The Effect of Selective Dorsal Rhizotomy Surgery on Walking in Children With Ambulatory Cerebral Palsy in Turkey
NCT ID: NCT06617507
Last Updated: 2024-09-27
Study Results
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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COMPLETED
20 participants
OBSERVATIONAL
2024-05-01
2024-09-01
Brief Summary
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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
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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.
Conditions
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Keywords
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Study Design
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ECOLOGIC_OR_COMMUNITY
RETROSPECTIVE
Study Groups
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Children with diparetic cerebral palsy
20 ambulatory diparetic CP cases were included. The Modified Ashworth Scale (MAS), The Gillette Functional Assessment Questionnaire (FAQ) and The Edinburgh Visual Gait Score (EVGS) were applied to the participants.
Group 1
The Modified Ashworth Scale (MAS), The Gillette Functional Assessment Questionnaire (FAQ) and The Edinburgh Visual Gait Score (EVGS) were applied to the participants.
Interventions
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Group 1
The Modified Ashworth Scale (MAS), The Gillette Functional Assessment Questionnaire (FAQ) and The Edinburgh Visual Gait Score (EVGS) were applied to the participants.
Eligibility Criteria
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Inclusion Criteria
* Being diagnosed with Diparetic CP, one of the types of Cerebral Palsy
Exclusion Criteria
* Having Botulinum Toxin injection in the last 6 months
* Using of Baclofen Pump
0 Years
17 Years
ALL
No
Sponsors
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Acıbadem Atunizade Hospital
OTHER
Responsible Party
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Gizem Gurzoglu
Pediatric Physiotherapist
Principal Investigators
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Gizem Gürzoğlu
Role: STUDY_DIRECTOR
Acıbadem Atunizade Hospital
Locations
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Acıbadem Altunizade Hospital
Istanbul, Altunizade, Turkey (Türkiye)
Countries
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Other Identifiers
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GGurzoglu2
Identifier Type: -
Identifier Source: org_study_id