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CTRI Number  CTRI/2024/05/068171 [Registered on: 31/05/2024] Trial Registered Prospectively
Last Modified On: 29/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Identification Of Relation Between the Oxygen Usage During Exercise and Hospital Admission Due To Breathing Problem in Cerebral Palsy Children 
Scientific Title of Study   To Determine the Relation Between Respiratory Hospitalization and Aerobic Capacity in Adoloscents With GMFCS Level 1-3 Cerebral Palsy 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shraddha Nayak 
Designation  PG student 
Affiliation  The Oxford College Of Physiotherapy  
Address  Department of Paediatric Physiotherapy, No.6/9, 1st Cross, Begur Road, Hongasandra, Bangalore-560068 Karnataka, India

Bangalore
KARNATAKA
560068
India 
Phone  7975871320  
Fax    
Email  shraddhanayak2000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajalakshmi  
Designation  Asst. Professor 
Affiliation  The Oxford College Of physiotherapy 
Address  Department of Paediatric Physiotherapy, No.6/9, 1st Cross, Begur Road, Hongasandra, Bangalore-560068 Karnataka, India

Bangalore
KARNATAKA
560068
India 
Phone  9986091220  
Fax    
Email  srajivasanth@gmail.com  
 
Details of Contact Person
Public Query
 
Name  R Vasanthan 
Designation  Principal 
Affiliation  The Oxford College Of physiotherapy 
Address  Department of Paediatric Physiotherapy, No.6/9, 1st Cross, Begur Road, Hongasandra, Bangalore-560068 Karnataka, India

Bangalore
KARNATAKA
560068
India 
Phone  9916919685  
Fax    
Email  physiotherapyprincipal@theoxford.edu  
 
Source of Monetary or Material Support  
Samarthanam Trust for the Disabled,CA:39, 15th Cross, 16th Main, Sector-4, HSR Layout, Bangalore - 560102 
Sri Sai public school, 4th Main, ITTINA Apartment, Road, Begur Rd, behind Kavya Nursing home, Hongasandra, Bengaluru, Karnataka 560068 
The Aasare Special School, Mico Layout, Hongasandra, Bengaluru, Karnataka 560068 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Shraddha Nayak  The Oxford College of Physiotherapy  Department of Paediatric Physiotherapy, No.6/9, 1st Cross, Begur Road, Hongasandra, Bangalore-560068 Karnataka, India
Bangalore
KARNATAKA 
7975871320

shraddhanayak2000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Oxford College of Physiotherapy Review Board for Ethics and Research (TOCPTRBER)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Adoloscents from age 10 years to 19years  
Patients  (1) ICD-10 Condition: G801||Spastic diplegic cerebral palsy, (2) ICD-10 Condition: G802||Spastic hemiplegic cerebral palsy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  19.00 Year(s)
Gender  Both 
Details  CEREBRAL PALSY GROUP:
1. Adolescents who are ambulatory and diagnosed with spastic cerebral palsy
2. Age group 10 to 19years
3. GMFCS level I and II
4. GMFCS level III - ambulating and capable of meeting the test criterions.
5. Cognitively, capable of following simple commands
6. Adolescents whose parents / guardians are available with medical records for hospitalization history

NORMAL POPULATION:
1. Age matched adolescents - 10 to 19years. 
 
ExclusionCriteria 
Details  CEREBRAL PALSY GROUP:

1. GMFCS – level 4 and level 5
2. A severe intellectual disability – Not capable of comprehending with the test instructions.

FOR BOTH GROUP:
1. Having undergone surgery in the previous six months.
2. Recent injury
3. Systemic illness that prevents them from performing aerobic testing
4. Respiratory disease or hospitalization –
5. Non-recurrent respiratory episodes (e.g., laryngospasm.
5. Unrelated specific respiratory conditions
(e.g., tracheomalacia). 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
semi standard questionnaire including Number of respiratory related hospitalizations   one time study 
 
Secondary Outcome  
Outcome  TimePoints 
Aerobic capacity ( VO2 max calculation )   one time study 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Background : 
Cerebral palsy (CP) is a heterogeneous group of permanent movement disorders stemming from non-progressive lesions or abnormalities in the developing brain. Its prevalence is estimated at 2.95 per 1000 children, signifying its significant impact on pediatric health. Respiratory complications have emerged as critical factors contributing to morbidity and mortality among CP individuals, underscoring the urgent need for comprehensive understanding and proactive management of this aspect of the condition.

This study aims to bridge the gap in the literature by investigating the relationship between aerobic capacity and respiratory-related hospitalizations in adolescents with CP. Despite advancements in medical care, respiratory issues persist as formidable challenges for CP individuals. Integrating respiratory function assessments into routine evaluations is imperative to address these challenges effectively and enhance care outcomes.
Methodology: 
By employing a methodology, including a semi standard questionnaire for information regarding respiratory associated hospitalization and aerobic capacity testing through shuttle walk/run test, this study endeavors to yield meaningful insights into the correlation between aerobic fitness and respiratory health outcomes in CP adolescents. 
Outcome:  
The outcome measures encompass GMFCS categorization, BMI assessment using Indian Academy of Pediatrics guidelines, the Physical Activity Readiness Questionnaire for Children - Plus (PARQ-P), and VO2 max calculations. These measures are meticulously chosen to provide comprehensive data for analysis and ensure the reliability and validity of the findings.
Statistical Analysis: 
Statistical analysis will be conducted utilizing Spearman’s rank correlation and odds ratios. 

In conclusion, this research holds significant promise in advancing our understanding of the complex relationship between aerobic capacity and respiratory health in adolescents with CP. By identifying key associations and risk factors, the study aims to empower healthcare professionals with actionable insights to mitigate respiratory complications, ultimately improving the quality of life and long-term outcomes for individuals living with CP.
 
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