Randomized Controlled Trial of Early Intensive Leg Exercise to Improve Walking in Children With Diplegia
Trial Parameters
Brief Summary
This is a randomized controlled trial, comparing 3 months of intensive leg exercise to standard physiotherapy care for the improvement of gross motor function in young children with spastic diplegia.
Eligibility Criteria
Inclusion Criteria: * Bilateral motor impairment of the lower extremities * Periventricular white matter injury from encephalopathy of prematurity * Able to stand with some support Exclusion Criteria: * Substantial upper extremity involvement - Manual Abilities Classification System (MACS) Level ≥3 * Uncontrolled epilepsy or infantile spasms in the past 6 months * Cardiovascular or musculoskeletal complications that preclude participation in intensive exercise * Botulinum toxin-A (BTX-A) injections in the legs in the last 6 months