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Contact Information:

Dr Tim Adlam
+44 (0)1225 824 103
timadlam@designability.org.uk


Study Location:

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Be Part of Research - Trial Details - A pilot study of an evaluation of a dynamic foot support for wheelchair users with extensor spasms

A pilot study of an evaluation of a dynamic foot support for wheelchair users with extensor spasms

Not Recruiting

Open to: All Genders

Age: Adult

Medical Conditions

Dystonic cerebral palsy


This information is provided directly by researchers and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information.


Dystonic cerebral palsy is a condition that can include powerful spasms that cause the whole body to extend and straighten out. The spasms are called 'extensor spasms'. These spasms can result in pain, discomfort and poor posture. Comfort and posture may be able to be improved if the person's seating moves with them during a spasm. It is thought that present dynamic foot supports do not allow sufficient movement, so a new support has been designed. The new support was simulated in use with an adult with extensor spasms by a team of engineers and therapists, just using their hands. The adult reported that his pain was significantly reduced, that he had better head and hand control, and that he could eat and drink more easily. This study will provide the new support to three adults and three children, and evaluate their experiences of using the device for 4 weeks. We will measure how well it works using
questionnaires, interviews and some technology that measures the movements of the foot support. We will compare their experiences of sitting during extensor spasms with and without the new foot support.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Mar 2014 30 Sep 2017

The idea of the foot support is to help manage spasms which can be uncomfortable, painful and disrupt daily routines. The participant will be asked to try out the new foot support for 4 weeks and to help us find out how well it works. They will be asked some questions, we will take some measurements, and fit the foot support to the participantÂ’s wheelchair. If it is satisfactory, we will ask them to use this footrest for 4 weeks. We ask the participant to review the foot support very quickly every day by answering three questions. It is also important they note down any comments or changes in their spasms. If at any time the foot support is uncomfortable or not working for the participant, it can be removed. We will meet up with the participant after 4 weeks to find out what they thought about the footrest, take some final measurements, and to collect any final comments on the foot support.


Children aged 5 or older affected by dystonic cerebral palsy can participate in the study.

You can take part if:



You may not be able to take part if:


1. At risk of harm from the dynamic foot support, to be determined by the patient's own occupational or physiotherapist in consultation with the project team2. Concurrent medical interventions likely to cause changes in the extensor spasms during the course of the study3. Other medical conditions that may cause harm or distress to the participant as a result of using the foot support

(The reason for exclusion is so we do not contaminate our results or those of another study with another intervention)


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Royal United Hospital
    Bath
    BA1 3NG

The participantÂ’s therapist will select people who they think this new foot support might be beneficial to. It is intended to reduce discomfort and make it easier for people to join in with activities. However, it is not guaranteed that the foot support will help the participant. There is a risk that it could be slightly uncomfortable for a short while, whilst the participant is getting used to the new foot support.


The study is sponsored by Designability -– Bath Institute of Medical Engineering (UK) and funded by Posture and Mobility Group (UK) - Small Research Study Funding Scheme.




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Read full details for Trial ID: ISRCTN74115746
Last updated 06 December 2016

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