Cerebral Palsy, Spastic
Conditions
Brief summary
Selektive dorsal rhizotomy (SDR) has been used as treatment option in children suffering from cerebral palsy (CP) for several decades and multiple studies demonstrated its benefits. Nevertheless, there are still no proven strategies for patient selection, optimal point of time for the operation or pre- and postoperative therapies. The evaluation of the impact of selective motor control, cognition and cerebral imaging findings on the motor outcome and life quality in children with CP who underwent SDR at the Charité University clinics will clarify these critical points in daily care for patients with CP.
Detailed description
SDR at the Charité University clinics. Two study visits before surgery and during the follow-up 3 months, 6 months, 12 months, 24 months and 5 years post-operatively.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical diagnosis of cerebral palsy * able to perform most tasks according to study protocols * parents and physician decided to perform SDR
Exclusion criteria
* not able to perform any tasks according to study protocols * no candidate for SDR
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor function measured by GMFM-88 | 5 years | Ability of a child to perform specified motor tasks, measured by GMFCS and GMFM-88 |
| Motor function measured by GMFCS | 5 years | Ability of a child to perform specified motor tasks, measured by GMFCS and GMFM-88 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Spasticity by modified Ashworth scale | 5 years | Measured by modified Ashworth scale and Tardieu scale |
| Spasticity by modified Tardieu scale | 5 years | Measured by modified Ashworth scale and Tardieu scale |
| Quality of life measured by Disabkids-Questionaire (German version) | 5 years | Measured by Disabkids-Questionaire (German version) and kid screen |
| Contractures by range of motion (ROM) | 5 years | Measured by range of motion (ROM) |
| Quality of life measured by questionaire kid screen | 5 years | Measured by kid screen |
| Selective motor control | 5 years | Measured by SCALE (Fowler et al., 2009) |
Countries
Germany