Spastic Cerebral Palsy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Experiment 1 (1) Meeting the diagnostic criteria for cerebral palsy revised in the "Chinese Guidelines for the Rehabilitation of Cerebral Palsy (2022)" and diagnosed with spastic cerebral palsy; (2) Unilateral involvement; (3) Meeting Levels I - II of the Gross Motor Function Classification System (GMFCS); (4) For patients with clubfoot, those at Levels III and IV according to the Diméglio deformity classification and meeting the surgical indications are selected; (5) Patients who have not undergone surgical treatment previously and have not received botulinum toxin injection treatment within the past 6 months; (6) Patients who voluntarily sign the informed consent form after being informed about the content of this study. Experiment 2 (1) Meeting the diagnostic criteria for cerebral palsy revised in the "Chinese Guidelines for the Rehabilitation of Cerebral Palsy (2022)" and diagnosed with spastic cerebral palsy; (2) Meeting Levels I - II of GMFCS; (3) For patients with clubfoot, those at Levels III and IV according to the Diméglio deformity classification and meeting the surgical indications are selected; (4) Meeting a Modified Ashworth Scale (MAS) score of grade 1+ or above for lower limb muscle tone; (5) Patients who have not undergone surgical treatment previously and have not received botulinum toxin injection treatment within the past 6 months; (6) Patients who voluntarily sign the informed consent form after being informed about the content of this study.
Exclusion criteria
Exclusion criteria: Experiment 1 (1) The muscle strength is below grade 3, and the motor function is poor; (2) The patient has severe medical, mental or systemic diseases; (3) The patient is unable to complete the experiment for other reasons; Experiment 2 (1) The muscle strength is below grade 3, and the motor function is poor; (2) There are any contraindications for the use of brain stimulation (such as metallic implants, a history of epilepsy, or a cardiac pacemaker, etc.); (3) There are any contraindications for the operation; (4) The patient has severe medical, mental diseases or systemic diseases; (5) The patient is unable to complete the experiment for other reasons.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| gait analysis;composite spasticity scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| modified ashworth scale;International clubfoot study group;numerical rating scale;gait analysis; | — |
Countries
China
Contacts
Beijing Rehabilitation Hospital, Capital Medical University