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Surgery for relieving tightness and improving functions after brain stroke or injury

Hyperselective Peripheral Neurectomies To Reduce Spasticity and Restore Functions For Hemiparetic Stroke Patients â?? A Randomized Controlled Trial - HPNS

Status
Active, not recruiting
Phases
Phase 3Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/11/060191
Enrollment
50
Registered
2023-11-23
Start date
Unknown
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical Health Condition 2: G811- Spastic hemiplegia

Interventions

Intervention1: Surgery: Total 25 patients will be operated. The patients will be selected as per the protocol after randomization. The patients will undergo hyperselective neurectomies of 70-80% of fi

Sponsors

Indian Council of Medical Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Post-ischemic stroke patients who have spasticity (grade 3-4 of modified Ashworth scoring) even with maximal tolerated oral Baclofen and residual weakness six months after the event. 2. Post-hypertensive or tumor bleed stroke patients who have spasticity (grade 3-4 of modified Ashworth scoring) even with maximal tolerated oral Baclofen and residual weakness six months after the event. 3. Post-traumatic stroke patients who have spasticity (grade 3-4 of modified Ashworth scoring) even with maximal tolerated oral Baclofen and residual weakness six months after the event. 4. Post-surgical stroke patients who have spasticity (grade 3-4 of modified Ashworth scoring) even with maximal tolerated oral Baclofen and residual weakness six months after the event.

Exclusion criteria

Exclusion criteria: 1. Medically unfit patients 2. Patients with ages less than 5 years and more than 80 years 3. Patients who doesnâ??t want to be included in the trial.

Design outcomes

Primary

MeasureTime frame
To analyze and compare the decrease in spasticity in the involved muscles between the surgical and medical arm using the modified Ashworth scores.Timepoint: 1 month, 6 months, 1 year

Secondary

MeasureTime frame
To analyze and compare the improvement in functions between the surgical and medical arm using the Functional Independence Measure Instrument scale.Timepoint: 1 month, 6 months, 1 year

Countries

India

Contacts

Public ContactJitin Bajaj

NSCB Medical College

bajaj.jitin@gmail.com8696982911

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Aug 9, 2026