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Effect of Designed Physical Training After Selective Dorsal Rhizotomy on Motor Function of Ambulant Children With Spastic Diplegia

Cairo University (CU) logo

Cairo University (CU)

Status

Completed

Conditions

Cerebral Palsy

Treatments

Other: selective dorsal rhizotomy
Other: Standard Orthotic Management
Other: Concomitant physical rehabilitation

Study type

Interventional

Funder types

Other

Identifiers

NCT04997044
selective dorsal rhizotomy

Details and patient eligibility

About

The management of cerebral palsy is complex and requires a multidisciplinary approach. Selective dorsal rhizotomy is a neurosurgical technique that aims to reduce spasticity in the lower limbs and improve motor function.

Full description

the current study is designed to assess the effectiveness of Selective dorsal rhizotomy on motor function in ambulant children with spastic diplegia. therefore, A convenient sample of ambulant children with spastic diplegia will be allocated to two groups of equal numbers (control and experimental)

Enrollment

42 patients

Sex

All

Ages

4 to 8 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • CP, spastic diplegia
  • 4-8 years of age
  • The ability to walk with or without assistive devices typically on Level II-III on Gross Motor Function Classification System
  • At least six months after the last Botulinum toxin A injection in the lower extremities
  • Average intelligent quotient according to medical records for active participation
  • Good trunk control with good antigravity strength of lower extremity on clinical examination.

Exclusionary criteria

  • Ankle clonus; exaggerated deep tendon reflex in the legs
  • Babinski sign
  • Structural non-reducible deformities or musculoskeletal surgery in the lower extremities in the past 12 months
  • Moderate to severe signs of dystonia, athetosis or ataxia.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

42 participants in 2 patient groups

control group
Other group
Description:
control group
Treatment:
Other: Standard Orthotic Management
Other: Concomitant physical rehabilitation
Experimental group
Experimental group
Description:
selective dorsal rhizotomy group
Treatment:
Other: Standard Orthotic Management
Other: Concomitant physical rehabilitation
Other: selective dorsal rhizotomy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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