral palsy will be excluded if they:
1. have severe cognitive and/or language deficits which preclude them from participation in the training sessions (as judged by researchers at screening or relatives)
2. have received botulinum toxin or undergone surgery in the lower limbs during the previous 6 months
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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
Not Applicable
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Type of endpoint/s
Efficacy
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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
1/10/2016
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Actual
1/10/2016
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Date of last participant enrolment
Anticipated
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Actual
29/04/2017
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Date of last data collection
Anticipated
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Actual
24/06/2017
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
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Taiwan, Province Of China
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State/province [1]
7990
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Ministry of Science and Technology
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Address [1]
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Ministry of Science and Technology
106, Sec. 2, Heping E. Rd., Taipei 10622, Taiwan, R.O.C.
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Country [1]
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Taiwan, Province Of China
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Primary sponsor type
Individual
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Name
Hsiu-Ching Chiu
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Address
No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City, 82445; Department of Physical Therapy, I-Shou University.
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
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University
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Name [1]
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I-Shou University
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Address [1]
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No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City, 82445
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Country [1]
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Taiwan, Province Of China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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National Cheng Kung University Governance for Human Research Ethics
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Ethics committee address [1]
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National Cheng Kung University Governance for Human Research Ethics No.1, University Road, Tainan City, 70101
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Ethics committee country [1]
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
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Approval date [1]
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02/06/2015
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Ethics approval number [1]
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NCKU HREC-F-104-009-2
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Summary
Brief summary
Recently, virtual reality in the form of interactive computer games, has been proposed as a potentially promising method of pediatric rehabilitation that meets the requirements of being motivating and engaging, while providing an opportunity for practice and repetition within a virtual environment. Wii Fit U Activities include a dozen fun lower limb activities which provide immediate feedback. Also, they are easy to pick up and play and come with progression built in so that the more difficult levels are able to challenge even the most experienced gamers. These features make it a cost-effective way to provide virtual reality training for mobility. Furthermore, in our previous randomized controlled trial of Wii Sports Resort in the upper limb, we found that the participants completed 554 sessions out of a possible 576, an adherence rate of 96%. Parents were excited that gaming enabled their children to do more things with and like their peers. Therefore, we plan to further examine the effect of Wii activities in the lower limb of children with cerebral palsy. Our aim is, for children with cerebral palsy who are able to understand simple instructions, to improve balance, strength, walking, and participation via Wii Fit U activity training.
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Trial website
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Trial related presentations / publications
No
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Hsiu-Ching Chiu
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Address
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Department of Physical Therapy, I-Shou University (No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung city 82445)
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Country
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Taiwan, Province Of China
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Phone
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+886911863420
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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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Hsiu-Ching Chiu
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Address
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Department of Physical Therapy, I-Shou University (No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung city 82445)
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Country
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Taiwan, Province Of China
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Phone
67075
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+886911863420
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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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Hsiu-Ching Chiu
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Address
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Department of Physical Therapy, I-Shou University (No.8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung city 82445)
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Country
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Taiwan, Province Of China
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Phone
67076
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+886911863420
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Fax
67076
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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
Source
Title
Year of Publication
DOI
Embase
Balance and mobility training at home using Wii Fit in children with cerebral palsy: A feasibility study.
2018
https://dx.doi.org/10.1136/bmjopen-2017-019624
N.B. These documents automatically identified may not have been verified by the study sponsor.
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