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In children with cerebral palsy, secondary problems lead to hip dislocation. the purpose of this study is to find out the effects of botulinum toxin A on hip joint dislocation in cerebral palsy patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cerebral palsy patients | Experimental | cerebral palsy patients who have GMFCS level3,4,5 and 2 years old and under 10 years old apply an A injection of medication Botulinum A injection |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| medication Botulinum A injection. | Drug | In cerebral palsy patients, Botulinum toxin within the allowable dose of 16 U / kg per body weight will injected into both adductor longus, adductor magnus muscle at 3 U / kg, adductor brevis, and gracilis muscle at a dose of 1 U / kg. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from hip adductor and spin muscles electromyography(EMG) test at a month | Use EMG to check the activity of the hip adductor and spine muscles of participants. This figures will give investigators a look at the association with a hip dislocation. | once at study, when patient enrolled and every once a month for one year |
| Measure | Description | Time Frame |
|---|---|---|
| Whole spine AP and total Hip AP X-ray photograph | Whole spine and total Hip joint are checked with X-ray photograph. and investigators will check the progress of hip dislocation and spinal scoliosis. | once at study, when patient enrolled and and after six month for one year |
| hip adductor muscles pressure meter test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jusuk Ryu | Seoul National University Bundang Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 463-707 | South Korea |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D006617 | Hip Dislocation |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Pressures of hip adductors muscles are measured from pressure meter. and This figures will give investigators a look at the association with a hip dislocation. |
| once at study, when patient enrolled and every once a month for one year |
| Likert scale | Evaluate the satisfaction of botulinum toxin A injection. Likert scale is a response category that indicates the extent to which the question is for or against. Example) Very satisfied - normal - slightly dissatisfied - very dissatisfied | once at study, when patient enrolled and every once a month for one year |
| Hip and knee joint Range of motion(ROM) test | Measure the range of motion the knee and hip joints. | once at study, when patient enrolled and every once a month for one year |
| CPCHILD sacle | Evaluate the quality of life for patients with cerebral palsy. CPCHILD scale have 6section and each section measures scores by 0 to 5. | once at study, when patient enrolled and every once a month for one year |
| D004204 | Joint Dislocations |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |