The cerebral palsy with ankle spasticity cerebral palsy, phenol block, ankle spasticity, ultrasound guided injection, neurolysis, tibial motor branch block
Conditions
Interventions
group A (US + ES): phenol injection at motor branch of tibial nerve by high frequency ultrasound (US) with electrical stimulation (ES) ,group B ( ES): phenol injection at motor branch of tibial nerv
US + ES ,ES
Sponsors
Routine to research unit
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Inclusion criteria
Inclusion criteria: Age < 18 year Cerebral palsy The ankle spasticity is a problem in the daily life of patients / caregivers Modified Tardieu Scale ofankle dorsiflexion (knee extended position) > 20 degree The ankle spasticity does not improve after having received physical therapy for at least 1 month Patients or legal representatives are welcome to join the research
Exclusion criteria
Exclusion criteria: The muscles of leg that are injected into other areas Apart from the ankle The degree of rigidity is measured by the Modified Ashworth scale (MAS) more than 3/4 Contraindications for injection such as blood clotting, infection or skin inflammation that requires injection, taking anticoagulant drug History of allergic reactions to compounds Alcohol, Phenol , Lidocaine History of DVT at least one leg History of surgery to stretch the tendons, bones or joints in the leg that will be injected within 1 year or plan to undergo the surgery in the next 3 months History of seizure with in 3 months ago History of injecting botulinum toxin or phenol at the leg that is injected within the last 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| complication 0,1,2,3,4 weeks after end of the intervention dysesthesia,hypothesia, paresthesia, hematoma,ecchymosis,weakness | — |
Secondary
| Measure | Time frame |
|---|---|
| Severity of spasticity of ankle,PROM of ankle, clinical improvement, Dose of phenol, Time of intervention 0,4,8,12 weeks after end of the intervention MTS of ankle dorsiflexion , MAS of gastrocnemius,Pain score, Patient's clinical global improvement,Dose of phenol (ml),Time of intervention (min) | — |
Countries
Thailand
Contacts
Public ContactTeerada Ploypetch
Department of Rehabilitation Medicine, Siriraj Hospital
Outcome results
None listed