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The Effect of Botulinum Toxin Injection at Hip Adductor Muscles in Patients With Spastic Cerebral Palsy, Pilot Study

Not Applicable
Completed
Conditions
Cerebral Palsy
Interventions
Drug: medication Botulinum A injection.
Registration Number
NCT03680196
Lead Sponsor
Ju Seok Ryu
Brief Summary

In children with cerebral palsy, secondary problems lead to hip dislocation. the purpose of this study is to find out the effects of botulinum toxin A on hip joint dislocation in cerebral palsy patients.

Detailed Description

* Design: Prospective study

* Inclusion criteria of patient group: who has a cerebral palsy and GMFCS level 3,4,5

* Intervention: applied medication Botulinum A injection (meditox 200unit)

* Main outcome measures: The investigators will measure for finding evidence by checking the x-ray photograph, hip adductor and muscles pressure test and electromyography(EMG test) test of hip adductor, abductor and spine muscles.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Severe cerebral palsy patients(GMFCS level 3,4,5)
  • 2 to 10 years old
Exclusion Criteria
  • Those who disagree with the study.
  • other than cerebral palsy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
cerebral palsy patientsmedication Botulinum A injection.cerebral palsy patients who have GMFCS level3,4,5 and 2 years old and under 10 years old apply an A injection of medication Botulinum A injection
Primary Outcome Measures
NameTimeMethod
Change from hip adductor and spin muscles electromyography(EMG) test at a monthonce at study, when patient enrolled and every once a month for one year

Use EMG to check the activity of the hip adductor and spine muscles of participants.

This figures will give investigators a look at the association with a hip dislocation.

Secondary Outcome Measures
NameTimeMethod
Whole spine AP and total Hip AP X-ray photographonce at study, when patient enrolled and and after six month for one year

Whole spine and total Hip joint are checked with X-ray photograph. and investigators will check the progress of hip dislocation and spinal scoliosis.

hip adductor muscles pressure meter testonce at study, when patient enrolled and every once a month for one year

Pressures of hip adductors muscles are measured from pressure meter. and This figures will give investigators a look at the association with a hip dislocation.

Likert scaleonce at study, when patient enrolled and every once a month for one year

Evaluate the satisfaction of botulinum toxin A injection. Likert scale is a response category that indicates the extent to which the question is for or against. Example) Very satisfied - normal - slightly dissatisfied - very dissatisfied

Hip and knee joint Range of motion(ROM) testonce at study, when patient enrolled and every once a month for one year

Measure the range of motion the knee and hip joints.

CPCHILD sacleonce at study, when patient enrolled and every once a month for one year

Evaluate the quality of life for patients with cerebral palsy. CPCHILD scale have 6section and each section measures scores by 0 to 5.

Trial Locations

Locations (1)

Seoul National University Bundang Hospital

🇰🇷

Seongnam, Gyeonggi-do, Korea, Republic of

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