[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100639401":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":36,"locations":26,"responsibleParty":46,"collaborators":26,"id":50,"slug":51,"hasResults":52,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":26,"eligibilityCriteria":56,"healthyVolunteers":52,"sex":57,"minAge":58,"maxAge":59,"enrollmentInfo":60,"targetDuration":26,"studyType":63,"phases":64,"briefSummary":66,"conditions":67,"keywords":70,"overallStatus":80,"whyStopped":26,"lastUpdateSubmitDate":81,"lastUpdatePostDateStruct":82,"startDateStruct":85,"completionDateStruct":87,"leadSponsor":89,"locationsCount":26},{"fullName":5,"class":6},"Istinye University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Perception-Action Approach (PA)","EXPERIMENTAL","The Perception-Action Approach is grounded in ecological, dynamic systems, and neural group selection theories, emphasizing perception-action coupling and supporting the child's overall development through self-initiated actions.\n\nThe intervention promotes variability, adaptability, and exploration in an enriched environment. Therapists primarily structure the environment to encourage independent discovery of functional solutions rather than using hands-on facilitation.\n\nActivities are individualized to support variability, adaptability, and functional problem-solving. Informational touch may be used as task-consistent input to enhance perception of the relationship between the body and environment, inviting new movement possibilities without guiding movement. Variability and adaptability are prioritized over a single ideal movement pattern, and errors are considered part of learning. Sessions are conducted once weekly for 12 weeks (45 minutes each).",[13],"Behavioral: Perception-Action Approach",{"label":15,"type":16,"description":17,"interventionNames":18},"Neurodevelopmental Therapy (NDT-Bobath)","ACTIVE_COMPARATOR","Participants receive physiotherapy based on Neurodevelopmental Therapy (Bobath), a holistic and individualized approach to neurorehabilitation. The intervention focuses on the analysis and facilitation of functional movement within meaningful activities to improve participation. Assessment and treatment are closely integrated, with therapy continuously adapted based on the child's responses.\n\nActive participation of the child is emphasized. Therapists may use hands-on facilitation, including key points of control, to support alignment, postural organization, and the regulation of muscle tone, aiming to improve the quality of movement during functional tasks. Activities are individualized and embedded in functional contexts, with assistance adapted to the child's needs. Sessions are conducted once weekly for 12 weeks (45 minutes each).",[19],"Behavioral: Neurodevelopmental Therapy (Bobath)",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Perception-Action Approach","A physiotherapy intervention based on the Perception-Action Approach, emphasizing active exploration, self-initiated movement, and variability within meaningful tasks.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Neurodevelopmental Therapy (Bobath)","A physiotherapy intervention based on Neurodevelopmental Therapy (Bobath), using therapeutic handling and facilitation to support alignment, postural organization, and movement quality during functional activities.",[15],[32],{"name":33,"affiliation":34,"role":35},"Dilek Çokar, PHd","İstinye University","STUDY_DIRECTOR",[37,42],{"name":38,"role":39,"phone":40,"phoneExt":26,"email":41},"Tuba D Doğan, PT, MSc, PhD(c)","CONTACT","+905324090941","tubaderyadogan@gmail.com",{"name":43,"role":39,"phone":44,"phoneExt":26,"email":45},"Turgay Altunalan, PHd","+90 506 593 88 82","turgay.altunalan@ktu.edu.tr",{"type":47,"investigatorFullName":48,"investigatorTitle":49,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Tuba Derya Doğan","PhD Candidate","100639401","early-intervention-in-cerebral-palsy-perception-action-vs-neurodevelopmental-therapy-100639401",false,"NCT07575659","Early Intervention in Cerebral Palsy: Perception-Action vs Neurodevelopmental Therapy","Efficacy of the Perception-Action Approach Versus Neurodevelopmental Therapy in Early Intervention for Children With Cerebral Palsy: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Diagnosis of Cerebral Palsy\n* Being at high risk for Cerebral Palsy (based on MRI or cranial ultrasound findings and neurological examination)\n* Age between 0-36 months (using corrected age for preterm infants)\n* Parental agreement to participate in the study and attend all assessment and therapy sessions; signed informed consent form from the parent(s) or legal guardian(s)\n\nExclusion Criteria:\n\n* Presence of severe visual or hearing impairment that would prevent full participation in therapy sessions\n* Uncontrolled seizures\n* Receipt of botulinum toxin injection or orthopedic surgery within the last 6 months\n* Diagnosis of an additional neurometabolic, genetic, or other neurological disorder","ALL","6 Months","36 Months",{"count":61,"type":62},24,"ESTIMATED","INTERVENTIONAL",[65],"NA","The goal of this clinical trial is to compare two different physiotherapy approaches used in early intervention for children with cerebral palsy. These approaches are the Perception-Action Approach and Neurodevelopmental Therapy (Bobath). The study aims to understand which approach is more effective in supporting neurodevelopmental outcomes in early childhood in Cerebral Palsy.\n\nThe main questions this study aims to answer are:\n\nHow does the Perception-Action Approach affect motor function in young children with cerebral palsy? How does Neurodevelopmental Therapy (Bobath) affect motor function in young children with cerebral palsy? Are there differences in outcomes between these two approaches?\n\nResearchers will compare these two approaches to see which one better supports motor development.\n\nParticipants will:\n\nBe children aged 0 to 36 months with cerebral palsy or at high risk Be assigned to one of the two therapy groups Receive one therapy session per week for 12 weeks Be assessed before and after the intervention using standardized tests\n\nThe results of this study may help therapists and families choose the most effective early intervention approach for children with cerebral palsy.",[68,69],"Cerebral Palsy","Cerebral Palsy Early Intervention",[68,71,72,73,74,23,75,76,77,78,79],"Early Intervention","Pediatric Physiotherapy","Neurodevelopmental Therapy","Bobath Concept","Neuro-Developmental Treatment (NDT)","GMFM-66","Infant Motor Profile","Bayley III","Pediatric Evaluation of Disability Inventory","NOT_YET_RECRUITING","2026-05-04",{"date":83,"type":84},"2026-05-08","ACTUAL",{"date":86,"type":62},"2026-06",{"date":88,"type":62},"2027-04",{"name":48,"class":6}]