Health Condition 1: G811- Spastic hemiplegia
Conditions
Interventions
Intervention1: Surgical: Transfer of contrlateral c7 to affected side c7
Control Intervention1: Not applicable: Not applicable
Sponsors
SBKS MIRC Sumandeep Vidyapeeth
Eligibility
Inclusion criteria
Inclusion criteria: 1 Spastic hemiplegia following different causes of central neurologic injury, such as stroke, traumatic brain injury, and cerebral palsy, principally presenting as difficulty in hand opening; 2. Normal mental and linguistic functions; 3. No restrictions as to age or gender; 4. Had received regular rehabilitation therapy for at least 2 years and ceased improving in the paralyzed hand; 5. Willing (or their parents were willing if the patients were underage) to receive surgeries to achieve further functional improvement; 6. Central neurologic injury only involving the hemisphere contralateral to the paralyzed hand, as indicated by brain MRI scans.
Exclusion criteria
Exclusion criteria: 1. Presence of co-morbid medical conditions contraindicating surgery. 2. Personal or relativesâ?? decision to refuse surgery; 3. Psychological or mental abnormalities; 4. Presence of severe, fixed contracture or joint deformity; 5. Mental retardation or poor learning and communicating capacity (relative contraindication).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Incidence and intensity of reduction in spasticity. Outcome measure: MAS and FMA Score at 2 months interval 2. Incidence and level of improvement in tone of paralyzed muscles. Outcome measure: Muscle Charting (MRC grading) and EMG at 4 months intervalTimepoint: Every 2 months up to 2 years | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Improvement in RoM (Range of Motion) Outcome Measure: Goniometry 2. Assessment of improvement in sensorimotor functions Outcome Measure: 2 point discrimination, grip strength, pinch 3. Improvement in QoL â?? as measured by ease of doing activities like dressing/buttoning, self-feeding, combing hair, bathing, operating mobile phone etc. Outcome Measure: patient reported outcome 4. To evaluate cost effectiveness of the procedure.Timepoint: Every 2 months up to 2 years | — |
Countries
India
Contacts
Public ContactDr Piyush Doshi
SBKS MIRC Sumandeep Vidyapeeth
Outcome results
None listed