Health Condition 1: I693- Sequelae of cerebral infarction Health Condition 2: I692- Sequelae of other nontraumatic intracranial hemorrhage
Conditions
Interventions
Intervention1: Chemoneurolysis with 6% phenol: Chemoneurolysis using 6% phenol in posterior tibial nerve/ branches visualized under USG and/or Nerve stimulator, MAS for spasticity improvement and gai
Sponsors
IPGMER AND SSKM HOSPITAL
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clinically and radiologically diagnosed first ever stroke 2. Age of the patient 20-65 (19) years irrespective of gender. 3. 3 months after onset of stroke 4. Spasticity at resting state of Gastrocnemius, soleus, tibialis posterior muscle as defined by MAS scale of 2/3. 5. Brunnstrom recovery stage III-IV 6. MMSE score = 25 7. Consent from the patient.
Exclusion criteria
Exclusion criteria: 1. Other neurological disorder 2.Sensory impairment 3. Osteoarticular disease 4. Past H/O Botox or Phenol injection. 5. MAS =1 + , Adductor muscle spasticity 6. Local site infection 7.No contracture of lower limb or previous surgery for spasticity contracture. 8. Allergy to botulinum toxin type A or Phenol 9. Abnormal coagulation profile 10.Patients suffering from unstable cardio vascular or serious respiratory diseases 11. Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement in modified ashworth scale , step length, cadence, gait speed, stance phase, swing phaseTimepoint: Pre procedure, 24 hours, 3 weeks , 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in modified ashworth scale , step length, cadence, gait speed, stance phase, swing phaseTimepoint: pre procedure, Day 3, 12 weeks | — |
Countries
India
Contacts
Public ContactRAJESH PRAMANIK
IPGMER AND SSKM
Outcome results
None listed