CPIRF supports several US based clinical research programs which explore new ways in which 21^st Century Technologies can be combined with new concepts in brain plasticity and the value of intensive repetitive motor practice to enhance and optimize neurological development. By sharing knowledge across disciplines and studying ways to use these technologies to provide an intensity of appropriate and focused therapy, we can change the future for 100’s of thousands of people disabled by motor impairments caused by brain injury early in childhood (Cerebral Palsy).

OBJECTIVE: To determine the impact of an activity-specific electrical stimulation program on paretic limb impairment, functional limitation, and ability to perform valued activities in children or adults with Cerebral Palsy and motor impairment.

METHOD:  CPIRF requests applications for studies and is offering funds up to 100 thousand dollars over a 2 year period. Applications will be reviewed for scientific merit and relevancy by the Scientific Advisory Council of the Cerebral Palsy International Research Foundation, and award decisions will be rendered by the Board of Directors.

Examples of studies which will be considered include but are not limited to: examining the impact of body weight supported treadmill training with and without electrical stimulation training: assessing strength, tone, biomechanical alignment, and gait efficiency;  incorporating a neuroprosthesis to treat foot drop, ankle spasticity and inappropriate tone in spastic hemiplegic or diplegic cerebral palsy; combining functional neurostimulation with upper or lower extremity robotics; combining functional electrical stimulation with virtual reality therapy; and combining functional neurostimulation to strengthen antagonist muscles after injectable focal antispasticity treatments are administered.

BACKGROUND:

Cerebral Palsy is damage to the brain of an otherwise healthy child before the age of two.  Until the 1990’s physicians felt that brain damage was destiny. Few therapeutic options existed to actually correct neurological damage.

Contrary to what many clinicians believe(d), the human brain has the potential for considerable plasticity. It can change its internal organization, particularly its synaptic connections, throughout a lifetime, not just during the formative years. This means that it is possible to ameliorate the effects of not only cerebral palsy, but stroke, and other brain disorders.

In patients with stroke or cerebral palsy, neuronal tissue damage occurs due to either lack of oxygen or exposure to free radicals/inflammatory agents.  The resulting neurological deficit has long been thought irreversible. But researchers have demonstrated that reversing that neurological deficit in stroke patients is possible even many years after the stroke. And recent research indicates that cerebral palsy, too, can be treated by similar means.

The brain is a learning machine, and just because it is damaged doesn’t mean that it can’t learn, and it learns motor tasks through prolonged, highly reproducible, high-intensity, interactive therapy. Many believe that it is necessary for therapists to provide a far more intense and meaningful therapy experience than is generally possible in conventional therapy programs

NEED FOR THIS RESEARCH:

Combining elements of mass practice, robotics, virtual reality, patterned neuro-muscular stimulation, and other advanced technologies, may well be the way to a future which revolutionizes the neurologic rehabilitation of children and adults with developmental disabilities.

Functional Neuromuscular Stimulation neuroprostheses, functional electrical stimulation (FES), and various emerging applications based on microsystems devices, neural engineering, neuroaugmentation, neurostimulation, and assistive technologies all hold great promise for treating children and adults with Cerebral Palsy. To date very limited data exists examining task-specific practice interventions combined with task specific practice. Although often used, an important limitation of conventional electrical stimulation is that it does not involve task-specific practice.

In this study, physicians/clinicians with expertise in Cerebral Palsy and rehabilitation research will seek to determine the impact of an activity-specific electrical stimulation program on paretic limb impairment, functional limitation, and ability to perform valued activities in people with Cerebral Palsy and motor dysfunction.

How to apply:

Please send a 1-2 page letter of intent, reviewing the fundamental elements of the study you propose, relevant information about your ability to perform the study (institutional resources, expertise of coworkers, access to the Cerebral Palsy community), a timeline and budget outline. Also include the Prinicipal Invesigator’s CV.

This should be sent to

Dr. Nancy Maher

Cerebral Palsy International Research Foundation

1025 Connecticut Avenue

Suite 701

Washington, DC

20036

Or

Scanned and emailed to Dr Maher and Dr. Mindy Aisen

nmaher@cpirf.org, maisen@cpirf.org

Full applications will be accepted until March 1, 2010.