NCT05006144

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

Effects of Selective Dorsal Rhizotomy on Trunk Control, Selectivity and Upper Extremity Function of Non-ambulant Children With Bilateral Spastic Cerebral Palsy: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (actual)
• Sponsor: Cairo University · Academic / Other
• Sex: All
• Age: 4 Years – 7 Years
• Healthy volunteers: Not accepted

Summary

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.

Detailed 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

Conditions

• Bilateral Cerebral Palsy

Interventions

Type	Name	Description
OTHER	physical therapy excercises	* Sequenced trunk co-activation exercises * Righting and protective reactions * Functional stretching exercises.
OTHER	Standard Orthotic Management	A custom-made articulating ankle foot orthosis
OTHER	selective dorsal rhizotomy	All SDRs were performed by a single neurosurgeon through an osteoplastic laminotomy from L2 to L5

Timeline

• Start date: 2022-08-10
• Primary completion: 2024-01-30
• Completion: 2025-12-24
• First posted: 2021-08-16
• Last updated: 2026-04-13

Locations

1 site across 1 country: Egypt