Effects of Selective Dorsal Rhizotomy on Non-ambulant Children With Bilateral Spastic Cerebral Palsy

Cairo University (CU)

Status: Completed

Conditions: Bilateral Cerebral Palsy

Treatments: Other: selective dorsal rhizotomy; Other: sequenced trunk co-activation exercises; Other: Standard Orthotic Management

Study type: Interventional

Funder types: Other

Identifiers

NCT05006144

spastic cerebral palsy

Details and patient eligibility

About

Children with spastic bilateral cerebral palsy are late developers. delayed gross and fine motor development require early intervention to improve the child performance and avoid secondary impairments.

Full description

increased tone of lower extremity muscles interfere with the child sitting posture and trunk control. delayed sitting and lack of trunk control contribute to the impairments of upper extremity functions.

selective dorsal rhizotomy is a surgical procedure to control increased tone of the lower extremities. Therefore, the current study is carried out to investigate the effects of selective dorsal rhizotomy on trunk control, selectivity and upper extremity function of non-ambulant children with bilateral spastic cerebral palsy

Enrollment: 40 patients

Sex: All

Ages: 4 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• CP, spastic diplegia
• 4-7 years of age
• On Level IV-V 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
• Partial trunk control (sitting with support).

Exclusion criteria

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups

control group

Other group

Description:

control group

Treatment:

Other: sequenced trunk co-activation exercises

Other: Standard Orthotic Management

Experimental group

Experimental group

Description:

selective dorsal rhizotomy

Treatment:

Other: selective dorsal rhizotomy

Other: sequenced trunk co-activation exercises

Other: Standard Orthotic Management