The Importance of Physiotherapy After Separation Surgery in Pygopagus Conjoined Twins

NCT ID: NCT06599281

Last Updated: 2024-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-15

Study Completion Date

2024-12-31

Brief Summary

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Motor function delays are observed in pygopagus conjoined twins due to limited movement experience and deficits in proprioceptive sense. This study aimed to evaluate the neuromotor development of conjoined twins who acquired independent bodies, lives, and movements as a result of separation surgery, and to examine the effect of postoperative physiotherapy intervention on gross motor function.

Detailed Description

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The study included two cases of pygopagus conjoined twins who applied for separation surgery at Acıbadem Altunizade Hospital between 2021 and 2022. The twins were 9 months and 21 days old (A1-A2) and 23 months and 11 days old (B1-B2). After separation surgery, a conventional physiotherapy program was administered regularly for 3 months, 6 days a week, with two sessions per day, each lasting 45 minutes. The Bayley-III Developmental Screening Test (DST) was used to evaluate neuromotor development, while the Alberta Infant Motor Scale (AIMS) and the Gross Motor Function Measure-88 (GMFM-88) were used to assess gross motor development. Evaluations were performed preoperatively and at the 3rd postoperative month.

Conditions

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Pygopagus Conjoined Twins Separation Surgery Pediatric Physiotherapy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pygopagus conjoined twins receiving physiotherapy after separation surgery

Physiotherapy was applied to all cases after surgery. The physiotherapy program included neurodevelopmental exercises, balance and proprioception exercises, and stretching exercises.

Group Type OTHER

Physiotherapy

Intervention Type OTHER

The physical therapy program was applied for 3 months, 6 days a week, 2 sessions per day, and an average session duration of 45 minutes. Each neurodevelopmental exercise and proprioceptive exercise was applied for 10 minutes, and stretching exercises were applied for 45 seconds and 3 repetitions. The exercises included functional rotation, sitting with or without arm support, crawling, kneeling, half kneeling, standing up by holding on, and sequencing exercises. Stretching exercises were mostly positional stretches aimed at lateral flexion of the spine.

Interventions

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Physiotherapy

The physical therapy program was applied for 3 months, 6 days a week, 2 sessions per day, and an average session duration of 45 minutes. Each neurodevelopmental exercise and proprioceptive exercise was applied for 10 minutes, and stretching exercises were applied for 45 seconds and 3 repetitions. The exercises included functional rotation, sitting with or without arm support, crawling, kneeling, half kneeling, standing up by holding on, and sequencing exercises. Stretching exercises were mostly positional stretches aimed at lateral flexion of the spine.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having a diagnosis of pygopagus conjoined twins
* Having normal vital signs after separation surgery

Exclusion Criteria

* Having a diagnosis other than pygopagus conjoined twin
* Abnormal vital signs after separation surgery
Minimum Eligible Age

0 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Acıbadem Atunizade Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ali Demir

Pediatric Physiotherapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gökçen EROL

Role: PRINCIPAL_INVESTIGATOR

Acıbadem Atunizade Hospital

Locations

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Acıbadem Altunizade Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Gökçen EROL

Role: CONTACT

+90 553 464 66 06

Ali DEMİR

Role: CONTACT

+90 553 806 70 51

Other Identifiers

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ADemir

Identifier Type: -

Identifier Source: org_study_id

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