Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06617507
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-09-25
Brief Title:
The Effect of Selective Dorsal Rhizotomy Surgery on Walking in Children With Ambulatory Cerebral Palsy in Turkey
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The Effect of Selective Dorsal Rhizotomy Surgery on Walking in Children With Ambulatory Cerebral Palsy in Turkey
Status:
COMPLETED
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Cerebral Palsy CP is a motor disorder that develops during fetal brain development or due to non-progressive damage to the developing infant brain These movement and posture disorders are classified as Spastic Type Dyskinetic Type Ataxic Type and Mixed Type Rosenbaum 2007 Spastic type CP accounts for 20 of all CP cases Spastic type CP is divided into three groups diparetic 38 hemiparetic 39 and quadriparetic 23 Novak et al 2014
Lower extremity involvement is more common in diparetic cerebral palsy DCP Donker et al 2008 98 of DCP cases vary between GMFS levels I and III Walking rates are between 86-91 Novak et al 2014 Children with DCP can usually walk until the age of 4 Cottalorda 1998 However these walks are often Due to spasticity muscle weakness involuntary co-contraction deficiencies in selective motor control balance problems structural changes of soft tissue and compensatory mechanisms Manca 2014 it can lead to musculoskeletal system problems and gait pathologies Although the cerebral lesion that causes is static children with spastic diplegia increase in height with age and they may lose their ability to walk because bone length cannot be accompanied by muscle length at the same rate Miller 2020
Selective Dorsal Rhizotomy SDR surgery is an effective method for spasticity management in children with spastic DCP Novak et al 2014 The positive effect of SDR on function and mobility has been proven Novak et al 2020
It has been stated that SDR surgery applied to carefully selected candidates may be beneficial on gait quality in individuals with ambulatory CP Chen 2019 SDR surgery has been found to improve walking as a result of information collected from patients through a survey Park 2021 The aim of our study is to reveal the effect of SDR surgery performed in Turkey on gait function in children with CP using evaluation scales
Lower extremity involvement is more common in diparetic cerebral palsy DCP Donker et al 2008 98 of DCP cases vary between GMFS levels I and III Walking rates are between 86-91 Novak et al 2014 Children with DCP can usually walk until the age of 4 Cottalorda 1998 However these walks are often Due to spasticity muscle weakness involuntary co-contraction deficiencies in selective motor control balance problems structural changes of soft tissue and compensatory mechanisms Manca 2014 it can lead to musculoskeletal system problems and gait pathologies Although the cerebral lesion that causes is static children with spastic diplegia increase in height with age and they may lose their ability to walk because bone length cannot be accompanied by muscle length at the same rate Miller 2020
Selective Dorsal Rhizotomy SDR surgery is an effective method for spasticity management in children with spastic DCP Novak et al 2014 The positive effect of SDR on function and mobility has been proven Novak et al 2020
It has been stated that SDR surgery applied to carefully selected candidates may be beneficial on gait quality in individuals with ambulatory CP Chen 2019 SDR surgery has been found to improve walking as a result of information collected from patients through a survey Park 2021 The aim of our study is to reveal the effect of SDR surgery performed in Turkey on gait function in children with CP using evaluation scales
Detailed Description:
Its an observational study Purpose of the study The aim of our study is to reveal the effect of SDR surgery performed in Turkey on gait function in children with CP using evaluation scales
A total of 20 ambulatory diparetic CP cases aged between 0-17 who were deemed suitable for SDR surgery and operated on were included in the study
What is the effect of SDR surgery performed in Turkey on gait function in children with CP
How did the muscle tone of the participants change after the SDR operation
The Modified Ashworth Scale MAS The Gillette Functional Assessment Questionnaire FAQ and The Edinburgh Visual Gait Score EVGS were applied to the participants
A total of 20 ambulatory diparetic CP cases aged between 0-17 who were deemed suitable for SDR surgery and operated on were included in the study
What is the effect of SDR surgery performed in Turkey on gait function in children with CP
How did the muscle tone of the participants change after the SDR operation
The Modified Ashworth Scale MAS The Gillette Functional Assessment Questionnaire FAQ and The Edinburgh Visual Gait Score EVGS were applied to the participants
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None