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THE SPELL STUDY

Stretching programme for ambulant children with cerebral palsy.

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PARTICIPANT INFORMATION ANIMATION

The SPELL study is trying to find out if a special set of exercises to stretch
the leg muscles of children with cerebral palsy works better than the usual
physio exercises.

Children with cerebral palsy often have stiff leg muscles. This makes it more
difficult to walk and move about.

Doctors and physiotherapists think that special exercises to stretch the muscles
in the legs could make it easier to walk and do more of the things they want to
do.

We have tried to make the exercises interesting and fun.

We are asking lots of children with cerebral palsy, from across the country, to
take part in this study.

Half the children will do the new SPELL exercises and half will do the usual
physio exercises.

The group doing the new SPELL exercises will see a physiotherapist 6 times in 4
months.

You will do these exercises at home or school 4-5 times each week, with help if
you need it.

The group doing the usual exercises will see a physiotherapist once to go
through them and agree which activities to do.

To make the study fair, neither you nor the doctors and physiotherapists can
choose which treatment you have.

It is decided by a computer using a process called randomisation.

We want to find out which exercise programme works best.

We also want to find out if the SPELL exercises give you more muscle soreness
than usual exercises.

If you join the SPELL study, a physiotherapist will carry out some simple tests
to look at how your legs move and how fast you can walk.

We will ask some questions about your walking, how well you can do activities,
how you feel and if you’ve missed any school.

After 6 months you will come back to the hospital and a physiotherapist will
carry out the same simple tests.

We will also send you the same set of questions by email or by post, at 6 months
and at 12 months.

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BACKGROUND

Cerebral palsy is caused around the time of birth when babies suffer brain
injury from lack of oxygen in the brain. As they grow during their early years,
children with cerebral palsy often develop stiff muscles. They often have
difficulty walking and moving and that makes it difficult for them to join in
many different activities.

Physiotherapy becomes a big part of their lives and aims to train their muscles,
stop them from becoming stiff and help children participate in activities. It is
possible that a programme of exercises to stretch their leg muscles could
prevent stiffness and help them remain more active. We are not certain that
children with CP truly benefit from the time and effort they dedicate to doing
these exercises. We are also not sure if this exercise might cause them too much
discomfort and muscle soreness to be able to carry it out long-term.




TAKING PART

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ABOUT THE STUDY

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CONTACT US

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Address
SITU
NDORMS
University of Oxford
Botnar Research Centre
Windmill Road
Oxford OX3 7LD

Email
spell@ndorms.ox.ac.uk

Telephone
01865 737210

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The SPELL Study is funded by the National Institute for Health and Care Research
(Funder Reference:
NIHR135131). The views expressed are those of the authors and are not intended
to be representative of the views of the funder, sponsor or other participating
organisations.

The information contained in this website is for general information about the
SPELL Study and is provided by the University of Oxford (Surgical Intervention
Trials Unit).

This is a digitrial site made by morph.co.uk.


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