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A pilot study comparing two techniques of phenol injection for the treatment of ankle spasticity in children with cerebral palsy, ultrasound & electrical stimulation guided motor branch block versus the conventional injection technique

Phase 4
Completed
Conditions
The cerebral palsy with ankle spasticity
cerebral palsy, phenol block, ankle spasticity, ultrasound guided injection, neurolysis, tibial motor branch block
Registration Number
TCTR20190918004
Lead Sponsor
Routine to research unit
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
24
Inclusion Criteria

Age < 18 year
Cerebral palsy
The ankle spasticity is a problem in the daily life of patients / caregivers
Modified Tardieu Scale ofankle dorsiflexion (knee extended position) > 20 degree
The ankle spasticity does not improve after having received physical therapy for at least 1 month
Patients or legal representatives are welcome to join the research

Exclusion Criteria

The muscles of leg that are injected into other areas Apart from the ankle The degree of rigidity is measured by the Modified Ashworth scale (MAS) more than 3/4
Contraindications for injection such as blood clotting, infection or skin inflammation that requires injection, taking anticoagulant drug
History of allergic reactions to compounds Alcohol, Phenol , Lidocaine
History of DVT at least one leg
History of surgery to stretch the tendons, bones or joints in the leg that will be injected within 1 year or plan to undergo the surgery in the next 3 months
History of seizure with in 3 months ago
History of injecting botulinum toxin or phenol at the leg that is injected within the last 3 months

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
complication 0&#44;1&#44;2&#44;3&#44;4 weeks after end of the intervention dysesthesia&#44;hypothesia&#44; paresthesia&#44; hematoma&#44;ecchymosis&#44;weakness
Secondary Outcome Measures
NameTimeMethod
Severity of spasticity of ankle,PROM of ankle, clinical improvement, Dose of phenol, Time of intervention 0,4,8,12 weeks after end of the intervention MTS of ankle dorsiflexion , MAS of gastrocnemius,Pain score, Patient&#039;s clinical global improvement,Dose of phenol (ml),Time of intervention (min)
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