brain damage spasticity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - children diagnosed with spastic uni-or bilateral CP or with spastic paresis - aged between 6 and 18 years - with an indication for treatment of suspected high leg muscle tone, by either administration of botuline toxine or intrathecal Baclofen, serial casting or selective dorsal rhizotomy
Exclusion criteria
Exclusion criteria: - additional medical problems interfering with joint neuromechanical characteristics - range of motion (sagittal) of ankle smaller than 20 degrees - cognitive / communicative unability to understand instructions - insufficient mastery of the Dutch or English language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary parameters are the neuromuscular parameters: - visco-elasticity - optimal muscle length - reflex torque | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters are: - spasticity score - tonus score - range of motion - angle of catch - joint power - gait parameters (kinematics, kinetics and walking speed) - selectivity of motor control (SCALE) - the gross motor functioning measure (GMFM) - VAS score on pain and treatment satisfaction - Muscle belly length and lengthening - Fascicle length and lengthening - Pennation angle - Tendon length and lengthening | — |
Countries
Netherlands