A Randomized Controlled Study Investigating the Effect of Designed Physical Training After Selective Dorsal Rhizotomy on Motor Function of Ambulant Children With Spastic Diplegia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Cairo University
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- Functional Balance
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
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.
Detailed 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)
Investigators
Amira Mahmoud Abd-elmonem
Amira Abd-elmonem, assist Prof. Physiacl therapy for pediatric department, faculty of physical therapy , Cairo university
Cairo University
Eligibility 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
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Functional Balance
Time Frame: after 6 months and after 1 year (follow-up)
The pediatric balance scale was used to assess the child's functional performance with total score is 56 and higher score representing a better performance.
Gross motor function
Time Frame: after 6 months and after 1 year (follow-up)
The gross motor function measure-88 is used to evaluate the motor function with total score is 100 and higher scores representing a better performance.
Secondary Outcomes
- Selective voluntary motor control(after 6 months and after 1 year (follow-up))
- Energy cost of walking(after 6 months and after 1 year (follow-up))
- Functional capacity(after 6 months and after 1 year (follow-up))