Status:
COMPLETED
Surgery and Neuroablative Procedures in Spasticity
Lead Sponsor:
Vancouver Island Health Authority
Conditions:
Upper Extermity Spasticity
Multidisciplinary Approach
Eligibility:
All Genders
18-70 years
Brief Summary
For many patients with spasticity, traditional therapies have not achieved maximal outcomes. Due to common complaints such as pain, limb positioning and hygiene concerns, there has been an increase de...
Detailed Description
Many patients continue to live with disabling spasticity that negatively affects their health, independence and quality of life. For these patients, traditional therapies such as bracing, medications,...
Eligibility Criteria
Inclusion
- Adult patient ≥ 18 years old, with upper extremity spasticity causing functional impairment.
- Patients that have plateaued in outcomes in which the clinical examination suggests further interventions can be trialed.
- The clinical examination, including a V1 (maximal passive stretch) and V3 (Fast catch) on upper extremity examination that demonstrates further passive or active range may be possible, versus if contracture must be managed. For example, a fisted hand that can be forced open. This includes factors such as fluctuating tone or clonus interfering with the assessment.
- The patient undergoes a diagnostic nerve block to determine if there is reducible spasticity in the muscle versus contracture.
- The patient has been offered a neuroablative procedure or surgery and has elected to undergo the procedure. The patient has consented to undergo the said procedure.
Exclusion
- Patients where no consent or Assent is obtained
- Unable to attend treatment schedule,
Key Trial Info
Start Date :
September 15 2020
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
May 30 2023
Estimated Enrollment :
63 Patients enrolled
Trial Details
Trial ID
NCT04670783
Start Date
September 15 2020
End Date
May 30 2023
Last Update
June 5 2023
Active Locations (1)
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1
Victoria General Hospital
Victoria, British Colombia, Canada, V8Z 6R5