No registrations found.
ID
Source
Health condition
- cerebral palsy
- knee surgery
- contiuous passive motion
Sponsors and support
University Hospital Pellenberg
Children Orthopaedics
Weligerveld 1
B_3212 Pellenberg
Belgium
Chidlren Orthopaedics
Intervention
Outcome measures
Primary outcome
The primary outcome is knee flexion range of motion (ROM) as measured with goniometry. Knee ROM willl be measured when the children go home after surgery. The measurement will be repeated when they come back for rehabilitation at week 4. From that point on ROM will be measured weekly.
Secondary outcome
Pain will be noted at the same moments as the primary outcome (based on pain medication the child is administered), selectivity will be noted at the same moments as the primary outcome.
Background summary
Orthopedic surgery is often needed to correct the excessive knee flexion pattern during gait in children with cerebral palsy. The first few weeks after orthopedic surgery, it is important that the knee joint is sufficiently mobilized to avoid movement restrictions and to accelerate the recovery process. These mobilizations can be performed actively by a physiotherapist or passively by a device for passive mobilization. The advantage of passive mobilization is that the patient can practice several times a day, including weekends. However, the effect of the passive mobilization on recovery has not yet been proved. In this cross-over study half of the children get daily passive mobilization (QAL Medical, OrthoAgility, 480E) besides the classical physiotherapy for 3 weeks after a multi-level knee surgery. The other half will receive only the classical physiotherapy. After 3 weeks the children exchange groups. The range of knee flexion is the primary outcome and will be measured at different timepoints.
Study objective
Continuous Passive Motion in the early post-operative periode after knee surgery is beneficiary for the rehabilation process in children with cerebral palsy.
Study design
1. Before inclusion;
2. After 3 weeks CPM/physiotherapy;
3. After 6 weeks physiotherapy/CPM.
Intervention
Troughout the whole study, all children receive their normal, classical physiotherapy programm. The intervention contains daily sessions of continuous passive motion (one hour) (either in the week 2-4 or in week 5-7 after surgery, depending on the group they are attributed to).
Weligerveld 1
Patricia Walle, van de
Pellenberg 3212
Belgium
00 32 16 33 80 13
patricia.vandewalle@uzleuven.be
Weligerveld 1
Patricia Walle, van de
Pellenberg 3212
Belgium
00 32 16 33 80 13
patricia.vandewalle@uzleuven.be
Inclusion criteria
1. Cerebral palsy;
2. Age < 21 years;
3. Knee surgery.
Exclusion criteria
1. No informed consent;
2. Rehabilition in other than participating hospital;
3. Patient who undergo revision will be excluded during the study.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL3749 |
| NTR-old | NTR3935 |
| Other | MEC Univeristy Hospital Pellenberg, Belgium : s55352 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |